Comprehensive Assessment, Tina Jones shadow health Transcript

Comprehensive Assessment, Tina Jones shadow health Transcript

Transcript
Avatar Introduction
Hello. I will talk to you and check your health.

Greeting
April 29, 2023, 5:28 AM EDT
Tina Jones
Hey.

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Avatar Inquiry
What is your name?

Question
April 29, 2023, 6:23 AM EDT
Tina Jones
Tina Jones.

Avatar Inquiry
When were you born?

Question
April 29, 2023, 6:23 AM EDT
Tina Jones
February 17th.

Avatar Inquiry
How old are you?

Question
April 29, 2023, 6:24 AM EDT
Tina Jones
I’m 28. [AUDIO COMING SOON]

Avatar Inquiry
Why did you come to the clinic today?

Question
April 29, 2023, 6:24 AM EDT
Tina Jones
I needed a physical exam for my new job’s health insurance.

Avatar Inquiry
Do you have any current health problems?

Question
April 29, 2023, 6:25 AM EDT
Tina Jones
I don’t have anything specific today. I have asthma and diabetes, but they are controlled. I’m taking good care of my health.

Avatar Inquiry
What is your new job?

Question
April 29, 2023, 6:27 AM EDT
Tina Jones
I’ll be an Accounting Clerk at Smith, Stevens, Stewart, Silver & Company. I’ll help an experienced accountant and later have my own clients. I’m starting in two weeks and I’m excited!

Avatar Response
That’s great.

Question
April 29, 2023, 6:27 AM EDT
Tina Jones
Alright, thanks.

Avatar Inquiry
When did you last have a physical examination?

Question
April 29, 2023, 6:28 AM EDT
Tina Jones
I had two appointments this year. About five months ago, I had a check-up here and started taking metformin. I also saw a gynecologist later for a pap smear.

Avatar Inquiry
What did your gynecologist say?

Question
April 29, 2023, 6:29 AM EDT
Tina Jones
She said mostly everything was fine. I have PCOS, and she put me on birth control, which is helping.

Avatar Inquiry
How often do you take birth control?

Question
April 29, 2023, 6:30 AM EDT
Tina Jones
Every morning, with breakfast.

Avatar Inquiry
What is your birth control called?

Question
April 29, 2023, 6:31 AM EDT
Tina Jones
It’s drospirenone / ethinyl estradiol. [AUDIO COMING SOON]

Avatar Inquiry
Has your menstrual cycle improved with drospirenone?

Question
April 29, 2023, 6:32 AM EDT
Tina Jones
Now that I take it, my period is regular.

Avatar Response
That’s great.

Empathy
April 29, 2023, 6:33 AM EDT
Tina Jones
Thanks.

Avatar Inquiry
How long have you had asthma?

Question
April 29, 2023, 6:33 AM EDT
Tina Jones
Since I was little.

Avatar Inquiry
When were you diagnosed with asthma?

Question
April 29, 2023, 6:34 AM EDT
Tina Jones
Around age two and a half. I had many asthma attacks back then.

Empathy
April 29, 2023, 6:36 AM EDT
Tina Jones
Thanks.

Avatar Inquiry
How do you manage your asthma?

Question
April 29, 2023, 6:36 AM EDT
Tina Jones
I avoid triggers and use my inhaler when needed.

Avatar Inquiry
What triggers your asthma?

Question
April 29, 2023, 6:36 AM EDT
Tina Jones
Cats, dust, and running upstairs. No major attacks lately.

Avatar Inquiry
What happens with dust exposure?

Question
April 29, 2023, 6:37 AM EDT
Tina Jones
I used to react with allergies and breathing issues. Daily inhaler helps now.

Avatar Inquiry
What’s your daily inhaler?

Question
April 29, 2023, 6:38 AM EDT
Tina Jones
Flovent.

Avatar Inquiry
How often do you use Flovent?

Question
April 29, 2023, 6:38 AM EDT
Tina Jones
Twice a day.

Avatar Inquiry
When did you last use Flovent?

Question
April 29, 2023, 6:38 AM EDT
Tina Jones
This morning, twice daily.

Avatar Inquiry
When did you last use your inhaler?

Question
April 29, 2023, 6:39 AM EDT
Tina Jones
This morning for Flovent. Albuterol, rarely used, once three months ago.

Avatar Inquiry
How much albuterol do you use?

Question
April 29, 2023, 6:53 AM EDT
Tina Jones
Two puffs when needed, which is rare.

Avatar Inquiry
What’s your metformin dosage?

Question
April 29, 2023, 6:53 AM EDT
Tina Jones
850 mg, twice daily.

Avatar Inquiry
When did you last take metformin?

Question
April 29, 2023, 6:53 AM EDT
Tina Jones
This morning.

Empathy
April 29, 2023, 6:54 AM EDT
Tina Jones
Thanks for letting me know.

Avatar Inquiry
When were you diagnosed with asthma?

Question
April 29, 2023, 6:55 AM EDT
Tina Jones
Around age two and a half. I had many asthma attacks back then.

Avatar Inquiry
Are you on any other medication?

Question
April 29, 2023, 6:55 AM EDT
Tina Jones
I take several medications: birth control, metformin, daily inhaler, and rarely used albuterol.

Comprehensive Assessment, Tina Jones shadow health Transcript

Transcript

Your Avatar.
Hello. I will interview and examine you

Greet
04/29/23 5:28 AM EDT

Tina Jones.
Hey.
Your Avatar.
What is your name?

Question
04/29/23 6:23 AM EDT

Tina Jones.
Tina Jones.
Your Avatar.
Your date of birth?

Question
04/29/23 6:23 AM EDT

Tina Jones.
February 17th.
Your Avatar.
How old are you?

Question
04/29/23 6:24 AM EDT

Tina Jones.
I’m 28. [AUDIO COMING SOON]
Your Avatar.
What brought you to the clinic today?

Question
04/29/23 6:24 AM EDT

Tina Jones.
I came in because I’m required to have a recent physical exam for the health insurance at my new job.
Your Avatar.
Do you have any current health problems?

Question
04/29/23 6:25 AM EDT

Tina Jones.
I don’t have anything specific going on today. I mean, I still have asthma and diabetes, but both of those are under control. I’m taking good care of my health these days.
Your Avatar.
What is your new job?

Question
04/29/23 6:27 AM EDT

Tina Jones.
I’m going to be an Accounting Clerk at Smith, Stevens, Stewart, Silver & Company. I’ll be helping a more experienced accountant with her clients, and then eventually I’ll get more responsibility, and build my own client list. I start in two weeks–I’m really excited!
Your Avatar.
Thats great.

Question
04/29/23 6:27 AM EDT

Tina Jones.
Alright, thanks.
Your Avatar.
When was your last physical examination?

Question
04/29/23 6:28 AM EDT

Tina Jones.
Let’s see . . . I had two doctor’s appointments earlier this year. About five months ago, I came in here for a check-up, and the nurse practitioner got me on metformin. Then a few weeks later I saw a gynecologist for a pap smear.
Your Avatar.
What did your gynecologist say?

Question
04/29/23 6:29 AM EDT

Tina Jones.
She said everything looked good, except that I had PCOS, which the nurse here had said was possible. She started me on birth control, and it seems to be helping things.
Your Avatar.
How often do you take birth control?

Question
04/29/23 6:30 AM EDT

Tina Jones.
I take it every morning, with breakfast.
Your Avatar.
What was the name of the birth control? (Clarified to What is the name of your birth control?.)

Question
04/29/23 6:31 AM EDT

Tina Jones.
It’s drospirenone / ethinyl estradiol. [AUDIO COMING SOON] (Clarified to what the name of my birth control is.)
Your Avatar.
Has your menstrual cycle improved since taking drospirenone?

Question
04/29/23 6:32 AM EDT

Tina Jones.
Now that I’m on the pill I’m getting my period every month.
Your Avatar.
That great

Empathize
04/29/23 6:33 AM EDT

Tina Jones.
Thanks.
Your Avatar.
How long have you had asthma?

Question
04/29/23 6:33 AM EDT

Tina Jones.
I’ve had asthma a long time. . . since I was really little.
Your Avatar.
What age were you diagnosed with asthma?

Question
04/29/23 6:34 AM EDT

Tina Jones.
My doctor told me when I was pretty little… I think I was about two and a half? I used to have a lot of trouble with asthma attacks back then.
Your Avatar.
Am sorry about that experience

Empathize
04/29/23 6:36 AM EDT

Tina Jones.
Thanks.
Your Avatar.
How do you manage your asthma

Question
04/29/23 6:36 AM EDT

Tina Jones.
I try to avoid things that give me breathing problems, but when my asthma starts to act up, I just use my inhaler.
Your Avatar.
What are your triggers for asthma?

Question
04/29/23 6:36 AM EDT

Tina Jones.
Being around cats is the worst, but dust and running up stairs can make my breathing bad, too. I haven’t had a full asthma attack in years, though.
Your Avatar.
What happens when you are around dust?

Question
04/29/23 6:37 AM EDT

Tina Jones.
I used to have a reaction when I was in a dusty house for a long time. . . I would get allergies, like sneezing and stuff, and then my asthma would act up. But that hasn’t happened since I got my daily inhaler.
Your Avatar.
What daily inhaler do you use?

Question
04/29/23 6:38 AM EDT

Tina Jones.
It’s Flovent.
Your Avatar.
How often do you use flovent?

Question
04/29/23 6:38 AM EDT

Tina Jones.
Twice a day.
Your Avatar.
When did you most recently use flovent inhaler?

Question
04/29/23 6:38 AM EDT

Tina Jones.
I use my Flovent inhaler two times a day.
Your Avatar.
When did you last use inhaler

Question
04/29/23 6:39 AM EDT

Tina Jones.
I used my Flovent inhaler this morning–I have to take it twice a day. My albuterol. . . I’ve maybe used it twice since I came in with those asthma problems. Once three months ago, and before that it had been months, too.
Your Avatar.
How much albuterol do you use?

Question
04/29/23 6:53 AM EDT

Tina Jones.
I do two puffs of the albuterol inhaler when I need it, but that rarely happens. [AUDIO COMING SOON]
Your Avatar.
How many milligrams of metformin did you take?

Question
04/29/23 6:53 AM EDT

Tina Jones.
It’s 850 mg. And I take one pill, twice a day.
Your Avatar.
When did you last take metformin?

Question
04/29/23 6:53 AM EDT

Tina Jones.
I took it this morning.
Your Avatar.
It is good to adhere to the prescribed dose

Educate
04/29/23 6:54 AM EDT

Tina Jones.
Thanks for telling me.
Your Avatar.
When were you diagnosed with asthma?

Question
04/29/23 6:55 AM EDT

Tina Jones.
My doctor told me when I was pretty little… I think I was about two and a half? I used to have a lot of trouble with asthma attacks back then.
Your Avatar.
Are you taking any other medication?

Question
04/29/23 6:55 AM EDT

Tina Jones.
Um, I take a lot now, so let me list everything I take . . . I’m taking drospirenone / ethinyl estradiol for birth control, metformin, and my daily inhaler. And I have the albuterol inhaler that I don’t seem to need anymore. [AUDIO COMING SOON]
Your Avatar.
Thats good to hear

Empathize
04/29/23 6:55 AM EDT

Tina Jones.
Thanks.
Your Avatar.
Do you feel like your asthma is well controlled?

Question
04/29/23 6:56 AM EDT

Tina Jones.
Yeah, ever since I started using my daily inhaler and keeping track of my peak flow I’ve felt much more in control of my breathing.
Your Avatar.
Great am happy to hear that

Empathize
04/29/23 6:57 AM EDT

Tina Jones.
Thanks.
Your Avatar.
How often do you use your peak flow meter?

Question
04/29/23 6:57 AM EDT

Tina Jones.
Yeah, I have a peak flow meter at home, and I use it in the morning and at night and keep track of it on a chart.
Your Avatar.
Do you check your peak flow regularly?

Question
04/29/23 6:58 AM EDT

Tina Jones.
Yeah, I have a peak flow meter at home, and I use it in the morning and at night and keep track of it on a chart.
Your Avatar.
It is often advisable to use it as often as prescribed

Educate
04/29/23 6:58 AM EDT

Tina Jones.
Thanks for telling me.
Your Avatar.
When was your last asthma attack?

Question
04/29/23 6:59 AM EDT

Tina Jones.
I haven’t had any asthma problems, really, ever since I started on the daily inhaler. My last breathing problem was three months ago, probably, and it had been months before that.
Your Avatar.
Do you feel you are in good health now?

Question
04/29/23 7:01 AM EDT

Tina Jones.
All of my health stuff is a lot better now. I feel like my diabetes is in control, I’m in better shape. . . I’m eating healthier. I’m less stressed. Things are going really well.
Any dizziness?

Question
04/29/23 7:36 AM EDT

Tina Jones.
I haven’t been getting dizzy at all.
Your Avatar.
 Performed pulse oximetry

Exam Action
04/29/23 7:37 AM EDT

Your Avatar.
 Performed spirometry

Exam Action
04/29/23 7:37 AM EDT

Your Avatar.
 Inspected scalp

Exam Action
04/29/23 7:38 AM EDT

Your Avatar.
 Inspected scalp

Exam Action
04/29/23 7:38 AM EDT

Your Avatar.
 Inspected hair on scalp

Exam Action
04/29/23 7:38 AM EDT

Your Avatar.
 Inspected right eyebrow and orbital area

Exam Action
04/29/23 7:39 AM EDT

Your Avatar.
 Inspected left eyebrow and orbital area

Exam Action
04/29/23 7:40 AM EDT

Your Avatar.
 Inspected mouth: Oral mucosa moist

Exam Action
04/29/23 7:42 AM EDT

Your Avatar.
 Inspect mouth

Exam Action
04/29/23 7:42 AM EDT

Your Avatar.
 Inspect tongue

Exam Action
04/29/23 7:42 AM EDT

Your Avatar.
 Inspected mouth: Oral mucosa moist

Exam Action
04/29/23 7:43 AM EDT

Your Avatar.
 Inspect mouth

Exam Action
04/29/23 7:43 AM EDT

Your Avatar.
 Inspect tongue

Exam Action
04/29/23 7:43 AM EDT

Your Avatar.
 Inspected mouth: Oral mucosa moist

Exam Action
04/29/23 7:44 AM EDT

Your Avatar.
 Inspect mouth

Exam Action
04/29/23 7:44 AM EDT

Your Avatar.
 Inspect tongue

Exam Action
04/29/23 7:44 AM EDT

Your Avatar.
 Inspected mouth: Oral mucosa moist

Exam Action
04/29/23 7:44 AM EDT

Your Avatar.
 Inspect mouth

Exam Action
04/29/23 7:44 AM EDT

Your Avatar.
 Inspect tongue

Exam Action
04/29/23 7:44 AM EDT

Your Avatar.
 Inspected mouth: Oral mucosa moist

Exam Action
04/29/23 7:45 AM EDT

Your Avatar.
 Inspect mouth

Exam Action
04/29/23 7:45 AM EDT

Your Avatar.
 Inspect tongue

Exam Action
04/29/23 7:45 AM EDT

Your Avatar.
 Inspected mouth: Oral mucosa moist

Exam Action
04/29/23 7:45 AM EDT

Your Avatar.
 Inspect mouth

Exam Action
04/29/23 7:45 AM EDT

Your Avatar.
 Inspect tongue

Exam Action
04/29/23 7:45 AM EDT

Your Avatar.
 Inspected mouth: Oral mucosa moist

Exam Action
04/29/23 7:45 AM EDT

Your Avatar.
 Inspect mouth

Exam Action
04/29/23 7:45 AM EDT

Your Avatar.
 Inspect tongue

Exam Action
04/29/23 7:45 AM EDT

Your Avatar.
 Inspected mouth: Oral mucosa moist

Exam Action
04/29/23 7:45 AM EDT

Your Avatar.
 Inspect mouth

Exam Action
04/29/23 7:45 AM EDT

Your Avatar.
 Inspect tongue

Exam Action
04/29/23 7:45 AM EDT

Your Avatar.
 Inspected mouth: Oral mucosa moist

Exam Action
04/29/23 7:46 AM EDT

Your Avatar.
 Inspect mouth

Exam Action
04/29/23 7:46 AM EDT

Your Avatar.
 Inspect tongue

Exam Action
04/29/23 7:46 AM EDT

Your Avatar.
 Inspected mouth: Oral mucosa moist

Exam Action
04/29/23 7:46 AM EDT

Your Avatar.
 Inspect mouth

Exam Action
04/29/23 7:46 AM EDT

Your Avatar.
 Inspect tongue

Exam Action
04/29/23 7:46 AM EDT

Your Avatar.
 Inspected mouth: Oral mucosa moist

Exam Action
04/29/23 7:46 AM EDT

Your Avatar.
 Inspect mouth

Exam Action
04/29/23 7:46 AM EDT

Your Avatar.
 Inspect tongue

Exam Action
04/29/23 7:46 AM EDT

Your Avatar.
 Inspected mouth: Oral mucosa moist

Exam Action
04/29/23 7:47 AM EDT

Your Avatar.
 Inspect mouth

Exam Action
04/29/23 7:47 AM EDT

Your Avatar.
 Tested gag reflex

Exam Action
04/29/23 7:47 AM EDT

Your Avatar.
 Inspected upper eyelids

Exam Action
04/29/23 8:22 AM EDT

Your Avatar.
 Inspected lower eyelids

Exam Action
04/29/23 8:23 AM EDT

Your Avatar.
 Inspected right outer ear

Exam Action
04/29/23 8:23 AM EDT

Your Avatar.
 Inspect ears

Exam Action
04/29/23 8:23 AM EDT

Your Avatar.
 Inspected left outer ear

Exam Action
04/29/23 8:23 AM EDT

Your Avatar.
 Inspect ears

Exam Action
04/29/23 8:23 AM EDT

Your Avatar.
 Inspected right outer ear

Exam Action
04/29/23 8:23 AM EDT

Your Avatar.
 Palpated scalp: no masses

Exam Action
04/29/23 8:23 AM EDT

Your Avatar.
 Palpate neck lymph nodes

Exam Action
04/29/23 8:24 AM EDT

Your Avatar.
 Palpated supraclavicular lymph nodes: no palpable nodes

Exam Action
04/29/23 8:24 AM EDT

Your Avatar.
 Palpated thyroid: smooth without nodules, no goiter

Exam Action
04/29/23 8:25 AM EDT

Your Avatar.
 Palpated jaw: no clicks, full ROM

Exam Action
04/29/23 8:25 AM EDT

Your Avatar.
 Palpated upper sinus: no pain reported

Exam Action
04/29/23 8:26 AM EDT

Your Avatar.
 Palpated lower sinus: no pain reported

Exam Action
04/29/23 8:26 AM EDT

Your Avatar.
 Palpated axillary lymph nodes: no palpable nodes

Exam Action
04/29/23 8:26 AM EDT

Your Avatar.
 Tested left pupillary light reflex

Exam Action
04/29/23 8:27 AM EDT

Your Avatar.
 Tested right pupillary light reflex

Exam Action
04/29/23 8:27 AM EDT

Your Avatar.
 Examined fundus of right eye

Exam Action
04/29/23 8:27 AM EDT

Your Avatar.
 Examined fundus of left eye

Exam Action
04/29/23 8:28 AM EDT

Your Avatar.
 Performed otoscopic exam of right ear

Exam Action
04/29/23 8:29 AM EDT

Your Avatar.
 Performed otoscopic exam of left ear

Exam Action
04/29/23 8:30 AM EDT

Your Avatar.
 Inspected right naris

Exam Action
04/29/23 8:30 AM EDT

Your Avatar.
 Inspected left naris

Exam Action
04/29/23 8:30 AM EDT

Your Avatar.
Follow my finger with just your eye

Question
04/29/23 8:30 AM EDT

Tina Jones.
Ok.
Your Avatar.
 Tested extraocular movement

Exam Action
04/29/23 8:31 AM EDT

Your Avatar.
 Tested convergence

Exam Action
04/29/23 8:31 AM EDT

Tina Jones.
F P
Tina Jones.
F P
Your Avatar.
Tell me when you can no longer see my fingers

Question
04/29/23 8:33 AM EDT

Tina Jones.
Ok, I will.
Your Avatar.
 Tested peripheral vision

Exam Action
04/29/23 8:33 AM EDT

Tina Jones.
Now.
Your Avatar.
F.

Question
04/29/23 8:34 AM EDT

Tina Jones.
F.
Your Avatar.
Eight

Question
04/29/23 8:34 AM EDT

Tina Jones.
Eight.
Your Avatar.
W.

Question
04/29/23 8:34 AM EDT

Tina Jones.
W.
Your Avatar.
 Performed whisper test on right ear

Exam Action
04/29/23 8:34 AM EDT

Your Avatar.
Four

Question
04/29/23 8:34 AM EDT

Tina Jones.
Four.
Your Avatar.
R.

Question
04/29/23 8:34 AM EDT

Tina Jones.
R.
Your Avatar.
Nine.

Question
04/29/23 8:34 AM EDT

Tina Jones.
Nine.
Your Avatar.
 Performed whisper test on left ear

Exam Action
04/29/23 8:34 AM EDT

Your Avatar.
 Inspected left abdomen

Exam Action
04/29/23 8:35 AM EDT

Your Avatar.
 Inspected anterior abdomen

Exam Action
04/29/23 8:35 AM EDT

Your Avatar.
 Inspected right abdomen

Exam Action
04/29/23 8:35 AM EDT

Your Avatar.
 Inspected abdomen

Exam Action
04/29/23 8:35 AM EDT

Your Avatar.
 Palpated abdominal right upper quadrant with light pressure: soft, no masses

Exam Action
04/29/23 8:37 AM EDT

Your Avatar.
 Palpated abdominal left upper quadrant with light pressure: soft, no masses

Exam Action
04/29/23 8:37 AM EDT

Your Avatar.
 Palpated abdominal right lower quadrant with light pressure: soft, no masses

Exam Action
04/29/23 8:37 AM EDT

Your Avatar.
 Palpated abdominal left lower quadrant with light pressure: soft, no masses

Exam Action
04/29/23 8:37 AM EDT

Your Avatar.
 Liver: palpable 1 cm below right costal margin

Exam Action
04/29/23 8:38 AM EDT

Your Avatar.
 Palpated for spleen: not palpable

Exam Action
04/29/23 8:38 AM EDT

Your Avatar.
 Palpated for right kidney: not palpable, no masses

Exam Action
04/29/23 8:38 AM EDT

Your Avatar.
 Palpated for left kidney: not palpable, no masses

Exam Action
04/29/23 8:38 AM EDT

Your Avatar.
 Palpated abdominal right upper quadrant with deep pressure: no masses

Exam Action
04/29/23 8:39 AM EDT

Your Avatar.
 Palpated abdominal left upper quadrant with deep pressure: no masses

Exam Action
04/29/23 8:39 AM EDT

Your Avatar.
 Palpated abdominal right lower quadrant: with deep pressure: no masses

Exam Action
04/29/23 8:40 AM EDT

Your Avatar.
 Palpated abdominal left lower quadrant with deep pressure: no masses

Exam Action
04/29/23 8:40 AM EDT

Your Avatar.
 Percussed liver span: 7 cm MCL on percussion

Exam Action
04/29/23 8:40 AM EDT

Your Avatar.
 Assessed CVA tenderness on left: none reported

Exam Action
04/29/23 8:41 AM EDT

Your Avatar.
 Assessed CVA tenderness on right: none reported

Exam Action
04/29/23 8:41 AM EDT

Your Avatar.
 Percussed for spleen: no dullness

Exam Action
04/29/23 8:42 AM EDT

Your Avatar.
 Percussed for spleen: no dullness

Exam Action
04/29/23 8:42 AM EDT

Your Avatar.
 Percussed left upper quadrant: tympanic

Exam Action
04/29/23 8:42 AM EDT

Your Avatar.
 Percussed left lower quadrant: tympanic

Exam Action
04/29/23 8:42 AM EDT

Your Avatar.
 Percussed right upper quadrant: tympanic

Exam Action
04/29/23 8:42 AM EDT

Your Avatar.
 Percussed right lower quadrant: tympanic

Exam Action
04/29/23 8:42 AM EDT

Your Avatar.
 Auscultated abdominal right upper quadrant

Exam Action
04/29/23 8:43 AM EDT

Your Avatar.
 Auscultated abdominal left upper quadrant

Exam Action
04/29/23 8:43 AM EDT

Your Avatar.
 Auscultated abdominal right lower quadrant

Exam Action
04/29/23 8:44 AM EDT

Your Avatar.
 Auscultated abdominal left lower quadrant

Exam Action
04/29/23 8:44 AM EDT

Your Avatar.
 Inspected left leg: no edema

Exam Action
04/29/23 8:45 AM EDT

Your Avatar.
 Inspected right leg: no edema

Exam Action
04/29/23 8:45 AM EDT

Your Avatar.
 Inspected anterior chest wall

Exam Action
04/29/23 8:46 AM EDT

Your Avatar.
 Inspected left chest

Exam Action
04/29/23 8:46 AM EDT

Your Avatar.
 Inspected anterior chest wall

Exam Action
04/29/23 8:46 AM EDT

Your Avatar.
 Palpated right brachial pulse: 2+

Exam Action
04/29/23 8:46 AM EDT

Your Avatar.
 Palpated right radial pulse: 2+

Exam Action
04/29/23 8:46 AM EDT

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 Palpated brachial pulse, left: 2+

Exam Action
04/29/23 8:46 AM EDT

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 Palpated left radial pulse: 2+

Exam Action
04/29/23 8:46 AM EDT

Your Avatar.
 Palpated anterior chest: PMI nondisplaced, no heaves or lifts

Exam Action
04/29/23 8:47 AM EDT

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 Palpated right femoral pulse: 2+

Exam Action
04/29/23 8:48 AM EDT

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 Palpated left femoral pulse: 2+

Exam Action
04/29/23 8:49 AM EDT

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 Palpated right popliteal pulse: 2+

Exam Action
04/29/23 8:49 AM EDT

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 Palpated left popliteal pulse: 2+

Exam Action
04/29/23 8:49 AM EDT

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 Palpated right tibial pulse: 2+

Exam Action
04/29/23 8:49 AM EDT

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 Palpated left tibial pulse: 2+

Exam Action
04/29/23 8:49 AM EDT

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 Palpated right dorsalis pedis pulse: 2+

Exam Action
04/29/23 8:49 AM EDT

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 Palpated left dorsalis pedis pulse: 2+

Exam Action
04/29/23 8:49 AM EDT

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 Palpated right carotid: 2+, no thrill

Exam Action
04/29/23 8:50 AM EDT

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 Palpated right carotid: 2+, no thrill

Exam Action
04/29/23 8:50 AM EDT

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 Palpated left carotid: 2+, no thrill

Exam Action
04/29/23 8:51 AM EDT

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 Auscultated right carotid artery: no bruit

Exam Action
04/29/23 8:51 AM EDT

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 Auscultated left carotid artery: no bruit

Exam Action
04/29/23 8:51 AM EDT

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 Auscultated aorta: no bruit

Exam Action
04/29/23 8:52 AM EDT

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 Auscultated right renal artery: no bruit

Exam Action
04/29/23 8:52 AM EDT

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 Auscultated left renal artery: no bruit

Exam Action
04/29/23 8:52 AM EDT

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 Auscultated right iliac artery: no bruit

Exam Action
04/29/23 8:52 AM EDT

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 Auscultated left iliac artery: no bruit

Exam Action
04/29/23 8:52 AM EDT

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 Auscultated right femoral artery: no bruit

Exam Action
04/29/23 8:52 AM EDT

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 Auscultated left femoral artery: no bruit

Exam Action
04/29/23 8:52 AM EDT

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 Auscultated aortic area with the bell

Exam Action
04/29/23 8:53 AM EDT

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 Auscultated pulmonic area with the bell

Exam Action
04/29/23 8:53 AM EDT

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 Auscultated Erb’s point with the bell

Exam Action
04/29/23 8:53 AM EDT

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 Auscultated tricuspid area with the bell

Exam Action
04/29/23 8:53 AM EDT

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 Auscultated mitral area with the bell

Exam Action
04/29/23 8:53 AM EDT

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 Auscultated mitral area with the diaphragm

Exam Action
04/29/23 8:53 AM EDT

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 Auscultated aortic area with the diaphragm

Exam Action
04/29/23 8:53 AM EDT

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 Auscultated pulmonic area with the diaphragm

Exam Action
04/29/23 8:53 AM EDT

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 Auscultated Erb’s point with the diaphragm

Exam Action
04/29/23 8:53 AM EDT

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 Auscultated tricuspid area with the diaphragm

Exam Action
04/29/23 8:53 AM EDT

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 Auscultated mitral area with the diaphragm

Exam Action
04/29/23 8:53 AM EDT

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 Tested capillary refill

Exam Action
04/29/23 8:54 AM EDT

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 Palpate nails

Exam Action
04/29/23 8:54 AM EDT

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 Tested capillary refill

Exam Action
04/29/23 8:54 AM EDT

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 Palpate nails

Exam Action
04/29/23 8:54 AM EDT

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 Tested capillary refill

Exam Action
04/29/23 8:54 AM EDT

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 Palpate nails

Exam Action
04/29/23 8:54 AM EDT

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 Tested capillary refill

Exam Action
04/29/23 8:55 AM EDT

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 Palpate nails

Exam Action
04/29/23 8:55 AM EDT

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 Tested capillary refill

Exam Action
04/29/23 8:55 AM EDT

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 Palpate nails

Exam Action
04/29/23 8:55 AM EDT

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 Inspected anterior chest wall

Exam Action
04/29/23 8:55 AM EDT

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 Inspected left chest

Exam Action
04/29/23 8:55 AM EDT

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 Inspected anterior chest wall

Exam Action
04/29/23 8:57 AM EDT

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 Inspected left chest

Exam Action
04/29/23 8:57 AM EDT

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 Tested capillary refill

Exam Action
04/29/23 9:02 AM EDT

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 Palpate nails

Exam Action
04/29/23 9:02 AM EDT

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 Tested capillary refill

Exam Action
04/29/23 9:03 AM EDT

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 Palpate nails

Exam Action
04/29/23 9:03 AM EDT

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 Inspected posterior chest

Exam Action
04/29/23 9:05 AM EDT

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 Inspected posterior chest wall

Exam Action
04/29/23 9:05 AM EDT

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 Inspected anterior chest wall

Exam Action
04/29/23 9:06 AM EDT

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 Inspected left chest

Exam Action
04/29/23 9:06 AM EDT

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 Palpated fremitus: equal bilaterally in upper posterior chest wall

Exam Action
04/29/23 9:07 AM EDT

Tina Jones.
Ninety-nine.
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 Palpated fremitus: equal bilaterally in middle posterior chest wall

Exam Action
04/29/23 9:07 AM EDT

Tina Jones.
Ninety-nine.
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 Palpated fremitus: equal bilaterally in lower posterior chest wall

Exam Action
04/29/23 9:07 AM EDT

Tina Jones.
Ninety-nine.
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 Palpated thoracic expansion: symmetric

Exam Action
04/29/23 9:07 AM EDT

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 Palpated fremitus: equal bilaterally in upper anterior chest wall

Exam Action
04/29/23 9:08 AM EDT

Tina Jones.
Ninety-nine.
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 Palpated fremitus: equal bilaterally in lower anterior chest wall

Exam Action
04/29/23 9:08 AM EDT

Tina Jones.
Ninety-nine.
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 Percussed left upper posterior chest wall: resonant

Exam Action
04/29/23 9:09 AM EDT

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 Percussed right upper posterior chest wall: resonant

Exam Action
04/29/23 9:09 AM EDT

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 Percussed left middle posterior chest wall: resonant

Exam Action
04/29/23 9:09 AM EDT

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 Percussed right middle posterior chest wall: resonant

Exam Action
04/29/23 9:09 AM EDT

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 Percussed left lower posterior chest wall: resonant

Exam Action
04/29/23 9:09 AM EDT

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 Percussed right lower posterior chest wall: resonant

Exam Action
04/29/23 9:09 AM EDT

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 Percussed left lower posterior chest wall: resonant

Exam Action
04/29/23 9:09 AM EDT

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 Percussed left lower posterior chest wall: resonant

Exam Action
04/29/23 9:09 AM EDT

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 Percussed right lower posterior chest wall: resonant

Exam Action
04/29/23 9:09 AM EDT

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 Percussed right lower posterior chest wall: resonant

Exam Action
04/29/23 9:09 AM EDT

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 Percussed right upper anterior chest wall: resonant

Exam Action
04/29/23 9:10 AM EDT

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 Percussed left upper anterior chest wall: resonant

Exam Action
04/29/23 9:10 AM EDT

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 Percussed right middle anterior chest wall: resonant

Exam Action
04/29/23 9:10 AM EDT

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 Percussed left middle anterior chest wall: resonant

Exam Action
04/29/23 9:10 AM EDT

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 Percussed right lower anterior chest wall: resonant

Exam Action
04/29/23 9:10 AM EDT

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 Percussed left lower anterior chest wall: resonant

Exam Action
04/29/23 9:11 AM EDT

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 Auscultated right upper anterior chest wall

Exam Action
04/29/23 9:13 AM EDT

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 Auscultated left upper anterior chest wall

Exam Action
04/29/23 9:13 AM EDT

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 Auscultated right middle anterior chest wall

Exam Action
04/29/23 9:13 AM EDT

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 Auscultated left middle anterior chest wall

Exam Action
04/29/23 9:13 AM EDT

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 Auscultated right lower anterior chest wall

Exam Action
04/29/23 9:13 AM EDT

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 Auscultated left lower anterior chest wall

Exam Action
04/29/23 9:13 AM EDT

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 Auscultated voice sounds in left lower anterior lungs

Exam Action
04/29/23 9:15 AM EDT

Tina Jones.
Ninety-nine.
Tina Jones.
Ninety-nine.
Your Avatar.
 Auscultated voice sounds in right upper anterior lungs

Exam Action
04/29/23 9:15 AM EDT

Tina Jones.
Ninety-nine.
Your Avatar.
 Auscultated voice sounds in left upper anterior lungs

Exam Action
04/29/23 9:15 AM EDT

Tina Jones.
Ninety-nine.
Tina Jones.
Ninety-nine.
Your Avatar.
 Auscultated voice sounds in right middle anterior lungs

Exam Action
04/29/23 9:15 AM EDT

Tina Jones.
Ninety-nine.
Your Avatar.
 Auscultated voice sounds in left middle anterior lungs

Exam Action
04/29/23 9:15 AM EDT

Tina Jones.
Ninety-nine.
Your Avatar.
 Auscultated voice sounds in right lower anterior lungs

Exam Action
04/29/23 9:16 AM EDT

Tina Jones.
Ninety-nine.
Your Avatar.
 Auscultated voice sounds in left lower anterior lungs

Exam Action
04/29/23 9:16 AM EDT

Tina Jones.
Ninety-nine.
Tina Jones.
Ninety-nine.
Your Avatar.
 Auscultated upper left posterior chest wall

Exam Action
04/29/23 9:17 AM EDT

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 Auscultated upper right posterior chest wall

Exam Action
04/29/23 9:17 AM EDT

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 Auscultated middle left posterior chest wall

Exam Action
04/29/23 9:18 AM EDT

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 Auscultated middle right posterior chest wall

Exam Action
04/29/23 9:18 AM EDT

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 Auscultated lower left posterior chest wall

Exam Action
04/29/23 9:18 AM EDT

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 Auscultated lower right posterior chest wall

Exam Action
04/29/23 9:18 AM EDT

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 Auscultated lower left posterior chest wall

Exam Action
04/29/23 9:18 AM EDT

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 Auscultated lower left posterior chest wall

Exam Action
04/29/23 9:18 AM EDT

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 Auscultated lower right posterior chest wall

Exam Action
04/29/23 9:18 AM EDT

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 Auscultated lower right posterior chest wall

Exam Action
04/29/23 9:18 AM EDT

Your Avatar.
 Performed spirometry

Exam Action
04/29/23 9:19 AM EDT

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Run your right foot down your shin

Question
04/29/23 9:21 AM EDT

Tina Jones.
Sure.
Your Avatar.
 Tested right heel moving to shin

Exam Action
04/29/23 9:21 AM EDT

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Run your left foot down your right shin

Question
04/29/23 9:21 AM EDT

Tina Jones.
Ok.
Your Avatar.
 Tested left heel moving to shin

Exam Action
04/29/23 9:21 AM EDT

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Close your eyes and touch your fingers to your nose

Question
04/29/23 9:23 AM EDT

Tina Jones.
I can do that.
Your Avatar.
 Tested left index finger to nose

Exam Action
04/29/23 9:23 AM EDT

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 Tested right index finger to nose

Exam Action
04/29/23 9:23 AM EDT

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What is your name and date of birth?

Question
04/29/23 9:24 AM EDT

Tina Jones.
My name is Tina Jones, and I was born on February 17th.
Your Avatar.
 Discovered orientation to person

Exam Action
04/29/23 9:24 AM EDT

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What building are you in now?

Question
04/29/23 9:25 AM EDT

Tina Jones.
I’m at the doctor’s office. . . it’s Shadow Health General Clinic.
Your Avatar.
 Discovered orientation to place

Exam Action
04/29/23 9:25 AM EDT

Your Avatar.
What is the date and year?

Question
04/29/23 9:25 AM EDT

Tina Jones.
Um, today’s date is . . . [Ms. Jones reports correct date and year].
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 Confirmed situation orientation

Exam Action
04/29/23 9:25 AM EDT

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 Discovered orientation to time

Exam Action
04/29/23 9:25 AM EDT

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Place your hands on your knees and turn them over

Question
04/29/23 9:26 AM EDT

Tina Jones.
Ok, like this?
Your Avatar.
 Tested rapid alternating hand movements

Exam Action
04/29/23 9:26 AM EDT

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Close your eyes and tell me if the touch is sharp, dull or soft

Question
04/29/23 9:27 AM EDT

Tina Jones.
Ok.
Your Avatar.
 Tested right leg proximal dull pain

Exam Action
04/29/23 9:27 AM EDT

Tina Jones.
Dull.
Your Avatar.
 Tested right leg distal dull pain

Exam Action
04/29/23 9:27 AM EDT

Tina Jones.
Dull.
Your Avatar.
 Tested left leg proximal dull pain

Exam Action
04/29/23 9:27 AM EDT

Tina Jones.
Dull.
Your Avatar.
 Tested left leg distal dull pain

Exam Action
04/29/23 9:27 AM EDT

Tina Jones.
Dull.
Your Avatar.
 Tested right leg proximal light touch

Exam Action
04/29/23 9:28 AM EDT

Tina Jones.
Soft.
Your Avatar.
 Tested right leg proximal light touch

Exam Action
04/29/23 9:28 AM EDT

Tina Jones.
Soft.
Your Avatar.
 Tested right leg distal light touch

Exam Action
04/29/23 9:29 AM EDT

Tina Jones.
Soft.
Your Avatar.
 Tested left leg proximal light touch

Exam Action
04/29/23 9:29 AM EDT

Tina Jones.
Soft.
Your Avatar.
 Tested left leg distal light touch

Exam Action
04/29/23 9:29 AM EDT

Tina Jones.
Soft.
Your Avatar.
close your eyes and tell me if the touch is sharp, dull or soft

Question
04/29/23 9:30 AM EDT

Tina Jones.
Ok.
Your Avatar.
 Tested right leg proximal sharp pain

Exam Action
04/29/23 9:31 AM EDT

Tina Jones.
Sharp.
Your Avatar.
 Tested right leg distal sharp pain

Exam Action
04/29/23 9:31 AM EDT

Tina Jones.
Sharp.
Your Avatar.
 Tested left leg proximal sharp pain

Exam Action
04/29/23 9:31 AM EDT

Tina Jones.
Sharp.
Your Avatar.
 Tested left leg distal sharp pain

Exam Action
04/29/23 9:31 AM EDT

Tina Jones.
Sharp.
Your Avatar.
Close your eyes and tell me if the touch is sharp, dull or soft

Question
04/29/23 9:32 AM EDT

Tina Jones.
Ok.
Your Avatar.
 Tested right arm proximal dull pain

Exam Action
04/29/23 9:33 AM EDT

Tina Jones.
Dull.
Your Avatar.
 Tested right arm distal dull pain

Exam Action
04/29/23 9:33 AM EDT

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