Danny Rivera Pediatric Cough Shadow Health Assessment Transcript

Danny Rivera Pediatric Cough Shadow Health Assessment Transcript

	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
	Hi.
	What is your name?	Question 04/08/20 9:01 PM PDT Struggling to meet your deadline? Get your assignment on Danny Rivera Pediatric Cough Shadow Health Assessment Transcript done by certified MDs and PhDs in the USA. ORDER NOW! Meet my deadline
	My name is Daniel Rivera, but I just go by Danny.
	What brings you to the clinic today?  SCORE 100% ON YOUR SHADOW HEALTH ASSESSMENT	Question 04/08/20 9:01 PM PDT
	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 04/08/20 9:02 PM PDT
	Thank you.
	Do you have a cough?	Question 04/08/20 9:03 PM PDT
	I guess I’m kind of sick. . . I’ve been coughing a lot.
	How long have you had a cough?	Question 04/08/20 9:03 PM PDT
	I think the cough started four. . . No, it started five days ago. Danny Rivera Pediatric Cough Shadow Health Assessment Transcript
	Is your cough a wet or a dry one?	Question 04/08/20 9:03 PM PDT
	My cough seems kind of gurgly and watery.
	That sounds like a wet cough	Educate 04/08/20 9:04 PM PDT
	Oh, OK.
	Do yxxx	Question 04/08/20 9:05 PM PDT
	Isxxx
	Am sorry to hear this.	Empathize 04/08/20 9:05 PM PDT
	Thank you.
	Howxxx	Question 04/08/20 9:06 PM PDT
	I jxx
	Do thexxx	Question 04/08/20 9:07 PM PDT
	Most timesxxx
	Am sorry to hear this.	Empathize 04/08/20 9:08 PM PDT
	Thank you.
	Do youxxx	Question 04/08/20 9:08 PM PDT
	No way! I knowxxx
	True, xxx	Educate 04/08/20 9:09 PM PDT
	Oh, OK.
	Are you ever aroundxxxx	Question 04/08/20 9:13 PM PDT
	Well . . . sometimes xxx
	Am sorry about that, i xxx	Question 04/08/20 9:14 PM PDT
	Am sorry about that, i understand your concerns.	Empathize 04/08/20 9:14 PM PDT
	Thank you.
	What makes your coughs worse?	Question 04/08/20 9:15 PM PDT
	My cough mostly stays the same no matter what I do. It seems to get worse at night though.
	Have you triedxxx	Question 04/08/20 9:15 PM PDT
	I had somexxx. [AUDIO COMING SOON]
	What is the xxx	Question 04/08/20 9:16 PM PDT
	I don’t know whatxxx
	Who xxx	Question 04/08/20 9:17 PM PDT
	My xxx
	how muchxxx	Question 04/08/20 9:17 PM PDT
	I just hadxxx
	How xxx	Question 04/08/20 9:18 PM PDT
	I only xxx. [AUDIO COMING SOON]
	Apart from thexxx	Question 04/08/20 9:18 PM PDT
	Do youxxx	Question 04/08/20 9:20 PM PDT
	Oh yeah, I xxx
	I understand, its xxx	Educate 04/08/20 9:21 PM PDT
	Oh, OK.
	Are you usually active?	Question 04/08/20 9:22 PM PDT
	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, its healthy.	Educate 04/08/20 9:23 PM PDT
	Oh, OK.
	Does the cough make you less active?	Question 04/08/20 9:24 PM PDT
	No, that doesn’t help my cough.
	Are you able to focus in class?	Question 04/08/20 9:24 PM PDT
	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 the cough is disturbing you sometimes. (No matching questions found.)	Question 04/08/20 9:24 PM PDT
	Am sorry to hear that the cough is disturbing you sometimes.	Empathize 04/08/20 9:25 PM PDT
	Thank you.
	Do you xxx	Question 04/08/20 9:28 PM PDT
	My xx
	Am sorry about this	Empathize 04/08/20 9:28 PM PDT
	Thank you.
	Have you xxx	Question 04/08/20 9:28 PM PDT
	I don’t xxx
	what xxx	Question 04/08/20 9:29 PM PDT
	You mean likexxxx
	Yes, that one. Ok, thanks.	Educate 04/08/20 9:30 PM PDT
	Oh, OK.
	How consistent is xxx	Question 04/08/20 9:38 PM PDT
	It’s kind of xxx
xx		Question 04/08/20 9:41 PM PDT
	My xxx . . . my left one is OK though.
	Am sorry to hear this Danny	Empathize 04/08/20 9:42 PM PDT
	Thank you.
	Do you havexxx	Question 04/08/20 9:42 PM PDT
	No, xxxkind of hurts.
	Do you have xxx problems?	Question 04/08/20 9:42 PM PDT
	A lady came to my school to xx . . . Danny Rivera Pediatric Cough Shadow Health Assessment Transcript
	Great, its good to have a test done whenever there is a chance.	Educate 04/08/20 9:43 PM PDT
	Oh, OK.
	Do you have soar throat?	Question 04/08/20 9:44 PM PDT
	It feels a little bit sore, yeah.
	Does it xxx	Question 04/08/20 9:45 PM PDT
	No, I can xxxx
	Sorry about that Danny	Empathize 04/08/20 9:45 PM PDT
	Thank you.
	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
	I can breathe OK, yeah . . . my nose is a little bit runny though.
	Thank you for answering the questions Danny. I will now do the physical examination.	Question 04/08/20 9:59 PM PDT
	I don’t have any questions really.
	Thank you for answering the questions, i will now do the physical examination on you.	Educate 04/08/20 10:00 PM PDT
	Oh, OK.
	Checked vitals	Exam Action 04/09/20 11:08 AM PDT
	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
	Inspected upper conjunctiva	Exam Action 04/09/20 11:14 AM PDT
	Inspected upper conjunctiva	Exam Action 04/09/20 11:14 AM PDT
	Inspected upper conjunctiva	Exam Action 04/09/20 11:14 AM PDT
	Inspected lower conjunctiva	Exam Action 04/09/20 11:14 AM PDT
	Inspected right orbital area and sclera	Exam Action 04/09/20 11:14 AM PDT
	Inspected left orbital area and sclera	Exam Action 04/09/20 11:15 AM PDT
	Performed otoscopic examination of right naris	Exam Action 04/09/20 11:15 AM PDT
	Performed otoscopic examination of left naris	Exam Action 04/09/20 11:15 AM PDT
	Performed otoscopic examination of right ear	Exam Action 04/09/20 11:16 AM PDT
	Performed otoscopic examination of left ear	Exam Action 04/09/20 11:16 AM PDT
	Inspected mouth	Exam Action 04/09/20 11:16 AM PDT
	Inspected front of neck	Exam Action 04/09/20 11:16 AM PDT
	Inspected right side of neck	Exam Action 04/09/20 11:17 AM PDT
	Inspected front of neck	Exam Action 04/09/20 11:17 AM PDT
	Inspected left side of neck	Exam Action 04/09/20 11:17 AM PDT
	Inspected back of neck	Exam Action 04/09/20 11:17 AM PDT
	Inspected anterior chest wall	Exam Action 04/09/20 11:17 AM PDT
	Inspected posterior chest wall	Exam Action 04/09/20 11:17 AM PDT
	Inspected anterior chest wall	Exam Action 04/09/20 11:17 AM PDT
	Palpated frontal sinuses: No tenderness reported	Exam Action 04/09/20 11:19 AM PDT
	Palpated maxillary sinuses: No tenderness reported	Exam Action 04/09/20 11:20 AM PDT
	Palpated cervical lymph nodes: Enlarged and reported tenderness on the right side	Exam Action 04/09/20 11:23 AM PDT
	Palpated supraclavicular lymph nodes: Not palpable	Exam Action 04/09/20 11:23 AM PDT
	Palpated axillary lymph nodes: Not palpable	Exam Action 04/09/20 11:23 AM PDT
	Palpated axillary lymph nodes: Not palpable	Exam Action 04/09/20 11:23 AM PDT
	Palpated fremitus in anterior upper chest wall: Expected fremitus, equal bilaterally	Exam Action 04/09/20 11:24 AM PDT
	Ninety-nine.
	Palpated fremitus in anterior lower chest wall: Expected fremitus, equal bilaterally	Exam Action 04/09/20 11:24 AM PDT
	Ninety-nine.
	Palpated fremitus in posterior upper chest wall: Expected fremitus, equal bilaterally	Exam Action 04/09/20 11:24 AM PDT
	Ninety-nine.
	Palpated fremitus in posterior middle chest wall: Expected fremitus, equal bilaterally	Exam Action 04/09/20 11:24 AM PDT
	Ninety-nine.
	Palpated fremitus in posterior lower chest wall: Expected fremitus, equal bilaterally	Exam Action 04/09/20 11:24 AM PDT
	Ninety-nine.
	Auscultated breath sounds in anterior left upper lobe	Exam Action 04/09/20 11:25 AM PDT
	Auscultated breath sounds in anterior right upper lobe	Exam Action 04/09/20 11:25 AM PDT
	Auscultated breath sounds in anterior right middle lobe	Exam Action 04/09/20 11:26 AM PDT
	Auscultated breath sounds in anterior left mid-chest (upper lobe)	Exam Action 04/09/20 11:26 AM PDT
	Auscultated breath sounds in anterior left mid-chest (upper lobe)	Exam Action 04/09/20 11:26 AM PDT
	Auscultated breath sounds in anterior right middle lobe	Exam Action 04/09/20 11:26 AM PDT
	Auscultated breath sounds in anterior right lower lobe	Exam Action 04/09/20 11:26 AM PDT
	Auscultated breath sounds in anterior left lower lobe	Exam Action 04/09/20 11:27 AM PDT
	Auscultated breath sounds in posterior left upper lobe	Exam Action 04/09/20 11:27 AM PDT
	Auscultated breath sounds in posterior right upper lobe	Exam Action 04/09/20 11:27 AM PDT
	Auscultated breath sounds in posterior right mid-back (lower lobe)	Exam Action 04/09/20 11:27 AM PDT
	Auscultated breath sounds in posterior left mid-back (lower lobe)	Exam Action 04/09/20 11:27 AM PDT
	Auscultated breath sounds in posterior right lower lobe near spine	Exam Action 04/09/20 11:28 AM PDT
	Auscultated breath sounds in posterior left lower lobe near spine	Exam Action 04/09/20 11:28 AM PDT
	Auscultated breath sounds in posterior left lower lobe on side	Exam Action 04/09/20 11:28 AM PDT
	Auscultated breath sounds in posterior left lower lobe	Exam Action 04/09/20 11:28 AM PDT
	Auscultated breath sounds in posterior right lower lobe	Exam Action 04/09/20 11:28 AM PDT
	Auscultated breath sounds in posterior right lower lobe on side	Exam Action 04/09/20 11:28 AM PDT
	Auscultated voice sounds in anterior right upper lobe	Exam Action 04/09/20 11:29 AM PDT
	Ninety-nine.
	Ninety-nine.
	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
	Ninety-nine.
	Ninety-nine.
	Ninety-nine.
	Ninety-nine.
	Auscultated voice sounds in anterior left mid-chest (upper lobe)	Exam Action 04/09/20 11:29 AM PDT
	Ninety-nine.
	Ninety-nine.
	Auscultated voice sounds in anterior right middle lobe	Exam Action 04/09/20 11:29 AM PDT
	Ninety-nine.
	Ninety-nine.
	Ninety-nine.
	Auscultated voice sounds in anterior right middle lobe	Exam Action 04/09/20 11:30 AM PDT
	Ninety-nine.
	Ninety-nine.
	Auscultated voice sounds in anterior left mid-chest (upper lobe)	Exam Action 04/09/20 11:30 AM PDT
	Ninety-nine.
	Auscultated voice sounds in anterior left lower lobe	Exam Action 04/09/20 11:30 AM PDT
	Ninety-nine.
	Auscultated voice sounds in anterior right lower lobe	Exam Action 04/09/20 11:30 AM PDT
	Ninety-nine.
	Ninety-nine.
	Ninety-nine.
	Auscultated voice sounds in posterior left upper lobe	Exam Action 04/09/20 11:30 AM PDT
	Ninety-nine.
	Ninety-nine.
	Auscultated voice sounds in posterior right upper lobe	Exam Action 04/09/20 11:30 AM PDT
	Ninety-nine.
	Auscultated voice sounds in posterior right mid-back (lower lobe)	Exam Action 04/09/20 11:30 AM PDT
	Auscultated voice sounds in posterior left mid-back (lower lobe)	Exam Action 04/09/20 11:30 AM PDT
	Ninety-nine.
	Ninety-nine.
	Ninety-nine.
	Auscultated voice sounds in posterior left lower lobe near spine	Exam Action 04/09/20 11:30 AM PDT
	Ninety-nine.
	Auscultated voice sounds in posterior right lower lobe near spine	Exam Action 04/09/20 11:30 AM PDT
	Ninety-nine.
	Ninety-nine.
	Ninety-nine.
	Auscultated voice sounds in posterior right lower lobe on side	Exam Action 04/09/20 11:30 AM PDT
	Ninety-nine.
	Auscultated voice sounds in posterior right lower lobe	Exam Action 04/09/20 11:31 AM PDT
	Ninety-nine.
	Auscultated voice sounds in posterior left lower lobe	Exam Action 04/09/20 11:31 AM PDT
	Ninety-nine.
	Ninety-nine.
	Auscultated voice sounds in posterior left lower lobe on side	Exam Action 04/09/20 11:31 AM PDT
	Ninety-nine.
	Ninety-nine.
	Ninety-nine.
	Auscultated aortic area with the bell	Exam Action 04/09/20 11:31 AM PDT
	Auscultated aortic area with the diaphragm	Exam Action 04/09/20 11:31 AM PDT
	Auscultated aortic area with the bell	Exam Action 04/09/20 11:31 AM PDT
	Auscultated aortic area with the diaphragm	Exam Action 04/09/20 11:31 AM PDT
	Auscultated aortic area with the bell	Exam Action 04/09/20 11:31 AM PDT
	Auscultated aortic area with the diaphragm	Exam Action 04/09/20 11:31 AM PDT
	Auscultated pulmonic area with the diaphragm	Exam Action 04/09/20 11:31 AM PDT
	Auscultated pulmonic area with the bell	Exam Action 04/09/20 11:31 AM PDT
	Auscultated Erb’s point with the bell	Exam Action 04/09/20 11:31 AM PDT
	Auscultated Erb’s point with the diaphragm	Exam Action 04/09/20 11:32 AM PDT
	Auscultated tricuspid area with the diaphragm	Exam Action 04/09/20 11:32 AM PDT
	Auscultated tricuspid area with the bell	Exam Action 04/09/20 11:32 AM PDT
	Auscultated mitral area with the bell	Exam Action 04/09/20 11:32 AM PDT
	Auscultated mitral area with the diaphragm	Exam Action 04/09/20 11:32 AM PDT
	Percussed anterior right upper lobe	Exam Action 04/09/20 11:32 AM PDT
	Percussed anterior right middle lobe	Exam Action 04/09/20 11:32 AM PDT
	Percussed anterior left upper lobe	Exam Action 04/09/20 11:32 AM PDT
	Percussed anterior left mid-chest (upper lobe)	Exam Action 04/09/20 11:32 AM PDT
	Percussed anterior left lower lobe	Exam Action 04/09/20 11:32 AM PDT
	Percussed anterior right lower lobe	Exam Action 04/09/20 11:32 AM PDT
	Percussed posterior left upper lobe	Exam Action 04/09/20 11:33 AM PDT
	Percussed posterior left mid-back (lower lobe)	Exam Action 04/09/20 11:33 AM PDT
	Percussed posterior right mid-back (lower lobe)	Exam Action 04/09/20 11:33 AM PDT
	Percussed posterior right upper lobe	Exam Action 04/09/20 11:33 AM PDT
	Percussed posterior left lower lobe	Exam Action 04/09/20 11:33 AM PDT
	Percussed posterior left lower lobe on side	Exam Action 04/09/20 11:33 AM PDT
	Percussed posterior left lower lobe near spine	Exam Action 04/09/20 11:33 AM PDT
	Percussed posterior right lower lobe near spine	Exam Action 04/09/20 11:33 AM PDT
	Percussed posterior right lower lobe	Exam Action 04/09/20 11:33 AM PDT
	Percussed posterior left right lobe on side	Exam Action 04/09/20 11:33 AM PDT
	Inspected mouth Danny Rivera Pediatric Cough Shadow Health Assessment Transcript	Exam Action 04/09/20 11:58 AM PDT Dont wait until the last minute. Provide your requirements and let our native nursing writers deliver your assignments ASAP. Start My Order