Felipe Barbosa Sick Visit: Integumentary ShadowHealth Transcript
Felipe Barbosa Sick Visit: Integumentary ShadowHealth Transcript
Struggling to meet your deadline ?
Get assistance on
Felipe Barbosa Sick Visit: Integumentary ShadowHealth Transcript
done on time by medical experts. Don’t wait – ORDER NOW!
Transcript
 |
Hello. I am xxx, I will interview and examine you.
|
Greet |
 |
Hi.
|
|
|
What is your name?
|
Question |
|
Felipe Barbosa
Felipe Barbosa Sick Visit: Integumentary ShadowHealth Transcript
|
|
|
What brings you here today?
|
Question |
|
I’m here for this pain and rash on my back.
|
|
|
I am sorry about that
|
Empathize |
|
Thank you.
|
|
|
How long have you had the pain and rash?
|
Question |
|
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]
|
|
|
Can you describe the rash?
|
Question |
|
Yeah, the rash is red, has small blisters, and I feel a burning pain.
|
|
|
How long does the pain last?
|
Question |
|
The pain has been constant.
|
|
|
How severe is your pain?
|
Question |
|
Pain — 7 out of 10.
|
|
|
Where is the rash located?
|
Question |
|
The rash is on my right lower back. I have pain there too, but it’s not radiating.
|
|
|
What relieves your symptoms?
|
Question |
|
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.
|
|
|
I’m glad that ibupfrofen helped a little
|
Empathize |
|
I appreciate that.
|
|
|
What makes your symptoms worse
|
Question |
|
Sweat and being hot make the pain feel worse. The pain is constant and in the area of the rash.
|
|
|
What is your medical history?
|
Question |
|
Aside from the rash and the pain, no other health issues.
|
|
|
Any allergies?
|
Question |
|
Nope, I don’t have allergies.
|
|
|
Have you had a rash in the past?
|
Question |
|
Yeah I have a rash and pain in my back.
|
|
|
Are your immunizations up to date?
|
Question |
|
Yup, I have all my shots.
|
|
|
Any past history of skin conditions?
|
Question |
|
I don’t have any skin conditions or other medical conditions. Just this rash. [AUDIO COMING SOON]
|
|
|
Any history of chronic disease?
|
Question |
|
Yeah, my family has some health issues — Dad has high cholesterol and hypertension. Mom has diabetes. They’re both living.
|
|
|
Are you using any other medications? (Clarified to What other medications are you taking?.)
|
Question |
|
I don’t have any prescriptions. I just take ibuprofen. (Clarified to what other medications I am taking.)
|
|
|
Have you been sexually active
|
Question |
|
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]
|
|
|
Some skin conditions are spread through contact
|
Educate |
|
I’ll make a note of that.
|
|
|
Any fever?
|
Question |
|
No, I haven’t had a fever.
|
|
|
Any history of eczema? (Clarified to Do you have a history of psychiatric illness?.)
|
Question |
|
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.)
|
|
|
Am sorry about that
|
Empathize |
|
Thanks.
|
|
|
Are you using any supplements? (Clarified to Do you take vitamins or supplements?.)
|
Question |
|
No, I don’t take vitamins or supplements. (Clarified to if I take vitamins or supplements.)
|
|
|
Any recent travel?
|
Question |
|
We haven’t traveled recently. Not since our honeymoon a few years ago. [AUDIO COMING SOON]
|
|
|
Any history of surgeries?
|
Question |
|
Nope, I’ve never had surgery before.
|
|
|
Any history of hospitalizations?
|
Question |
|
Nope, no hospitalizations.
|
|
|
Any recent exposure to chemicals? (Clarified to Have you had any recent exposure to plants?.)
|
Question |
|
No, I haven’t touched any strange plants or anything. [AUDIO COMING SOON] (Clarified to if I have had recent exposure to plants.)
|
|
|
What is your diet like?
|
Question |
|
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.
|
|
|
Healthy diet is good for your skin
|
Educate |
|
Ah, alright, thanks.
|
|
|
Any family history of skin conditions?
|
Question |
|
I don’t think any skin diseases run in my family. [AUDIO COMING SOON]
|
|
|
Any joint pain?
|
Question |
|
I don’t have any joint issues.
|
|
|
Any night sweats? Felipe Barbosa Sick Visit: Integumentary ShadowHealth Transcript
|
Question |
|
I don’t get night sweats.
|
|
|
Any vision problems?
|
Question |
|
My eyes and vision are good. [AUDIO COMING SOON]
|
|
|
Any numbness or tingling?
|
Question |
|
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.
|
|
|
Am sorry about that
|
Empathize |
|
That’s nice of you.
|
|
|
Any nausea?
|
Question |
|
I haven’t been nauseated.
|
|
Auscultated breath sounds: Breath sounds present in all areas with no adventitious sounds
|
Exam Action |
|
|
Auscultated heart sounds: S1 and S2 audible with no extra heart sounds
|
Exam Action |
|
Assessed location of rash.
|
Exam Action |
|
Assessed character of rash.
|
Exam Action |
|
Palpated abdomen light
|
Exam Action |
|
Palpated spine: Spine and accessory muscles were nontender to palpation.
|
Exam Action |
|
Palpated rash: Patient verbalized pain by saying “Ouch” upon palpation Felipe Barbosa Sick Visit: Integumentary ShadowHealth Transcript
|
Exam Action |
|
Tested sensation in left and right legs: Expected sensation in left and right legs
|
Exam Action |
|
Tested sensation of left and right feet: Tested sensation in feet. Expected sensation in left and right feet
|
Exam Action |
|
Tested spine range of motion: Full range of motion performed without discomfort
|
Exam Action |
|
Are you able to work?
|
Question |
|
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.
|
|
|
Can you stand? (No matching questions found.)
|
Question |
|
Have the symptoms affected your sleep?
|
Question |
|
Aside from the pain, I have a rash and I’ve been feeling a little tired.
|
|
|
Any fatigue?
|
Question |
|
Yeah, I’ve been tired lately.
|
|
|
How many hours do you sleep per day?
|
Question |
|
Usually 8 hours a night. [AUDIO COMING SOON]
|
|
|
Any sore throat?
|
Question |
|
My throat feels fine. [AUDIO COMING SOON]
|
|
|
Any history of infection? (Clarified to Have you ever been diagnosed with an STD?.)
|
Question |
|
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
|
|
|
Any stress? (Clarified to Have you been stressed recently?.)
|
Question |
|
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.)
|
|
|
Am sorry about that
|
Empathize |
|
I appreciate it. Felipe Barbosa Sick Visit: Integumentary ShadowHealth Transcript
|
|
|
Any history of back pain?
|
Question |
|
Before the current pain in my right lower back, I haven’t had major back pain. [AUDIO COMING SOON]
|
|
|
Are you depressed?
|
Question |
|
I don’t have clinical depression or anything, but . . . I lost my best friend recently, and I’ve been in mourning. [AUDIO COMING SOON]
|
|
|
Any history of HIV? (Clarified to Do you have a history of anxiety?.)
|
Question |
|
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.)
|
|
|
Any history of childhood illnesses?
|
Question |
|
Um, I had chickenpox as a kid.
|
|
|
Does the pain radiate?
|
Question |
|
The pain in the rash area is really only on my right lower back. It doesn’t go anywhere else.
|
|
|
Do you work?
|
Question |
|
Yeah, I’m firefighter.
Felipe Barbosa Sick Visit: Integumentary ShadowHealth Transcript
|
Struggling to meet your deadline ?
Get assistance on
Felipe Barbosa Sick Visit: Integumentary ShadowHealth Transcript
done on time by medical experts. Don’t wait – ORDER NOW!