5/24/2018 Cardiovascular | Completed | Shadow Health "This is the real deal no matter the dates" Cardiovascular Results | Turned In Advanced Health Assessment - Chamberlain, NR509-April-2018 Return to Assignment Your Res
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5/24/2018 Cardiovascular | Completed | Shadow Health "This is the real deal no matter the dates" Cardiovascular Results | Turned In Advanced Health Assessment - Chamberlain, NR509-April-2018 Return to Assignment Your Results L La ab b P Pa as ss s Started: May 24, 2018 | Patient Exam Time: 121 min Transcript Greet 05/24/18 2:27 PM CDT Question 05/24/18 2:28 PM CDT Question 05/24/18 2:28 PM CDT Question 05/24/18 2:28 PM CDT Overview Transcript Subjective Data Collection Objective Data Collection Education & Empathy Documentation Lifespan Review Questions Self-Reflection I In nt te er rv viie ew w Q Qu ue es st tiio on ns s ( (9 97 7) ) S St ta at te em me en nt ts s ( (2 26 6) ) E Ex xa am m A Ac ct tiio on ns s ( (8 84 4) ) Hello my name is Sara student and I will be interviewing you today Hey. Please state your name. Tina Jones. What is your date of birth February 17th. How old are you? I'm 28. A Allll L Liin ne es s ( (2 20 07 7) )5/24/2018 Cardiovascular | Completed | Shadow Health Question 05/24/18 2:30 PM CDT Empathize 05/24/18 2:32 PM CDT Question 05/24/18 2:35 PM CDT Question 05/24/18 2:35 PM CDT Empathize 05/24/18 2:36 PM CDT Question 05/24/18 2:37 PM CDT Question 05/24/18 2:38 PM CDT What brought you to the clinic today? I've been noticing my heart seems to be beating too fast every once in a while lately, and it started to worry me. My mom said I should make an appointment. You don't want to ignore heart stuff, I guess. I am sorry you're feeling bad. I appreciate you saying that. When did they start? (Clarified to when did this feeling start.) I think the first time was about a month ago. Describe what it feels like when your heart is beating fast? Well, when my heart starts beating really fast, it just feels like a thumping in my chest. It makes me anxious and uncomfortable. I'm sorry you feel like that Thanks. How often is your heart racing? It's been about once a week for the past month. How many episodes Have you had in the past month? (Clarified to How many times have you had palpitations?.) I guess three or four times. It's been about once a week for the past month. How long does your heart racing last?5/24/2018 Cardiovascular | Completed | Shadow Health Question 05/24/18 2:39 PM CDT Question 05/24/18 2:40 PM CDT Question 05/24/18 2:41 PM CDT Educate 05/24/18 2:41 PM CDT Empathize 05/24/18 2:42 PM CDT Question 05/24/18 2:43 PM CDT Question 05/24/18 2:44 PM CDT Not very long, maybe five to ten minutes max. Does the heart racing radiate? (Clarified to When does your heart beat faster.) I've only noticed them in the mornings, usually on the way to class. Maybe like once a week. What are you doing when this happens? I usually notice them on my way to class in the mornings. My schoolwork has really been picking up and I've been drinking energy drinks to help keep me focused during the day, so maybe the caffeine or whatever else is in those things has something to do with it. You know energy drinks are not good for your health Alright, thanks for letting me know. And I understand you would like more energy but those drinks are not the way to go. Thanks for understanding. Can you describe what your heart racing feels like? Well, when my heart starts beating really fast, it just feels like a thumping in my chest. It makes me anxious and uncomfortable. Describe your anxious feeling when your heart is racing? (Clarified to what is anxiety like for you.) I guess when I'm stressed or anxious, I feel nervous. And I can feel overwhelmed.5/24/2018 Cardiovascular | Completed | Shadow Health Empathize 05/24/18 2:44 PM CDT Educate 05/24/18 2:45 PM CDT Educate 05/24/18 2:46 PM CDT Question 05/24/18 2:46 PM CDT Question 05/24/18 2:47 PM CDT Question 05/24/18 2:47 PM CDT Question 05/24/18 2:47 PM CDT Question 05/24/18 2:48 PM CDT I'm sorry you feel like that we will try to help you I appreciate you telling me that. We can go over some exercises to help your anxiety That makes sense. I will ask you some more questions to learn about your symptoms and will try to determine why you're feeling this way Sure, I think I understand what you mean. When do you feel like your heart race? (Clarified to Is your heart racing right now? .) No, not right now. But that's what I've been feeling for the past month. What time of day does it feel like it starts to race? (No matching questions found.) Does your heart race in the morning? No, not right now. But that's what I've been feeling for the past month. Does exercise make your heart race? (Clarified to Does exertion aggravate the palpitations.) No, I haven't noticed anything like that. Does eating aggravate your palpitations? (Clarified to does eating anything worsen these palpitations.) No, not that I can tell.5/24/2018 Cardiovascular | Completed | Shadow Health Question 05/24/18 2:48 PM CDT Question 05/24/18 2:50 PM CDT Educate 05/24/18 2:50 PM CDT Question 05/24/18 2:50 PM CDT Question 05/24/18 2:51 PM CDT Question 05/24/18 2:51 PM CDT Question 05/24/18 2:52 PM CDT Empathize 05/24/18 2:53 PM CDT What relieves your heart racing? (Clarified to What activities make your heart race.) All I've been able to tell so far is that it happens in the mornings, usually as I'm getting ready or driving to school. I'm never doing anything out of the ordinary when it happens. What seems to relieve your palpitations? I try to slow down and breathe, and just relax. The feeling usually goes away after awhile. Good job that's a great exercise to help you calm down OK, I understand. Do you take any medications for your palpitations? Yeah, I have my daily inhaler now, and I do that twice a day. I haven't had to use my rescue inhaler since I started using it. Does anything else make your palpitations go away (No matching questions found.) Are you taking any medication for your heart (Clarified to are you taking heart medicine.) I don't take any. Any history of high blood pressure? ...I've never been diagnosed with blood pressure problems. But I think it can be on the high side sometimes. Sorry to hear that Thanks for saying that.5/24/2018 Cardiovascular | Completed | Shadow Health Educate 05/24/18 2:53 PM CDT Question 05/24/18 2:53 PM CDT Educate 05/24/18 2:54 PM CDT Educate 05/24/18 2:55 PM CDT Educate 05/24/18 2:55 PM CDT Question 05/24/18 2:55 PM CDT Empathize 05/24/18 2:56 PM CDT I did notice your blood pressure today was 145 over 90 on the high side Thanks for telling me. Does high blood pressure run in your family? We've got high blood pressure in our family for sure. Granny, Mom, and Dad had it...and honestly I think my other three grandparents might've had issues with that, too. Having a history of high blood pressure in the family means that you could be at risk for developing high blood pressure to. Keeping blood pressure low is important to avoid any future health problems or health risk OK, I understand. Also it is important when you are drinking energy drinks that have caffeine you need to drink more water then normal to stay hydrated That makes sense. That much caffeine can dehydrate you increasing your water intake by double would help stay hydrated Alright, thanks for letting me know. Do you exercise? I'm pretty exhausted by the end of the day, so I don't have the energy to do any extra exercise. But I'm on my feet all the time at work so I feel like that's a little bit of exercise most days at least. I understand you're busy.5/24/2018 Cardiovascular | Completed | Shadow Health Educate 05/24/18 2:56 PM CDT Question 05/24/18 2:56 PM CDT Question 05/24/18 2:57 PM CDT Question 05/24/18 2:57 PM CDT Question 05/24/18 2:57 PM CDT Question 05/24/18 2:57 PM CDT Question 05/24/18 2:58 PM CDT I appreciate you telling me that. Regular exercise is very important and can help relieve stress maybe taking a short walk every day may help reduce your anxiety and improve your health Thanks for telling me. What medications do you take? I have a daily inhaler and a rescue inhaler for my asthma. Any new medication since your last visit? Yeah, I have a daily inhaler now that I've been using. What is the name of your daily inhaler? The daily inhaler is Flovent, and the rescue inhaler is Proventil. How much Proventil do you take? For the daily one, I do two puffs twice a day, like I'm supposed to. When was the last time you use your Proventil? I haven't needed my rescue inhaler for at least a month. Not since my last visit here. I think the daily inhaler you prescribed is really helping. When was the last time you had your blood pressure checked? The last time I was here in the clinic, the nurse checked it.5/24/2018 Cardiovascular | Completed | Shadow Health Educate 05/24/18 2:59 PM CDT Question 05/24/18 3:00 PM CDT Question 05/24/18 3:00 PM CDT Question 05/24/18 3:00 PM CDT Question 05/24/18 3:01 PM CDT Question 05/24/18 3:01 PM CDT Question 05/24/18 3:02 PM CDT It is important that you check your blood pressure when you can anytime a blood pressure cuff is available. Sure, I think I understand what you mean. Do you have a heart murmur? No. Any swelling to your legs? No, not that I have noticed. Have you noticed any swelling in your arms? No. Have you noticed any swelling in your hands? No, not that I have noticed. Any shortness of breath? No, my breathing is fine right now. How is your stress level? It's not terrible, but I've definitely been more stressed than usual lately. School and work both just started getting really busy at the same time. What do you do at your job?5/24/2018 Cardiovascular | Completed | Shadow Health Question 05/24/18 3:09 PM CDT Empathize 05/24/18 3:10 PM CDT Question 05/24/18 3:10 PM CDT Question 05/24/18 3:11 PM CDT Question 05/24/18 3:11 PM CDT Question 05/24/18 3:11 PM CDT Question 05/24/18 3:12 PM CDT Question 05/24/18 3:12 PM CDT Mid-American Copy & Ship is a good fit for me, especially while I work on my degree. They have been really understanding of my academic needs. Oh, and I get to do some accounting types of things when I take inventory or prepare orders. I'm glad they can help with your needs for school Thanks for understanding. Any changes in your diet? No, I'm a creature of habit. I eat the same foods all the time. How often do you use your flovent? I've been pretty good about using it every day. Prescribed dose of flovent? (No matching questions found.) dose of flovent? (No matching questions found.) What is the dose of your flovent? For the daily one, I do two puffs twice a day, like I'm supposed to. How many times a day do you use your flovent? Yeah, I have my daily inhaler now, and I do that twice a day. I haven't had to use my rescue inhaler since I started using it.5/24/2018 Cardiovascular | Completed | Shadow Health Question 05/24/18 3:12 PM CDT Question 05/24/18 3:13 PM CDT Question 05/24/18 3:14 PM CDT Question 05/24/18 3:15 PM CDT Educate 05/24/18 3:15 PM CDT Question 05/24/18 3:15 PM CDT Question 05/24/18 3:16 PM CDT Question 05/24/18 3:16 PM CDT Do you feel your flovent is effective (Clarified to How often do you use the Flovent inhaler.) I've been pretty good about using it every day. Describe your new inhaler? About a month ago, I was in here because my asthma was acting up, and the nurse practitioner prescribed me a daily inhaler. Any new allergies to report? No, not that I know of. Do you check your blood pressure on a regular basis? I almost never check it. I mean, maybe twice a year I might? It's not something I think about. It is important to check your blood pressure when you can That makes sense. Are you aware of risk factors of hypertension (Clarified to are you aware of your risk for high blood pressure.) Yeah I guess I know, but I don't dwell on it. Do you have a history of heart disease? I've never been diagnosed with anything, no. Do you have a family history of heart disease?5/24/2018 Cardiovascular | Completed | Shadow Health Empathize 05/24/18 3:17 PM CDT Question 05/24/18 3:17 PM CDT Question 05/24/18 3:17 PM CDT Question 05/24/18 3:17 PM CDT Question 05/24/18 3:17 PM CDT Question 05/24/18 3:18 PM CDT Question 05/24/18 3:19 PM CDT Question 05/24/18 3:19 PM CDT Um, none that I know of. Wait, my Poppa--that's Mom's dad--died of a heart attack. I'm sorry to hear that. I appreciate you saying that. Do you have a history of diabetes? Yeah, I was diagnosed a few years ago. Diagnosed with high cholesterol? (Clarified to do you have high cholesterol.) I've never had it tested. My family has problems with high cholesterol, but I don't think I do. Ever been diagnosed with rheumatic fever (No matching questions found.) diagnosed with rheumatic fever (No matching questions found.) any history of rheumatic fever No, I never got that as a kid. Have you ever had any heart test done? No, I've never had any problems with my heart before now. EKG? (No matching questions found.) Can you tell me what you eat daily?5/24/2018 Cardiovascular | Completed | Shadow Health Question 05/24/18 3:19 PM CDT Question 05/24/18 3:20 PM CDT Question 05/24/18 3:20 PM CDT Educate 05/24/18 3:21 PM CDT Question 05/24/18 3:21 PM CDT Question 05/24/18 3:21 PM CDT Question 05/24/18 3:22 PM CDT Question 05/24/18 3:22 PM CDT Let's see . . . a muffin or pumpkin bread for breakfast, a sandwich for lunch, and some kind of meat with a veggie for dinner. Do you eat snacks? Yeah, I usually have some snacks during the day. What type of snacks do you eat? I try to eat snacks that are kind of healthy like pretzels--sometimes if I'll treat myself and get french fries, but I try not to do that too often. Maybe try having some fruit or some veggies for snack instead of pretzels or fries Sure, I think I understand what you mean. Have you increased your caffeine over the last month? (No matching questions found.) When did you increase your caffeine intake? (No matching questions found.) How often do you drink caffeine drinks Yeah, I've been drinking energy drinks a lot lately. I also drink Diet Coke. How often do you drink energy drinks? I've been having one every morning over the past month or so. A few times I've had two. Caffeine drinks are bad for you especially energy drinks try substituting one of those with water5/24/2018 Cardiovascular | Completed | Shadow Health Educate 05/24/18 3:22 PM CDT Question 05/24/18 3:22 PM CDT Question 05/24/18 3:23 PM CDT Educate 05/24/18 3:23 PM CDT Question 05/24/18 3:24 PM CDT Question 05/24/18 3:25 PM CDT Empathize 05/24/18 3:25 PM CDT Thanks for telling me. Why do you drink caffeine? (Clarified to do you drink caffeine.) Yeah, I've been drinking energy drinks a lot lately. I also drink Diet Coke. How does caffeine make you feel? (Clarified to What effect does caffeine have on you?.) I get kinda jittery. And now that we're talking about it, maybe it could be affecting my heart rate. You are correct that much caffeine could make your heart race. OK, I understand. How is your energy level been? Most days I'm pretty exhausted by the end of the day--work really wipes me out, and if it's a week where I have a test or a paper, I'll be even more tired from all the studying. How was your activity level? I don't have the energy to do extra exercise after work. . . I'm pretty exhausted by the end of the day. But I'm moving around my whole shift at work, so that's something, at least. I completely understand. Thanks for saying that. Any recent respiratory illness5/24/2018 Cardiovascular | Completed | Shadow Health Question 05/24/18 3:32 PM CDT Question 05/24/18 3:32 PM CDT Question 05/24/18 3:32 PM CDT Question 05/24/18 3:33 PM CDT Question 05/24/18 3:33 PM CDT Question 05/24/18 3:33 PM CDT Empathize 05/24/18 3:33 PM CDT Question 05/24/18 3:33 PM CDT No, I'm usually healthy. Any fever? No. Any nausea? No. Any vomiting? I don't even remember the last time I threw up--I don't think I have in years. Any chills? I haven't had chills, no. Low energy level? I feel like I have okay energy I guess...but most days I'm pretty exhausted by the end of the day. I understand I'm sorry to hear that Thanks. Any night sweats?5/24/2018 Cardiovascular | Completed | Shadow Health Question 05/24/18 3:36 PM CDT Question 05/24/18 3:36 PM CDT Question 05/24/18 3:36 PM CDT Question 05/24/18 3:37 PM CDT Question 05/24/18 3:37 PM CDT Question 05/24/18 3:37 PM CDT Question 05/24/18 3:37 PM CDT Question 05/24/18 3:37 PM CDT I don't get sweaty, but sometimes I wake up hot and have to kick off my sheets. Are you having any chest pain? No, I've never had any chest pain. It doesn't hurt, it just feels like my heart is beating really fast. Chest tightness? Not really. Edema? (No matching questions found.) Any edema? No, not that I have noticed. Any circulation problems? I don't think I have any circulation problems. Any recent bleeding? (No matching questions found.) Do you bleed easily? I don't think so, no... I don't hurt myself very often. Any bruising? No, I don't think so.5/24/2018 Cardiovascular | Completed | Shadow Health Question 05/24/18 3:38 PM CDT Question 05/24/18 3:38 PM CDT Question 05/24/18 3:38 PM CDT Question 05/24/18 3:39 PM CDT Empathize 05/24/18 3:40 PM CDT Question 05/24/18 3:40 PM CDT Question 05/24/18 3:41 PM CDT Question 05/24/18 3:41 PM CDT Any dizziness? No, I can't remember the last time I got dizzy. Any lightheadedness? I don't ever get light-headed. Any fainting? Um, not that I remember. Do you have any family history of heart disease? Um, none that I know of. Wait, my Poppa--that's Mom's dad--died of a heart attack. I'm sorry to hear that I appreciate you telling me that. When did he die of a heart attack (Clarified to how old was poppa when he passed.) Poppa died of a heart attack when he was 80. . . he had some blood pressure and cholesterol issues when he was alive, too. Any family history of coronary artery disease? No, I don't think so. Any family history of high cholesterol?5/24/2018 Cardiovascular | Completed | Shadow Health Question 05/24/18 3:41 PM CDT Question 05/24/18 3:42 PM CDT Question 05/24/18 3:42 PM CDT Question 05/24/18 3:42 PM CDT Empathize 05/24/18 3:43 PM CDT Question 05/24/18 3:43 PM CDT Exam Action 05/24/18 4:00 PM CDT Cholesterol runs high in my family. All four of my grandparents have high cholesterol, and Mom and Dad, too. Any family history of hypertension? We've got high blood pressure in our family for sure. Granny, Mom, and Dad had it...and honestly I think my other three grandparents might've had issues with that, too. Any family history of heart attack Um, none that I know of. Wait, my Poppa--that's Mom's dad--died of a heart attack. Any family history of a stroke? Yeah, that's how my Nana died. At what age did your nana die? Nana was 73 when she died of a stroke about five years ago. I think she had high blood pressure and cholesterol, too. I am sorry to hear about that. Thanks for understanding. Any family history of obesity? No, I don't think so. My brother and my dad are kind of big, but I wouldn't say they were obese or anything. Inspected anterior chest wall Inspected left side chest wall5/24/2018 Cardiovascular | Completed | Shadow Health Exam Action 05/24/18 4:01 PM CDT Exam Action 05/24/18 4:01 PM CDT Exam Action 05/24/18 4:01 PM CDT Exam Action 05/24/18 4:01 PM CDT Exam Action 05/24/18 4:01 PM CDT Exam Action 05/24/18 4:02 PM CDT Exam Action 05/24/18 4:02 PM CDT Exam Action 05/24/18 4:02 PM CDT Exam Action 05/24/18 4:02 PM CDT Exam Action 05/24/18 4:02 PM CDT Exam Action 05/24/18 4:03 PM CDT Exam Action 05/24/18 4:03 PM CDT Exam Action 05/24/18 4:03 PM CDT Inspected posterior chest wall Inspected right side chest wall Inspected anterior chest wall Inspected for jugular venous distention: JVP 1 cm above sternal angle Inspected fingernails of left hand Inspected fingernails of right hand Checked capillary refill in fingernails Checked capillary refill in fingernails Checked capillary refill in fingernails Checked capillary refill in fingernails Checked capillary refill in fingernails Checked capillary refill in fingernails5/24/2018 Cardiovascular | Completed | Shadow Health Exam Action 05/24/18 4:03 PM CDT Exam Action 05/24/18 4:03 PM CDT Exam Action 05/24/18 4:03 PM CDT Exam Action 05/24/18 4:03 PM CDT Exam Action 05/24/18 4:03 PM CDT Exam Action 05/24/18 4:04 PM CDT Exam Action 05/24/18 4:04 PM CDT Exam Action 05/24/18 4:04 PM CDT Exam Action 05/24/18 4:04 PM CDT Exam Action 05/24/18 4:04 PM CDT Exam Action 05/24/18 4:04 PM CDT Exam Action 05/24/18 4:04 PM CDT Exam Action 05/24/18 4:04 PM CDT Checked capillary refill in fingernails Checked capillary refill in fingernails Inspected legs Inspected left leg for edema: No edema Inspected right leg for edema: No edema Inspected toenails Checked capillary refill in toenails Checked capillary refill in toenails Checked capillary refill in toenails Checked capillary refill in toenails Checked capillary refill in toenails Checked capillary refill in toenails Checked capillary refill in toenails5/24/2018 Cardiovascular | Completed | Shadow Health Exam Action 05/24/18 4:05 PM CDT Exam Action 05/24/18 4:05 PM CDT Exam Action 05/24/18 4:05 PM CDT Exam Action 05/24/18 7:37 PM CDT Exam Action 05/24/18 7:37 PM CDT Exam Action 05/24/18 7:38 PM CDT Exam Action 05/24/18 7:38 PM CDT Exam Action 05/24/18 7:38 PM CDT Exam Action 05/24/18 7:39 PM CDT Exam Action 05/24/18 7:39 PM CDT Exam Action 05/24/18 7:40 PM CDT Exam Action 05/24/18 7:40 PM CDT Exam Action 05/24/18 7:41 PM CDT Checked capillary refill in toenails Checked capillary refill in toenails Checked capillary refill in toenails Palpated temporal arteries: No thrill on either side, 2+ on both sides Palpated chest at PMI: Present at midclavicular line and 5th intercostal space, brisk and tapping, diameter 2 cm Palpated left carotid pulse: No thrill, 2+ Palpated right carotid pulse: No thrill, 2+ Palpated left radial pulse: No thrill, 2+ Palpated right radial pulse: No thrill, 2+ Palpated left brachial pulse: No thrill, 2+ Palpated left femoral pulse: No thrill, 2+ Palpated right femoral pulse: No thrill, 2+ Palpated left popliteal pulse: No thrill, 2+5/24/2018 Cardiovascular | Completed | Shadow Health Exam Action 05/24/18 7:42 PM CDT Exam Action 05/24/18 7:42 PM CDT Exam Action 05/24/18 7:42 PM CDT Exam Action 05/24/18 7:43 PM CDT Exam Action 05/24/18 7:43 PM CDT Exam Action 05/24/18 7:43 PM CDT Exam Action 05/24/18 7:43 PM CDT Exam Action 05/24/18 7:44 PM CDT Exam Action 05/24/18 7:44 PM CDT Exam Action 05/24/18 7:44 PM CDT Exam Action 05/24/18 7:44 PM CDT Exam Action 05/24/18 7:44 PM CDT Exam Action 05/24/18 7:44 PM CDT Palpated right popliteal pulse: No thrill, 2+ Palpated left tibial pulse: No thrill, 2+ Palpated right tibial pulse: No thrill, 2+ Palpated left dorsalis pedis pulse: No thrill, 2+ Palpated right dorsalis pedis pulse: No thrill, 2+ Auscultated left temporal pulse Auscultated right temporal pulse Auscultated left carotid pulse Auscultated right carotid pulse 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)5/24/2018 Cardiovascular | Completed | Shadow Health Exam Action 05/24/18 7:44 PM CDT Exam Action 05/24/18 7:44 PM CDT Exam Action 05/24/18 7:44 PM CDT Exam Action 05/24/18 7:44 PM CDT Exam Action 05/24/18 7:44 PM CDT Exam Action 05/24/18 7:44 PM CDT Exam Action 05/24/18 7:44 PM CDT Exam Action 05/24/18 7:44 PM CDT Exam Action 05/24/18 7:44 PM CDT Exam Action 05/24/18 7:44 PM CDT Exam Action 05/24/18 7:44 PM CDT Exam Action 05/24/18 7:45 PM CDT Exam Action 05/24/18 7:45 PM CDT Auscultated breath sounds in anterior left lower lobe Auscultated breath sounds in anterior right lower lobe Auscultated breath sounds in posterior right upper lobe Auscultated breath sounds in posterior left upper lobe Auscultated breath sounds in posterior left mid-back (lower lobe) Auscultated breath sounds in posterior right mid-back (lower lobe) 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 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 aortic area with the bell5/24/2018 Cardiovascular | Completed | Shadow Health Exam Action 05/24/18 7:45 PM CDT Exam Action 05/24/18 7:45 PM CDT Exam Action 05/24/18 7:45 PM CDT Exam Action 05/24/18 7:45 PM CDT Exam Action 05/24/18 7:45 PM CDT Exam Action 05/24/18 7:45 PM CDT Exam Action 05/24/18 7:45 PM CDT Exam Action 05/24/18 7:45 PM CDT Exam Action 05/24/18 7:45 PM CDT Exam Action 05/24/18 7:46 PM CDT Exam Action 05/24/18 7:46 PM CDT Exam Action 05/24/18 7:46 PM CDT Exam Action 05/24/18 7:46 PM CDT 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 Auscultated aorta in abdomen Auscultated left renal pulse Auscultated right renal pulse Auscultated left iliac pulse5/24/2018 Cardiovascular | Completed | Shadow Health Exam Action 05/24/18 7:46 PM CDT Exam Action 05/24/18 7:46 PM CDT Exam Action 05/24/18 7:46 PM CDT Exam Action 05/24/18 7:46 PM CDT Exam Action 05/24/18 7:48 PM CDT Auscultated right iliac pulse Auscultated left femoral pulse Auscultated right femoral pulse Tested ABI: 141/145 = 0.972 Performed EKG: Regular sinus rhythm, no ST changes Comments If your instructor provides individual feedback on this assignment, it will appear here. © Shadow Health® 2018
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