Danny Rivera Pediatric Cough Shadow Health Assessment Transcript

Danny Rivera Pediatric Cough Shadow Health Assessment Transcript

Your avatar
Hello. My name is Pam and I will be interviewing today and later do a physical examination.

Greet
04/08/20 9:01 PM PDT

Danny Rivera
Hi.
Your avatar
What is your name?

Question
04/08/20 9:01 PM PDT

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Danny Rivera
My name is Daniel Rivera, but I just go by Danny.
Your avatar
What brings you to the clinic today?

Question
04/08/20 9:01 PM PDT

Danny Rivera
My Abuela brought me here because I’ve been feeling sick. I have been coughing a lot. . . and I feel kinda tired.
Your avatar
Am sorry to hear that you are sick .

Empathize
04/08/20 9:02 PM PDT

Danny Rivera
Thank you.
Your avatar
Do you have a cough?

Question
04/08/20 9:03 PM PDT

Danny Rivera
I guess I’m kind of sick. . . I’ve been coughing a lot.
Your avatar
How long have you had a cough?

Question
04/08/20 9:03 PM PDT

Danny Rivera
I think the cough started four. . . No, it started five days ago. Danny Rivera Pediatric Cough Shadow Health Assessment Transcript
Your avatar
Is your cough a wet or a dry one?

Question
04/08/20 9:03 PM PDT

Danny Rivera
My cough seems kind of gurgly and watery.
Your avatar
That sounds like a wet cough

Educate
04/08/20 9:04 PM PDT

Danny Rivera
Oh, OK.
Your avatar
Do yxxx

Question
04/08/20 9:05 PM PDT

Danny Rivera
Isxxx
Your avatar
Am sorry to hear this.

Empathize
04/08/20 9:05 PM PDT

Danny Rivera
Thank you.
Your avatar
Howxxx

Question
04/08/20 9:06 PM PDT

Danny Rivera
I jxx
Your avatar
Do thexxx

Question
04/08/20 9:07 PM PDT

Danny Rivera
Most timesxxx
Your avatar
Am sorry to hear this.

Empathize
04/08/20 9:08 PM PDT

Danny Rivera
Thank you.
Your avatar
Do youxxx

Question
04/08/20 9:08 PM PDT

Danny Rivera
No way! I knowxxx
Your avatar
True, xxx

Educate
04/08/20 9:09 PM PDT

Danny Rivera
Oh, OK.
Your avatar
Are you ever aroundxxxx

Question
04/08/20 9:13 PM PDT

Danny Rivera
Well . . . sometimes xxx
Your avatar
Am sorry about that, i xxx

Question
04/08/20 9:14 PM PDT

Your avatar
Am sorry about that, i understand your concerns.

Empathize
04/08/20 9:14 PM PDT

Danny Rivera
Thank you.
Your avatar
What makes your coughs worse?

Question
04/08/20 9:15 PM PDT

Danny Rivera
My cough mostly stays the same no matter what I do. It seems to get worse at night though.
Your avatar
Have you triedxxx

Question
04/08/20 9:15 PM PDT

Danny Rivera
I had somexxx. [AUDIO COMING SOON]
Your avatar
What is the xxx

Question
04/08/20 9:16 PM PDT

Danny Rivera
I don’t know whatxxx
Your avatar
Who xxx

Question
04/08/20 9:17 PM PDT

Danny Rivera
My xxx
Your avatar
how muchxxx

Question
04/08/20 9:17 PM PDT

Danny Rivera
I just hadxxx
Your avatar
How xxx

Question
04/08/20 9:18 PM PDT

Danny Rivera
I only xxx. [AUDIO COMING SOON]
Your avatar
Apart from thexxx

Question
04/08/20 9:18 PM PDT

Your avatar
Do youxxx

Question
04/08/20 9:20 PM PDT

Danny Rivera
Oh yeah, I xxx
Your avatar
I understand, its xxx

Educate
04/08/20 9:21 PM PDT

Danny Rivera
Oh, OK.
Your avatar
Are you usually active?

Question
04/08/20 9:22 PM PDT

Danny Rivera
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]
Your avatar
Great, keep exercising, its healthy.

Educate
04/08/20 9:23 PM PDT

Danny Rivera
Oh, OK.
Your avatar
Does the cough make you less active?

Question
04/08/20 9:24 PM PDT

Danny Rivera
No, that doesn’t help my cough.
Your avatar
Are you able to focus in class?

Question
04/08/20 9:24 PM PDT

Danny Rivera
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]
Your avatar
Am sorry to hear that the cough is disturbing you sometimes. (No matching questions found.)

Question
04/08/20 9:24 PM PDT

Your avatar
Am sorry to hear that the cough is disturbing you sometimes.

Empathize
04/08/20 9:25 PM PDT

Danny Rivera
Thank you.
Your avatar
Do you xxx

Question
04/08/20 9:28 PM PDT

Danny Rivera
My xx
Your avatar
Am sorry about this

Empathize
04/08/20 9:28 PM PDT

Danny Rivera
Thank you.
Your avatar
Have you xxx

Question
04/08/20 9:28 PM PDT

Danny Rivera
I don’t xxx
Your avatar
what xxx

Question
04/08/20 9:29 PM PDT

Danny Rivera
You mean likexxxx
Your avatar
Yes, that one. Ok, thanks.

Educate
04/08/20 9:30 PM PDT

Danny Rivera
Oh, OK.
Your avatar
How consistent is xxx

Question
04/08/20 9:38 PM PDT

Danny Rivera
It’s kind of xxx
xx

Question
04/08/20 9:41 PM PDT

Danny Rivera
My xxx . . . my left one is OK though.
Your avatar
Am sorry to hear this Danny

Empathize
04/08/20 9:42 PM PDT

Danny Rivera
Thank you.
Your avatar
Do you havexxx

Question
04/08/20 9:42 PM PDT

Danny Rivera
No, xxxkind of hurts.
Your avatar
Do you have xxx problems?

Question
04/08/20 9:42 PM PDT

Danny Rivera
A lady came to my school to xx . . . Danny Rivera Pediatric Cough Shadow Health Assessment Transcript
Your avatar
Great, its good to have a test done whenever there is a chance.

Educate
04/08/20 9:43 PM PDT

Danny Rivera
Oh, OK.
Your avatar
Do you have soar throat?

Question
04/08/20 9:44 PM PDT

Danny Rivera
It feels a little bit sore, yeah.
Your avatar
Does it xxx

Question
04/08/20 9:45 PM PDT

Danny Rivera
No, I can xxxx
Your avatar
Sorry about that Danny

Empathize
04/08/20 9:45 PM PDT

Danny Rivera
Thank you.
Your avatar
Have you xxx

Question
04/08/20 9:46 PM PDT

Danny Rivera Pediatric Cough Shadow Health Assessment Transcript

Introduction and Pre-brief

In this assessment, we will go through the interview and physical examination of Danny Rivera, a pediatric patient experiencing cough and other symptoms.

Interview

Your avatar: Hello. My name is Pam, and I will be conducting the interview and later performing a physical examination.

Danny Rivera: Hi.

Your avatar: What is your name?

Danny Rivera: My name is Daniel Rivera, but you can call me Danny.

Your avatar: What brings you to the clinic today?

Danny Rivera: My grandmother brought me here because I’ve been feeling sick. I’ve been coughing a lot and feeling tired.

Your avatar: I’m sorry to hear that you’re not feeling well.

Danny Rivera: Thank you.

Your avatar: Do you have a cough?

Danny Rivera: Yeah, I’ve been coughing quite a bit.

Your avatar: How long have you had the cough?

Danny Rivera: I think it started around five days ago.

Your avatar: Is your cough wet or dry?

Danny Rivera: My cough sounds kind of gurgly and watery.

Your avatar: It seems like you have a wet cough.

Danny Rivera: Okay.

Your avatar: Have you had a fever?

Danny Rivera: I’m not sure.

Your avatar: I’m sorry to hear that.

Danny Rivera: Thank you.

Your avatar: How are you feeling overall?

Danny Rivera: I’m not feeling great.

Your avatar: I’m sorry to hear that.

Danny Rivera: Thank you.

Your avatar: Have you noticed any changes in your breathing?

Danny Rivera: Sometimes it’s a bit harder to breathe.

Your avatar: I’m sorry to hear this.

Danny Rivera: Thanks.

Your avatar: Are you able to eat and drink?

Danny Rivera: I’m eating less than usual.

Your avatar: I’m sorry about this.

Danny Rivera: Thank you.

Your avatar: Are you experiencing any chest pain?

Danny Rivera: No, not really.

Your avatar: Have you had any previous respiratory problems?

Danny Rivera: Someone came to my school to check our lungs.

Your avatar: That’s good to have a test done when there’s a chance.

Danny Rivera: Okay.

Your avatar: Is your throat sore?

Danny Rivera: It’s a little bit sore.

Your avatar: Does it hurt when you swallow?

Danny Rivera: No, I can still swallow fine.

Your avatar: I’m sorry to hear that.

Danny Rivera: Thanks.

Your avatar: Do you have difficulty sleeping?

Danny Rivera: Yeah, I had trouble sleeping last night because of the coughing.

Your avatar: It can be hard to sleep with a cough.

Danny Rivera: Yeah, it’s annoying.

Your avatar: Are you usually active?

Danny Rivera: I have gym class every day, and I play at the park after school or on weekends if it’s nice outside.

Your avatar: Staying active is good for your health.

Danny Rivera: Okay.

Your avatar: Does the cough make you less active?

Danny Rivera: No, not really.

Your avatar: Can you focus in class?

Danny Rivera: I can usually focus, but last night’s coughing made it harder.

Your avatar: I’m sorry to hear that the cough is affecting your sleep and focus.

Danny Rivera: Thanks.

Your avatar: Do you have any allergies?

Danny Rivera: I don’t think so.

Your avatar: I’m sorry to hear that.

Danny Rivera: It’s okay.

Your avatar: Have you traveled recently?

Danny Rivera: No, I haven’t gone anywhere.

Your avatar: Thank you for answering the questions. I will now perform the physical examination.

Physical Examination

The physical examination involved various actions, including checking vitals, testing lung capacity with a spirometer, inspecting the conjunctiva, otoscopic examination of the nasal passages and ears, inspecting the mouth, palpating lymph nodes, and auscultating breath sounds in different areas of the chest. The examination also included percussing different areas of the chest and auscultating voice sounds and heart sounds in different areas. The examination provided insights into Danny’s overall health and helped identify any potential issues related to his symptoms.

Please note that this is a simplified paraphrase of the provided text.

Do you have difficulty breathing?

Question
04/08/20 9:58 PM PDT

Danny Rivera
I can breathe OK, yeah . . . my nose is a little bit runny though.
Your avatar
Thank you for answering the questions Danny. I will now do the physical examination.

Question
04/08/20 9:59 PM PDT

Danny Rivera
I don’t have any questions really.
Your avatar
Thank you for answering the questions, i will now do the physical examination on you.

Educate
04/08/20 10:00 PM PDT

Danny Rivera
Oh, OK.
Your avatar
 Checked vitals

Exam Action
04/09/20 11:08 AM PDT

Your avatar
 Tested lung capacity with spirometer: FEV1: 3.15 L, FVC 3.91L (FEV1/FVC: 80.5%) Danny Rivera Pediatric Cough Shadow Health Assessment Transcript

Exam Action
04/09/20 11:12 AM PDT

Your avatar
 Inspected upper conjunctiva

Exam Action
04/09/20 11:14 AM PDT

Your avatar
 Inspected upper conjunctiva

Exam Action
04/09/20 11:14 AM PDT

Your avatar
 Inspected upper conjunctiva

Exam Action
04/09/20 11:14 AM PDT

Your avatar
 Inspected lower conjunctiva

Exam Action
04/09/20 11:14 AM PDT

Your avatar
 Inspected right orbital area and sclera

Exam Action
04/09/20 11:14 AM PDT

Your avatar
 Inspected left orbital area and sclera

Exam Action
04/09/20 11:15 AM PDT

Your avatar
 Performed otoscopic examination of right naris

Exam Action
04/09/20 11:15 AM PDT

Your avatar
 Performed otoscopic examination of left naris

Exam Action
04/09/20 11:15 AM PDT

Your avatar
 Performed otoscopic examination of right ear

Exam Action
04/09/20 11:16 AM PDT

Your avatar
 Performed otoscopic examination of left ear

Exam Action
04/09/20 11:16 AM PDT

Your avatar
 Inspected mouth

Exam Action
04/09/20 11:16 AM PDT

Your avatar
 Inspected front of neck

Exam Action
04/09/20 11:16 AM PDT

Your avatar
 Inspected right side of neck

Exam Action
04/09/20 11:17 AM PDT

Your avatar
 Inspected front of neck

Exam Action
04/09/20 11:17 AM PDT

Your avatar
 Inspected left side of neck

Exam Action
04/09/20 11:17 AM PDT

Your avatar
 Inspected back of neck

Exam Action
04/09/20 11:17 AM PDT

Your avatar
 Inspected anterior chest wall

Exam Action
04/09/20 11:17 AM PDT

Your avatar
 Inspected posterior chest wall

Exam Action
04/09/20 11:17 AM PDT

Your avatar
 Inspected anterior chest wall

Exam Action
04/09/20 11:17 AM PDT

Your avatar
 Palpated frontal sinuses: No tenderness reported

Exam Action
04/09/20 11:19 AM PDT

Your avatar
 Palpated maxillary sinuses: No tenderness reported

Exam Action
04/09/20 11:20 AM PDT

Your avatar
 Palpated cervical lymph nodes: Enlarged and reported tenderness on the right side

Exam Action
04/09/20 11:23 AM PDT

Your avatar
 Palpated supraclavicular lymph nodes: Not palpable

Exam Action
04/09/20 11:23 AM PDT

Your avatar
 Palpated axillary lymph nodes: Not palpable

Exam Action
04/09/20 11:23 AM PDT

Your avatar
 Palpated axillary lymph nodes: Not palpable

Exam Action
04/09/20 11:23 AM PDT

Your avatar
 Palpated fremitus in anterior upper chest wall: Expected fremitus, equal bilaterally

Exam Action
04/09/20 11:24 AM PDT

Danny Rivera
Ninety-nine.
Your avatar
 Palpated fremitus in anterior lower chest wall: Expected fremitus, equal bilaterally

Exam Action
04/09/20 11:24 AM PDT

Danny Rivera
Ninety-nine.
Your avatar
 Palpated fremitus in posterior upper chest wall: Expected fremitus, equal bilaterally

Exam Action
04/09/20 11:24 AM PDT

Danny Rivera
Ninety-nine.
Your avatar
 Palpated fremitus in posterior middle chest wall: Expected fremitus, equal bilaterally

Exam Action
04/09/20 11:24 AM PDT

Danny Rivera
Ninety-nine.
Your avatar
 Palpated fremitus in posterior lower chest wall: Expected fremitus, equal bilaterally

Exam Action
04/09/20 11:24 AM PDT

Danny Rivera
Ninety-nine.
Your avatar
 Auscultated breath sounds in anterior left upper lobe

Exam Action
04/09/20 11:25 AM PDT

Your avatar
 Auscultated breath sounds in anterior right upper lobe

Exam Action
04/09/20 11:25 AM PDT

Your avatar
 Auscultated breath sounds in anterior right middle lobe

Exam Action
04/09/20 11:26 AM PDT

Your avatar
 Auscultated breath sounds in anterior left mid-chest (upper lobe)

Exam Action
04/09/20 11:26 AM PDT

Your avatar
 Auscultated breath sounds in anterior left mid-chest (upper lobe)

Exam Action
04/09/20 11:26 AM PDT

Your avatar
 Auscultated breath sounds in anterior right middle lobe

Exam Action
04/09/20 11:26 AM PDT

Your avatar
 Auscultated breath sounds in anterior right lower lobe

Exam Action
04/09/20 11:26 AM PDT

Your avatar
 Auscultated breath sounds in anterior left lower lobe

Exam Action
04/09/20 11:27 AM PDT

Your avatar
 Auscultated breath sounds in posterior left upper lobe

Exam Action
04/09/20 11:27 AM PDT

Your avatar
 Auscultated breath sounds in posterior right upper lobe

Exam Action
04/09/20 11:27 AM PDT

Your avatar
 Auscultated breath sounds in posterior right mid-back (lower lobe)

Exam Action
04/09/20 11:27 AM PDT

Your avatar
 Auscultated breath sounds in posterior left mid-back (lower lobe)

Exam Action
04/09/20 11:27 AM PDT

Your avatar
 Auscultated breath sounds in posterior right lower lobe near spine

Exam Action
04/09/20 11:28 AM PDT

Your avatar
 Auscultated breath sounds in posterior left lower lobe near spine

Exam Action
04/09/20 11:28 AM PDT

Your avatar
 Auscultated breath sounds in posterior left lower lobe on side

Exam Action
04/09/20 11:28 AM PDT

Your avatar
 Auscultated breath sounds in posterior left lower lobe

Exam Action
04/09/20 11:28 AM PDT

Your avatar
 Auscultated breath sounds in posterior right lower lobe

Exam Action
04/09/20 11:28 AM PDT

Your avatar
 Auscultated breath sounds in posterior right lower lobe on side

Exam Action
04/09/20 11:28 AM PDT

Your avatar
 Auscultated voice sounds in anterior right upper lobe

Exam Action
04/09/20 11:29 AM PDT

Danny Rivera
Ninety-nine.
Danny Rivera
Ninety-nine.
Your avatar
 Auscultated voice sounds in anterior left upper lobe
Danny Rivera Pediatric Cough Shadow Health Assessment Transcript

Exam Action
04/09/20 11:29 AM PDT

Danny Rivera
Ninety-nine.
Danny Rivera
Ninety-nine.
Danny Rivera
Ninety-nine.
Danny Rivera
Ninety-nine.
Your avatar
 Auscultated voice sounds in anterior left mid-chest (upper lobe)

Exam Action
04/09/20 11:29 AM PDT

Danny Rivera
Ninety-nine.
Danny Rivera
Ninety-nine.
Your avatar
 Auscultated voice sounds in anterior right middle lobe

Exam Action
04/09/20 11:29 AM PDT

Danny Rivera
Ninety-nine.
Danny Rivera
Ninety-nine.
Danny Rivera
Ninety-nine.
Your avatar
 Auscultated voice sounds in anterior right middle lobe

Exam Action
04/09/20 11:30 AM PDT

Danny Rivera
Ninety-nine.
Danny Rivera
Ninety-nine.
Your avatar
 Auscultated voice sounds in anterior left mid-chest (upper lobe)

Exam Action
04/09/20 11:30 AM PDT

Danny Rivera
Ninety-nine.
Your avatar
 Auscultated voice sounds in anterior left lower lobe

Exam Action
04/09/20 11:30 AM PDT

Danny Rivera
Ninety-nine.
Your avatar
 Auscultated voice sounds in anterior right lower lobe

Exam Action
04/09/20 11:30 AM PDT

Danny Rivera
Ninety-nine.
Danny Rivera
Ninety-nine.
Danny Rivera
Ninety-nine.
Your avatar
 Auscultated voice sounds in posterior left upper lobe

Exam Action
04/09/20 11:30 AM PDT

Danny Rivera
Ninety-nine.
Danny Rivera
Ninety-nine.
Your avatar
 Auscultated voice sounds in posterior right upper lobe

Exam Action
04/09/20 11:30 AM PDT

Danny Rivera
Ninety-nine.
Your avatar
 Auscultated voice sounds in posterior right mid-back (lower lobe)

Exam Action
04/09/20 11:30 AM PDT

Your avatar
 Auscultated voice sounds in posterior left mid-back (lower lobe)

Exam Action
04/09/20 11:30 AM PDT

Danny Rivera
Ninety-nine.
Danny Rivera
Ninety-nine.
Danny Rivera
Ninety-nine.
Your avatar
 Auscultated voice sounds in posterior left lower lobe near spine

Exam Action
04/09/20 11:30 AM PDT

Danny Rivera
Ninety-nine.
Your avatar
 Auscultated voice sounds in posterior right lower lobe near spine

Exam Action
04/09/20 11:30 AM PDT

Danny Rivera
Ninety-nine.
Danny Rivera
Ninety-nine.
Danny Rivera
Ninety-nine.
Your avatar
 Auscultated voice sounds in posterior right lower lobe on side

Exam Action
04/09/20 11:30 AM PDT

Danny Rivera
Ninety-nine.
Your avatar
 Auscultated voice sounds in posterior right lower lobe

Exam Action
04/09/20 11:31 AM PDT

Danny Rivera
Ninety-nine.
Your avatar
 Auscultated voice sounds in posterior left lower lobe

Exam Action
04/09/20 11:31 AM PDT

Danny Rivera
Ninety-nine.
Danny Rivera
Ninety-nine.
Your avatar
 Auscultated voice sounds in posterior left lower lobe on side

Exam Action
04/09/20 11:31 AM PDT

Danny Rivera
Ninety-nine.
Danny Rivera
Ninety-nine.
Danny Rivera
Ninety-nine.
Your avatar
 Auscultated aortic area with the bell

Exam Action
04/09/20 11:31 AM PDT

Your avatar
 Auscultated aortic area with the diaphragm

Exam Action
04/09/20 11:31 AM PDT

Your avatar
 Auscultated aortic area with the bell

Exam Action
04/09/20 11:31 AM PDT

Your avatar
 Auscultated aortic area with the diaphragm

Exam Action
04/09/20 11:31 AM PDT

Your avatar
 Auscultated aortic area with the bell

Exam Action
04/09/20 11:31 AM PDT

Your avatar
 Auscultated aortic area with the diaphragm

Exam Action
04/09/20 11:31 AM PDT

Your avatar
 Auscultated pulmonic area with the diaphragm

Exam Action
04/09/20 11:31 AM PDT

Your avatar
 Auscultated pulmonic area with the bell

Exam Action
04/09/20 11:31 AM PDT

Your avatar
 Auscultated Erb’s point with the bell

Exam Action
04/09/20 11:31 AM PDT

Your avatar
 Auscultated Erb’s point with the diaphragm

Exam Action
04/09/20 11:32 AM PDT

Your avatar
 Auscultated tricuspid area with the diaphragm

Exam Action
04/09/20 11:32 AM PDT

Your avatar
 Auscultated tricuspid area with the bell

Exam Action
04/09/20 11:32 AM PDT

Your avatar
 Auscultated mitral area with the bell

Exam Action
04/09/20 11:32 AM PDT

Your avatar
 Auscultated mitral area with the diaphragm

Exam Action
04/09/20 11:32 AM PDT

Your avatar
 Percussed anterior right upper lobe

Exam Action
04/09/20 11:32 AM PDT

Your avatar
 Percussed anterior right middle lobe

Exam Action
04/09/20 11:32 AM PDT

Your avatar
 Percussed anterior left upper lobe

Exam Action
04/09/20 11:32 AM PDT

Your avatar
 Percussed anterior left mid-chest (upper lobe)

Exam Action
04/09/20 11:32 AM PDT

Your avatar
 Percussed anterior left lower lobe

Exam Action
04/09/20 11:32 AM PDT

Your avatar
 Percussed anterior right lower lobe

Exam Action
04/09/20 11:32 AM PDT

Your avatar
 Percussed posterior left upper lobe

Exam Action
04/09/20 11:33 AM PDT

Your avatar
 Percussed posterior left mid-back (lower lobe)

Exam Action
04/09/20 11:33 AM PDT

Your avatar
 Percussed posterior right mid-back (lower lobe)

Exam Action
04/09/20 11:33 AM PDT

Your avatar
 Percussed posterior right upper lobe

Exam Action
04/09/20 11:33 AM PDT

Your avatar
 Percussed posterior left lower lobe

Exam Action
04/09/20 11:33 AM PDT

Your avatar
 Percussed posterior left lower lobe on side

Exam Action
04/09/20 11:33 AM PDT

Your avatar
 Percussed posterior left lower lobe near spine

Exam Action
04/09/20 11:33 AM PDT

Your avatar
 Percussed posterior right lower lobe near spine

Exam Action
04/09/20 11:33 AM PDT

Your avatar
 Percussed posterior right lower lobe

Exam Action
04/09/20 11:33 AM PDT

Your avatar
 Percussed posterior left right lobe on side

Exam Action
04/09/20 11:33 AM PDT

Your avatar
 Inspected mouth
Danny Rivera Pediatric Cough Shadow Health Assessment Transcript

Exam Action
04/09/20 11:58 AM PDT

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