Focused Exam: Cough Results | Turned In
Advanced Health Assessment - Chamberlain, NR509-April-2018
Return to Assignment
Your Results
Lab Pass
Transcript
Started: Jun 04, 2018 | P
...
Focused Exam: Cough Results | Turned In
Advanced Health Assessment - Chamberlain, NR509-April-2018
Return to Assignment
Your Results
Lab Pass
Transcript
Started: Jun 04, 2018 | Patient Exam Time: 86 min
All Lines (180) Interview Questions (76) Statements (8) Exam Actions (96)
Hello, My name is Sara an FNP student and I will be interviewing you today
Hi.
What brought you into the clinic today?
Greet
06/04/18 2:50 PM
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Question
06/04/18 2:51 PM
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My Abuela brought me here because I've been feeling sick. I have been coughing a lot. . . and I feel kinda tired.
What is your name?
Question
06/04/18 2:52 PM
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My name is Daniel Rivera, but I just go by Danny.
And how old are you?
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06/04/18 2:52 PM
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I'm eight.
What is your date of birth?
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06/04/18 2:52 PM
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I was born March 4th in, um . . . [Danny reports correct birth year.] [AUDIO COMING SOON]
Empathize
06/04/18 2:54 PM
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06/04/18 2:55 PM
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06/04/18 3:00 PM
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06/04/18 3:03 PM
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06/04/18 3:03 PM
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06/04/18 3:06 PM
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06/04/18 3:08 PM
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06/04/18 3:10 PM
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06/04/18 3:12 PM
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06/04/18 3:12 PM
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06/04/18 3:13 PM
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Educate
06/04/18 3:14 PM
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06/04/18 3:15 PM
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06/04/18 3:15 PM
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06/04/18 3:16 PM
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06/04/18 3:16 PM
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Empathize
06/04/18 3:17 PM
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06/04/18 3:17 PM
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06/04/18 3:18 PM
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06/04/18 3:18 PM
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Empathize
06/04/18 3:18 PM
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06/04/18 3:18 PM
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06/04/18 3:19 PM
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06/04/18 3:20 PM
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06/04/18 3:20 PM
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Empathize
06/04/18 3:21 PM
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06/04/18 3:21 PM
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06/04/18 3:23 PM
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06/04/18 3:24 PM
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06/04/18 3:25 PM
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06/04/18 3:26 PM
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Educate
06/04/18 3:26 PM
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06/04/18 3:28 PM
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06/04/18 3:29 PM
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Checked vitals
Tested lung capacity with spirometer: FEV1: 3.15 L, FVC 3.91L (FEV1/FVC: 80.5%)
Inspected left orbital area and sclera Inspected right orbital area and sclera Inspected upper conjunctiva
Inspected lower conjunctiva
Performed otoscopic examination of left naris Performed otoscopic examination of right naris Performed otoscopic examination of left ear Performed otoscopic examination of right ear Performed otoscopic examination of left ear Performed otoscopic examination of right ear
Performed otoscopic examination of left ear
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06/04/18 3:35 PM
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Inspected mouth
Inspected front of neck Inspected left side of neck Inspected back of neck Inspected right side of neck Inspected front of neck Inspected mouth
Inspected mouth
Inspected anterior chest wall Inspected posterior chest wall Inspected anterior chest wall
Palpated frontal sinuses: No tenderness reported
Palpated maxillary sinuses: No tenderness reported
Exam Action
06/04/18 3:47 PM
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06/04/18 3:48 PM
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Palpated cervical lymph nodes: Enlarged and reported tenderness on the right side
Palpated supraclavicular lymph nodes: Not palpable Palpated axillary lymph nodes: Not palpable
Palpated axillary lymph nodes: Not palpable Palpated axillary lymph nodes: Not palpable
Palpated fremitus in anterior upper chest wall: Expected fremitus, equal bilaterally
Palpated fremitus in anterior lower chest wall: Expected fremitus, equal bilaterally
Auscultated breath sounds in anterior left upper lobe Auscultated breath sounds in anterior right upper lobe Auscultated breath sounds in anterior right middle lobe
Auscultated breath sounds in anterior left mid-chest (upper lobe) Auscultated breath sounds in anterior left mid-chest (upper lobe)
Exam Action
06/04/18 3:51 PM
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Auscultated breath sounds in anterior right middle lobe Auscultated breath sounds in anterior left lower lobe Auscultated breath sounds in anterior right lower lobe Auscultated breath sounds in posterior left upper lobe Auscultated breath sounds in posterior right upper lobe
Auscultated breath sounds in posterior right mid-back (lower lobe) Auscultated breath sounds in posterior left mid-back (lower lobe) Auscultated breath sounds in posterior left lower lobe near spine Auscultated breath sounds in posterior right lower lobe near spine Auscultated breath sounds in posterior right lower lobe on side Auscultated breath sounds in posterior right lower lobe
Auscultated breath sounds in posterior left lower lobe
Auscultated breath sounds in posterior left lower lobe on side
Exam Action
06/04/18 3:53 PM
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Auscultated voice sounds in anterior left upper lobe
Auscultated voice sounds in anterior right upper lobe
Auscultated voice sounds in anterior right middle lobe
Auscultated voice sounds in anterior left mid-chest (upper lobe)
Auscultated voice sounds in anterior left mid-chest (upper lobe) Auscultated voice sounds in anterior right middle lobe
Auscultated voice sounds in anterior right lower lobe
Auscultated voice sounds in anterior left lower lobe
Exam Action
06/04/18 3:54 PM
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06/04/18 3:55 PM
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Auscultated voice sounds in posterior left upper lobe
Auscultated voice sounds in posterior right upper lobe
Auscultated voice sounds in posterior right mid-back (lower lobe) Auscultated voice sounds in posterior left mid-back (lower lobe)
Auscultated voice sounds in posterior left lower lobe near spine
Auscultated voice sounds in posterior right lower lobe on side
Auscultated voice sounds in posterior right lower lobe
Exam Action
06/04/18 3:55 PM
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Auscultated voice sounds in posterior left lower lobe
Auscultated voice sounds in posterior left lower lobe on side Auscultated voice sounds in posterior right lower lobe near spine Auscultated aortic area with the bell
Auscultated aortic area with the diaphragm Auscultated pulmonic area with the diaphragm Auscultated pulmonic area with the bell Auscultated Erb's point with the bell
Auscultated Erb's point with the diaphragm Auscultated tricuspid area with the diaphragm Auscultated tricuspid area with the bell Auscultated mitral area with the bell
Auscultated mitral area with the diaphragm
Exam Action
06/04/18 3:55 PM
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Percussed anterior right upper lobe
Percussed anterior left upper lobe
Percussed anterior left mid-chest (upper lobe) Percussed anterior right middle lobe
Percussed anterior right lower lobe Percussed anterior left lower lobe Percussed posterior left upper lobe Percussed posterior right upper lobe
Percussed posterior left mid-back (lower lobe) Percussed posterior right mid-back (lower lobe) Percussed posterior left lower lobe
Percussed posterior right lower lobe
Percussed posterior left right lobe on side
Exam Action
06/04/18 3:57 PM
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Percussed posterior right lower lobe near spine
Percussed posterior left lower lobe near spine Percussed posterior left lower lobe on side
Percussed posterior left lower lobe on side
Exam Action
06/04/18 3:57 PM
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06/04/18 3:57 PM
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06/04/18 3:57 PM
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06/04/18 3:58 PM
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06/04/18 4:00 PM
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