Felipe Barbosa Sick Visit: Integumentary ShadowHealth Transcript
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Hello. I am xxx, I will interview and examine you.
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Greet |
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Hi.
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What is your name?
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Felipe Barbosa
Felipe Barbosa Sick Visit: Integumentary ShadowHealth Transcript
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What brings you here today?
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I’m here for this pain and rash on my back.
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I am sorry about that
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Empathize |
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Thank you.
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How long have you had the pain and rash?
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The pain and rash has been going on for two days, though I had some tingling in the area four days ago . . . [AUDIO COMING SOON]
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Can you describe the rash?
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Yeah, the rash is red, has small blisters, and I feel a burning pain.
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How long does the pain last?
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The pain has been constant.
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How severe is your pain?
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Pain — 7 out of 10.
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Where is the rash located?
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The rash is on my right lower back. I have pain there too, but it’s not radiating.
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What relieves your symptoms?
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I took some ibuprofen for the pain — that helped a little. I tried an ice pack, but that did nothing. I didn’t try any ointments or anything for the rash.
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I’m glad that ibupfrofen helped a little
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Empathize |
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I appreciate that.
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What makes your symptoms worse
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Sweat and being hot make the pain feel worse. The pain is constant and in the area of the rash.
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What is your medical history?
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Aside from the rash and the pain, no other health issues.
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Any allergies?
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Nope, I don’t have allergies.
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Have you had a rash in the past?
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Yeah I have a rash and pain in my back.
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Are your immunizations up to date?
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Yup, I have all my shots.
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Any past history of skin conditions?
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I don’t have any skin conditions or other medical conditions. Just this rash. [AUDIO COMING SOON]
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Any history of chronic disease?
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Yeah, my family has some health issues — Dad has high cholesterol and hypertension. Mom has diabetes. They’re both living.
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Are you using any other medications? (Clarified to What other medications are you taking?.)
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I don’t have any prescriptions. I just take ibuprofen. (Clarified to what other medications I am taking.)
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Have you been sexually active
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Not totally sure how that relates, but yes . . . I’m sexually active with my husband. Not since I got this rash, though. [AUDIO COMING SOON]
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Some skin conditions are spread through contact
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Educate |
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I’ll make a note of that.
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Any fever?
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No, I haven’t had a fever.
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Any history of eczema? (Clarified to Do you have a history of psychiatric illness?.)
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I don’t have any clinical mental health issues, but I’m grappling with a traumatic incident — my best friend died recently. (Clarified to if I have a history of psychiatric illness.)
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Am sorry about that
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Empathize |
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Thanks.
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Are you using any supplements? (Clarified to Do you take vitamins or supplements?.)
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No, I don’t take vitamins or supplements. (Clarified to if I take vitamins or supplements.)
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Any recent travel?
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We haven’t traveled recently. Not since our honeymoon a few years ago. [AUDIO COMING SOON]
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Any history of surgeries?
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Nope, I’ve never had surgery before.
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Any history of hospitalizations?
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Nope, no hospitalizations.
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Any recent exposure to chemicals? (Clarified to Have you had any recent exposure to plants?.)
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No, I haven’t touched any strange plants or anything. [AUDIO COMING SOON] (Clarified to if I have had recent exposure to plants.)
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What is your diet like?
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I usually do a protein shake for breakfast and load it up with lots of stuff — I use some super greens powder, or fresh greens if I have them on hand, some fruit, oatmeal, yogurt . . . they keep me pretty full in the morning before my workouts. Lunch is usually something quick like a salad and pizza, or grain bowl. Dinner I’ll have some steak or fish with pasta and roasted vegetables. I snack too . . . nuts, chips and guacamole, a good cheese plate, an occasional doughnut Felipe Barbosa Sick Visit: Integumentary ShadowHealth Transcript.
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Healthy diet is good for your skin
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Ah, alright, thanks.
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Any family history of skin conditions?
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I don’t think any skin diseases run in my family. [AUDIO COMING SOON]
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Any joint pain?
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I don’t have any joint issues.
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Any night sweats? Felipe Barbosa Sick Visit: Integumentary ShadowHealth Transcript
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I don’t get night sweats.
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Any vision problems?
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My eyes and vision are good. [AUDIO COMING SOON]
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Any numbness or tingling?
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I have some tingling sensations in the rash area. The tingling has been going on for about four days. The rash only showed up two days ago.
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Am sorry about that
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Empathize |
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That’s nice of you.
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Any nausea?
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I haven’t been nauseated.
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Auscultated breath sounds: Breath sounds present in all areas with no adventitious sounds
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Auscultated heart sounds: S1 and S2 audible with no extra heart sounds
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Assessed location of rash.
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Assessed character of rash.
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Palpated abdomen light
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Palpated spine: Spine and accessory muscles were nontender to palpation.
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Palpated rash: Patient verbalized pain by saying “Ouch” upon palpation Felipe Barbosa Sick Visit: Integumentary ShadowHealth Transcript
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Tested sensation in left and right legs: Expected sensation in left and right legs
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Tested sensation of left and right feet: Tested sensation in feet. Expected sensation in left and right feet
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Tested spine range of motion: Full range of motion performed without discomfort
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Are you able to work?
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Well I’m a firefighter and I’ve been on my off schedule. I guess I’ll find out tomorrow when I’m back on shift if the pain is going to get in the way . . . I’ll grit through the pain.
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Can you stand? (No matching questions found.)
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Have the symptoms affected your sleep?
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Aside from the pain, I have a rash and I’ve been feeling a little tired.
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Any fatigue?
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Yeah, I’ve been tired lately.
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How many hours do you sleep per day?
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Usually 8 hours a night. [AUDIO COMING SOON]
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Any sore throat?
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My throat feels fine. [AUDIO COMING SOON]
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Any history of infection? (Clarified to Have you ever been diagnosed with an STD?.)
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Um . . . that’s sort of out of nowhere, but no, I don’t have an STD. [AUDIO COMING SOON] (Clarified to if I have been diagnosed with an STD.) Felipe Barbosa Sick Visit: Integumentary ShadowHealth Transcript
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Any stress? (Clarified to Have you been stressed recently?.)
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I recently lost my best friend . . . he died in the line of duty, he was a firefighter too. It’s been hard. (Clarified to if I have been stressed out lately.)
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Am sorry about that
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Empathize |
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I appreciate it. Felipe Barbosa Sick Visit: Integumentary ShadowHealth Transcript
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Any history of back pain?
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Before the current pain in my right lower back, I haven’t had major back pain. [AUDIO COMING SOON]
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Are you depressed?
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I don’t have clinical depression or anything, but . . . I lost my best friend recently, and I’ve been in mourning. [AUDIO COMING SOON]
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Any history of HIV? (Clarified to Do you have a history of anxiety?.)
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I don’t have an anxiety disorder . . . but . . . and I don’t know if “anxiety” is the right word . . . I lost my best friend recently, and I’ve definitely been on edge. [AUDIO COMING SOON] (Clarified to if I have a history of anxiety.)
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Any history of childhood illnesses?
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Um, I had chickenpox as a kid.
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Does the pain radiate?
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The pain in the rash area is really only on my right lower back. It doesn’t go anywhere else.
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Do you work?
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Yeah, I’m firefighter.
Felipe Barbosa Sick Visit: Integumentary ShadowHealth Transcript
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