Focused Exam: Cough, Danny Rivera Shadow health Transcript

Greet
– Danny Rivera says hello.
– Avatar asks Danny’s name.
– Danny Rivera introduces himself as Daniel Rivera, but prefers Danny.

Table of Contents

Question: Reason for Visit
– Danny’s Abuela brought him to the clinic because he’s been feeling sick, coughing a lot, and feeling tired.
– Avatar expresses empathy for Danny’s illness.

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Question: Presence of Cough
– Danny confirms having a cough.

Question: Duration of Cough
– Danny mentions the cough started five days ago.

Question: Nature of Cough
– Danny describes his cough as gurgly and watery, indicating it’s a wet cough.
– Avatar provides an explanation.

Question: Phlegm with Cough
– Danny explains he coughs up clear phlegm occasionally.
– Avatar empathizes with his condition.

Question: Frequency of Cough
– Danny mentions coughing every few minutes, especially worse at night.
– Avatar asks if the cough disturbs his sleep.

Question: Sleep and Cough
– Danny reveals his cough has made falling asleep difficult.
– Avatar expresses understanding.

Question: Smoking
– Danny denies smoking, citing his awareness of its negative effects.

Question: Exposure to Smoke
– Danny mentions being exposed to secondhand smoke when his Papi smokes cigars at home.

Question: Aggravating Factors of Cough
– Danny states his cough remains consistent and worsens at night.

Question: Cough Medicine
– Danny reports taking cough medicine that morning.

Question: Cough Medicine Details
– Danny recalls taking a spoonful of purple cough medicine given by his mother.

Question: Vitamins
– Danny admits taking gummy dinosaur vitamins daily, sometimes extras for “super health.”

Question: Physical Activity
– Danny describes being active through gym class and playing in the nearby park.

Question: Impact of Cough on Activity
– Danny clarifies his cough doesn’t affect his activity level.

Question: Concentration in Class
– Danny discusses difficulty focusing in class due to coughing.

Question: Runny Nose
– Danny mentions a runny nose, which worsened since the cough started.

Question: Sneezing
– Danny doesn’t typically sneeze but experiences a runny nose.

Question: Nasal Discharge Characteristics
– Danny describes his nasal discharge as clear and watery.

Question: Ear Pain
– Danny reports mild pain in his right ear.

Question: Ear Discharge and Hearing
– Danny denies ear discharge but mentions a school hearing test.

Question: Sore Throat
– Danny admits to a slightly sore throat.

Question: Swallowing and Pneumonia
– Danny can swallow without pain, had pneumonia last year.

Question: Asthma
– Danny identifies asthma as needing an inhaler, which he doesn’t use.

Question: Immunizations
– Danny discusses receiving shots for school, sometimes reluctantly.

Question: Allergies
– Danny denies seasonal, food, or medication allergies.

Question: Family History
– Danny mentions Papi’s asthma, uncertain about allergies.

Question: Other Symptoms
– Avatar inquires about chills, fever, fatigue, and night sweats.

Question: Frequent Colds and Headaches
– Danny shares having frequent colds but rare headaches.

Auscultation and Percussion
– Danny performs various respiratory sound assessments, saying “Ninety-nine.”

Final Steps
– Danny completes the assessment.

Please note that I have followed your instructions to paraphrase the provided text in simple English without bold formatting.

Focused Exam: Cough, Danny Rivera Shadow health Transcript

Hello. I amxxx, I will interview and examine you.	Greet 04/01/23 8:27 AM EDT
	Hi.
	What is your name?	Question 04/01/23 8:36 AM EDT
	My name is Daniel Rivera, but I just go by Danny.
	What brings you to the clinic today?	Question 04/01/23 8:36 AM EDT
	My Abuela brought me here because I’ve been feeling sick. I have been coughing a lot. . . and I feel kinda tired.
	Am sorry to hear that you are sick.	Empathize 04/01/23 8:37 AM EDT
	Thank you.
	Do you have a cough?	Question 04/01/23 8:37 AM EDT
	I guess I’m kind of sick. . . I’ve been coughing a lot.
	How long have you had a cough?	Question 04/01/23 8:38 AM EDT
	I think the cough started four. . . No, it started five days ago.
	Is your cough a wet or a dry one? Focused Exam: Cough, Danny Rivera Shadow health Transcript	Question 04/01/23 8:40 AM EDT
	My cough seems kind of gurgly and watery.
	That sounds like a wet cough.	Educate 04/01/23 8:41 AM EDT
	Oh, OK.
	Do you produce any phlegm or sputum with your cough?	Question 04/01/23 8:42 AM EDT
	Is that the gross, slimy stuff? Yeah, I’ve been coughing some of that up. It’s not any strange color, though. It’s just clear.
	Am sorry to hear that.	Empathize 04/01/23 8:43 AM EDT
	Thank you.
	How often is your cough?	Question 04/01/23 8:43 AM EDT
	I just keep feeling like I have to cough every couple minutes or so. I think it gets worse at night.
	Is the cough keeping you up at night?	Question 04/01/23 8:43 AM EDT
	I don’t usually wake up once I go to bed, but my cough has made it hard to fall asleep.
	Am sorry to hear this	Empathize 04/01/23 8:44 AM EDT
	Thank you.
	Do you smoke?	Question 04/01/23 8:44 AM EDT
	No way! I know smoking is really bad–even for grown-ups. Papi smokes cigars sometimes. I don’t like how they smell.
	True smoking is bad for everyone, you should never smoke.	Educate 04/01/23 8:44 AM EDT
	Oh, OK.
	Are you ever around cigarette smoke?	Question 04/01/23 8:46 AM EDT
	Well . . . sometimes Papi smokes cigars in the house and my mom has to tell him to go outside. I breathe it a little bit then, but it’s not all the time or anything. I don’t like how it smells.
	Am sorry to hear that I understand your concern.	Empathize 04/01/23 8:46 AM EDT
	Thank you.
	What makes your cough worse?	Question 04/01/23 8:47 AM EDT
	My cough mostly stays the same no matter what I do. It seems to get worse at night though.
	Have you tried to treat your cough?	Question 04/01/23 8:47 AM EDT
	I had some cough medicine this morning. [AUDIO COMING SOON]
	What is the name of the medicine?	Question 04/01/23 8:47 AM EDT
	I don’t know what the name of the cough medicine is. It was purple. [AUDIO COMING SOON]
	Who gave you the medicine?	Question 04/01/23 8:47 AM EDT
	My mom.
	How much medicine did you take?	Question 04/01/23 8:49 AM EDT
	I just had one spoonful of it.
	How many times have you taken the cough medicine?	Question 04/01/23 8:49 AM EDT
	I only took the cough medicine once. My mom gave me a spoonful. [AUDIO COMING SOON]
	Do you take vitamins?	Question 04/01/23 8:49 AM EDT
	Oh yeah, I take vitamins every day! The gummy dinosaur kind. I don’t think I’m supposed to, but sometimes I sneak extra ones to be super healthy!
	I understand it’s good to take vitamins, but do not take more than the recommended dosage,	Educate 04/01/23 8:51 AM EDT
	Oh, OK.
	Are you usually active?	Question 04/01/23 8:51 AM EDT
	I have gym class every day. I do all my exercises there. And there’s a park right next to my house where I play after school, or sometimes on the weekends, if it’s nice outside. [AUDIO COMING SOON]
	Great, keep exercising.	Educate 04/01/23 8:51 AM EDT
	Oh, OK.
	Does the cough make you less active?	Question 04/01/23 8:51 AM EDT
	No, that doesn’t help my cough.
	Are you able to focus in class?	Question 04/01/23 8:52 AM EDT
	I can focus normally, but I couldn’t sleep very well last night because of my coughing, so it was harder than normal. Plus, it’s harder to pay attention when you keep having to cough. [AUDIO COMING SOON]
	Am sorry to hear that.	Empathize 04/01/23 8:52 AM EDT
	Thank you.
	Do you have a runny nose?	Question 04/01/23 8:52 AM EDT
	My nose is always a little bit runny… but ever since I started coughing it’s been worse, I think.
	Am sorry to hear that.	Empathize 04/01/23 8:52 AM EDT
	Thank you.
	Have you been sneezing?	Question 04/01/23 8:53 AM EDT
	I don’t usually have to sneeze. My nose gets runny a lot of times though, like I have a cold.
	What color is your snot?	Question 04/01/23 8:53 AM EDT
	You mean like when I blow my nose? It’s clear.
	Yes that one, Ok, thanks.	Empathize 04/01/23 8:53 AM EDT
	Thank you.
	How consistent is your nasal discharge?	Question 04/01/23 8:54 AM EDT
	It’s kind of clear and, like, watery.
	Any ear pain?	Question 04/01/23 8:54 AM EDT
	My right ear is starting to hurt a little bit . . . my left one is OK though.
	Sorry Danny.	Empathize 04/01/23 8:54 AM EDT
	Thank you.
	Any ear discharge?	Question 04/01/23 8:54 AM EDT
	No, nothing comes out of my ears, but my right ear kind of hurts.
	Any hearing problems?	Question 04/01/23 8:55 AM EDT
	A lady came to my school to give all the kids a hearing test. It was kind of cool! I was hoping I would have super hearing, but I think I was just normal . . .
	Good, its good to have a test done whenever there is a chance.	Educate 04/01/23 8:55 AM EDT
	Oh, OK.
	Any sore throat?	Question 04/01/23 8:55 AM EDT
	It feels a little bit sore, yeah.
	Does it hurt when you swallow?	Question 04/01/23 8:56 AM EDT
	No, I can swallow OK. It hurts a little right now because my throat is kinda sore.
	Have you had pneumonia?	Question 04/01/23 8:56 AM EDT
	I think I had that last year, when I was seven. My mom was really worried.
	Have you had asthma?	Question 04/01/23 8:56 AM EDT
	Is that when you have to use a, uh, an inhaler? My friend Tony does that sometimes, but I don’t have to.
	Yes that one. Ok	Empathize 04/01/23 8:56 AM EDT
	Thank you.
	Do you have current immunizations?	Question 04/01/23 8:57 AM EDT
	Like getting shots? It seems like I get shots whenever I go to the doctor. Mom says I need them for school, but I hate it.
	Your mum is right Danny, immunization helps prevent diseases.	Educate 04/01/23 8:59 AM EDT
	Oh, OK.
	Do you have seasonal allergies?	Question 04/01/23 8:59 AM EDT
	I don’t think I have any allergies like that.
	Do you have any food allergies?	Question 04/01/23 8:59 AM EDT
	I’m not allergic to any foods I don’t think.
	Are you allergic to any medication?	Question 04/01/23 9:00 AM EDT
	I don’t think I’m allergic to medicine.
	Any family history of asthma?	Question 04/01/23 9:00 AM EDT
	Only Papi had asthma, I think.
	Any family history of allergies?	Question 04/01/23 9:00 AM EDT
	I don’t think so, but I guess I’m not sure.
	Do you have chills?	Question 04/01/23 9:01 AM EDT
	No, I haven’t felt that.
	Do you have fever?	Question 04/01/23 9:01 AM EDT
	My mom said I didn’t have a fever this morning before Abuela took me here.
	Are you fatigued?	Question 04/01/23 9:01 AM EDT
	Yeah, I feel kind of tired. I think it’s because I couldn’t sleep much at night. My cough kept me from falling asleep.
	Sorry about that.	Empathize 04/01/23 9:01 AM EDT
	Thank you.
	Do you have night sweats?	Question 04/01/23 9:02 AM EDT
	I don’t sweat at night unless it gets really hot or something.
	Do you suffer from frequent colds?	Question 04/01/23 9:02 AM EDT
	I get colds a lot. My nose is always runny.
	Do you get headaches?	Question 04/01/23 9:02 AM EDT
	I don’t usually get headaches.

Ninety-nine.
	Ninety-nine.
	Ninety-nine.
	Auscultated voice sounds in anterior left lower lobe	Exam Action 04/01/23 9:27 AM EDT
	Ninety-nine.
	Ninety-nine.
	Auscultated voice sounds in posterior left upper lobe	Exam Action 04/01/23 9:28 AM EDT
	Auscultated voice sounds in posterior right upper lobe	Exam Action 04/01/23 9:28 AM EDT
	Ninety-nine.
	Auscultated voice sounds in posterior left mid-back (lower lobe)	Exam Action 04/01/23 9:28 AM EDT
	Ninety-nine.
	Auscultated voice sounds in posterior right mid-back (lower lobe)	Exam Action 04/01/23 9:28 AM EDT
	Ninety-nine.
	Auscultated voice sounds in posterior left lower lobe near spine	Exam Action 04/01/23 9:28 AM EDT
	Ninety-nine.
	Auscultated voice sounds in posterior right lower lobe near spine	Exam Action 04/01/23 9:28 AM EDT
	Ninety-nine.
	Ninety-nine.
	Auscultated voice sounds in posterior left lower lobe on side	Exam Action 04/01/23 9:28 AM EDT
	Ninety-nine.
	Auscultated voice sounds in posterior left lower lobe	Exam Action 04/01/23 9:28 AM EDT
	Ninety-nine.
	Ninety-nine.
	Auscultated voice sounds in posterior right lower lobe	Exam Action 04/01/23 9:28 AM EDT
	Ninety-nine.
	Auscultated voice sounds in posterior right lower lobe on side Focused Exam: Cough, Danny Rivera Shadow health Transcript	Exam Action 04/01/23 9:28 AM EDT
	Ninety-nine.
	Ninety-nine.
	Auscultated aortic area with the bell	Exam Action 04/01/23 9:28 AM EDT
	Auscultated pulmonic area with the bell	Exam Action 04/01/23 9:28 AM EDT
	Auscultated Erb’s point with the bell	Exam Action 04/01/23 9:29 AM EDT
	Auscultated tricuspid area with the bell	Exam Action 04/01/23 9:29 AM EDT
	Auscultated mitral area with the bell	Exam Action 04/01/23 9:29 AM EDT
	Auscultated mitral area with the diaphragm	Exam Action 04/01/23 9:29 AM EDT
	Auscultated aortic area with the diaphragm	Exam Action 04/01/23 9:29 AM EDT
	Auscultated pulmonic area with the diaphragm	Exam Action 04/01/23 9:29 AM EDT
	Auscultated Erb’s point with the diaphragm	Exam Action 04/01/23 9:29 AM EDT
	Auscultated tricuspid area with the diaphragm	Exam Action 04/01/23 9:29 AM EDT
	Auscultated mitral area with the diaphragm	Exam Action 04/01/23 9:29 AM EDT
	Percussed anterior right upper lobe	Exam Action 04/01/23 9:29 AM EDT
	Percussed anterior left upper lobe	Exam Action 04/01/23 9:29 AM EDT
	Percussed anterior right middle lobe	Exam Action 04/01/23 9:29 AM EDT
	Percussed anterior left mid-chest (upper lobe)	Exam Action 04/01/23 9:29 AM EDT
	Percussed anterior right lower lobe	Exam Action 04/01/23 9:29 AM EDT
	Percussed anterior left lower lobe	Exam Action 04/01/23 9:30 AM EDT
	Percussed posterior left upper lobe	Exam Action 04/01/23 9:30 AM EDT
	Percussed posterior right upper lobe	Exam Action 04/01/23 9:30 AM EDT
	Percussed posterior left mid-back (lower lobe)	Exam Action 04/01/23 9:30 AM EDT
	Percussed posterior right mid-back (lower lobe)	Exam Action 04/01/23 9:30 AM EDT
	Percussed posterior left lower lobe	Exam Action 04/01/23 9:30 AM EDT
	Percussed posterior right lower lobe	Exam Action 04/01/23 9:30 AM EDT
	Percussed posterior left lower lobe on side	Exam Action 04/01/23 9:30 AM EDT
	Percussed posterior left lower lobe near spine	Exam Action 04/01/23 9:30 AM EDT
	Percussed posterior right lower lobe near spine	Exam Action 04/01/23 9:30 AM EDT

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Focused Exam: Cough, Danny Rivera Shadow health Transcript