Tina Comprehensive Assessment Shadow Health Transcript

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Transcript Started: Jan 26, 2020 | Total Time: 167 min All Lines (482) Interview Questions (146) Statements (3) Exam Actions (333) Greet 01/26/20 5:57 PM MST Question A01/26/2... 0 5:57 PM MST Question 01/26/20 5:58 PM MST Question 01/26/20 5:59 PM Question 01/26/20 6:00 PM MST Question 01/26/20 6:00 PM MST Question 01/26/20 6:01 PM MST Question 01/26/20 6:01 PM MST Question 01/26/20 6:01 PM MST Question 01/26/20 6:03 PM MST Question 01/26/20 6:03 PM MST Question 01/26/20 6:03 PM MST Question 01/26/20 6:03 PM MST Question 01/26/20 6:04 PM MST Question 01/26/20 6:04 PM MST Question 01/26/20 6:04 PM MST Question 01/26/20 6:05 PM MST Question 01/26/20 6:05 PM MST Question 01/26/20 6:05 PM MST Question 01/26/20 6:06 PM MST Question 01/26/20 6:06 PM MST Question 01/26/20 6:06 PM MST Question 01/26/20 6:07 PM MST Question 01/26/20 6:07 PM MST Question 01/26/20 6:08 PM MST Question 01/26/20 6:08 PM MST Question 01/26/20 6:08 PM MST Question 01/26/20 6:09 PM MST Question 01/26/20 6:09 PM MST Question 01/26/20 6:10 PM MST Question 01/26/20 6:10 PM MST Question 01/26/20 6:10 PM MST Question 01/26/20 6:10 PM Question 01/26/20 6:11 PM MST Question 01/26/20 6:11 PM MST Question 01/26/20 6:12 PM MST Question 01/26/20 6:12 PM MST Question 01/26/20 6:13 PM MST Question 01/26/20 6:14 PM MST Question 01/26/20 6:15 PM MST Question 01/26/20 6:15 PM MST Question 01/26/20 6:15 PM MST Question 01/26/20 6:16 PM MST Question 01/26/20 6:17 PM MST Question 01/26/20 6:17 PM MST Question 01/26/20 6:17 PM MST Question 01/26/20 6:17 PM MST Question 01/26/20 6:18 PM MST Question 01/26/20 6:18 PM MST Question 01/26/20 6:18 PM MST Question 01/26/20 6:19 PM MST Question 01/26/20 6:19 PM MST Question 01/26/20 6:20 PM MST Question 01/26/20 6:20 PM Question 01/26/20 6:20 PM MST Question 01/26/20 6:21 PM MST Question 01/26/20 6:21 PM MST Question 01/26/20 6:21 PM MST Question 01/26/20 6:22 PM Question 01/26/20 6:23 PM MST Question 01/26/20 6:25 PM MST Question 01/26/20 6:26 PM MST Question 01/26/20 6:27 PM MST Question 01/26/20 6:27 PM MST Question 01/26/20 6:28 PM MST Question 01/26/20 6:29 PM MST Question 01/26/20 6:29 PM MST Question 01/26/20 6:29 PM MST Question 01/26/20 6:29 PM MST Question 01/26/20 6:30 PM MST Question 01/26/20 6:31 PM MST Question 01/26/20 6:31 PM MST Question 01/26/20 6:31 PM MST Question 01/26/20 6:31 PM MST Question 01/26/20 6:32 PM MST Question 01/26/20 6:32 PM MST Question 01/26/20 6:33 PM MST Question 01/26/20 6:33 PM MST Question 01/26/20 6:33 PM MST Question 01/26/20 6:34 PM MST Question 01/26/20 6:34 PM MST Question 01/26/20 6:35 PM MST Question 01/26/20 6:35 PM MST Question 01/26/20 6:35 PM MST Question 01/26/20 6:37 PM MST Question 01/26/20 6:37 PM MST Question 01/26/20 6:38 PM MST Question 01/26/20 6:38 PM MST Question 01/26/20 6:39 PM Question 01/26/20 6:40 PM MST Question 01/26/20 6:40 PM MST Question 01/26/20 6:41 PM MST Empathize 01/26/20 6:41 PM MST Question 01/26/20 6:42 PM MST Question 01/26/20 6:43 PM MST Question 01/26/20 6:43 PM MST Question 01/26/20 6:44 PM MST Question 01/26/20 6:44 PM MST Question 01/26/20 6:45 PM MST Empathize 01/26/20 6:45 PM MST Question 01/26/20 6:45 PM MST Question 01/26/20 6:45 PM MST Question 01/26/20 6:45 PM MST Question 01/26/20 6:46 PM MST Question 01/26/20 6:46 PM MST Question 01/26/20 6:46 PM MST Question 01/26/20 6:46 PM MST Question 01/26/20 6:47 PM MST Question 01/26/20 6:48 PM MST Question 01/26/20 6:48 PM MST Question 01/26/20 6:48 PM MST Question 01/26/20 6:48 PM MST Question 01/26/20 6:49 PM MST Question 01/26/20 6:49 PM MST Question 01/26/20 6:50 PM MST Question 01/26/20 6:52 PM MST Question 01/26/20 6:52 PM MST Question 01/26/20 6:52 PM MST Question 01/26/20 6:52 PM MST Question 01/26/20 6:55 PM MST Empathize 01/26/20 6:55 PM MST Question 01/26/20 6:55 PM MST Question 01/26/20 6:56 PM MST Question 01/26/20 6:56 PM MST Question 01/26/20 7:04 PM MST Question 01/26/20 7:04 PM MST Question 01/26/20 7:09 PM MST Question 01/26/20 7:10 PM MST Performed pulse oximetry Performed spirometry Inspected scalp Inspected scalp Exam Action 01/26/20 7:25 PM MST Exam Action 01/26/20 7:25 PM MST Exam Action 01/26/20 7:27 PM MST Exam Action 01/26/20 7:27 PM MST Inspected hair on scalp Inspected right eyebrow and orbital area Inspected left eyebrow and orbital area Inspected mouth: Oral mucosa moist Inspect mouth Inspect tongue Inspected mouth: Oral mucosa moist Inspect mouth Exam Action 01/26/20 7:27 PM MST Exam Action 01/26/20 7:27 PM MST Exam Action 01/26/20 7:27 PM MST Exam Action 01/26/20 7:27 PM MST Exam Action 01/26/20 7:27 PM MST Exam Action 01/26/20 7:27 PM MST Exam Action 01/26/20 7:27 PM MST Exam Action 01/26/20 7:27 PM Inspect tongue Inspected mouth: Oral mucosa moist Inspect mouth Inspect tongue Inspected mouth: Oral mucosa moist Inspect mouth Inspect tongue Inspected mouth: Oral mucosa moist Exam Action 01/26/20 7:27 PM MST Exam Action 01/26/20 7:27 PM MST Exam Action 01/26/20 7:27 PM MST Exam Action 01/26/20 7:27 PM MST Exam Action 01/26/20 7:27 PM MST Exam Action 01/26/20 7:27 PM MST Exam Action 01/26/20 7:27 PM MST Exam Action 01/26/20 7:27 PM Inspect mouth Tested gag reflex Inspected upper eyelids Inspected lower eyelids Inspected right outer ear Inspect ears Inspected left outer ear Inspect ears Exam Action 01/26/20 7:27 PM MST Exam Action 01/26/20 7:27 PM MST Exam Action 01/26/20 7:28 PM MST Exam Action 01/26/20 7:28 PM MST Exam Action 01/26/20 7:28 PM MST Exam Action 01/26/20 7:28 PM MST Exam Action 01/26/20 7:28 PM MST Exam Action 01/26/20 7:28 PM Palpated scalp: no masses Palpate neck lymph nodes Palpated supraclavicular lymph nodes: no palpable nodes Palpated thyroid: smooth without nodules, no goiter Palpated jaw: no clicks, full ROM Palpated upper sinus: no pain reported Palpated lower sinus: no pain reported Palpated axillary lymph nodes: no palpable nodes Exam Action 01/26/20 7:28 PM MST Exam Action 01/26/20 7:29 PM MST Exam Action 01/26/20 7:29 PM MST Exam Action 01/26/20 7:29 PM MST Exam Action 01/26/20 7:30 PM MST Exam Action 01/26/20 7:30 PM MST Exam Action 01/26/20 7:30 PM MST Exam Action 01/26/20 7:30 PM Tested left pupillary light reflex Tested right pupillary light reflex Examined fundus of left eye Examined fundus of right eye Inspected left naris Inspected right naris Performed otoscopic exam of right ear Performed otoscopic exam of left ear Exam Action 01/26/20 7:31 PM MST Exam Action 01/26/20 7:31 PM MST Exam Action 01/26/20 7:31 PM MST Exam Action 01/26/20 7:32 PM MST Exam Action 01/26/20 7:32 PM MST Exam Action 01/26/20 7:32 PM MST Exam Action 01/26/20 7:32 PM MST Exam Action 01/26/20 7:32 PM Question 01/26/20 7:33 PM MST Tested extraocular movement Tested convergence Exam Action 01/26/20 7:33 PM MST Exam Action 01/26/20 7:33 PM MST Test both vision Exam Action 01/26/20 7:34 PM MST Tested visual acuity of left eye with corrective lenses Exam Action 01/26/20 7:34 PM MST Tested visual acuity of right eye with corrective lenses Exam Action 01/26/20 7:34 PM MST Question 01/26/20 7:35 PM MST Tested peripheral vision Exam Action 01/26/20 7:35 PM MST Question 01/26/20 7:35 PM MST Question 01/26/20 7:35 PM MST Question 01/26/20 7:35 PM MST Performed whisper test on left ear Exam Action 01/26/20 7:35 PM MST Question 01/26/20 7:35 PM MST Question 01/26/20 7:35 PM MST Question 01/26/20 7:35 PM MST Performed whisper test on right ear Inspected left abdomen Exam Action 01/26/20 7:35 PM MST Exam Action 01/26/20 7:46 PM MST Inspected anterior abdomen Inspected right abdomen Inspected abdomen Palpated abdominal right upper quadrant with light pressure: soft, no masses Palpated abdominal left upper quadrant with light pressure: soft, no masses Palpated abdominal right lower quadrant with light pressure: soft, no masses Palpated abdominal left lower quadrant with light pressure: soft, no masses Liver: palpable 1 cm below right costal margin Exam Action 01/26/20 7:46 PM MST Exam Action 01/26/20 7:46 PM MST Exam Action 01/26/20 7:46 PM MST Exam Action 01/26/20 7:46 PM MST Exam Action 01/26/20 7:46 PM MST Exam Action 01/26/20 7:46 PM MST Exam Action 01/26/20 7:46 PM MST Exam Action 01/26/20 7:46 PM Palpated for spleen: not palpable Palpated for left kidney: not palpable, no masses Palpated for right kidney: not palpable, no masses Palpated abdominal right upper quadrant with deep pressure: no masses Palpated abdominal left upper quadrant with deep pressure: no masses Palpated abdominal right lower quadrant: with deep pressure: no masses Palpated abdominal left lower quadrant with deep pressure: no masses Percussed liver span: 7 cm MCL on percussion Exam Action 01/26/20 7:47 PM MST Exam Action 01/26/20 7:48 PM MST Exam Action 01/26/20 7:48 PM MST Exam Action 01/26/20 7:48 PM MST Exam Action 01/26/20 7:48 PM MST Exam Action 01/26/20 7:48 PM MST Exam Action 01/26/20 7:49 PM MST Exam Action 01/26/20 7:49 PM Assessed CVA tenderness on right: none reported Assessed CVA tenderness on left: none reported Percussed for spleen: no dullness Percussed left upper quadrant: tympanic Percussed right upper quadrant: tympanic Percussed right lower quadrant: tympanic Percussed left lower quadrant: tympanic Auscultated abdominal left upper quadrant Exam Action 01/26/20 7:49 PM MST Exam Action 01/26/20 7:49 PM MST Exam Action 01/26/20 7:50 PM MST Exam Action 01/26/20 7:50 PM MST Exam Action 01/26/20 7:50 PM MST Exam Action 01/26/20 7:50 PM MST Exam Action 01/26/20 7:50 PM MST Exam Action 01/26/20 7:50 PM Auscultated abdominal right upper quadrant Auscultated abdominal right lower quadrant Auscultated abdominal left lower quadrant Inspected left leg: no edema Inspected right leg: no edema Inspected anterior chest wall Inspected left chest Inspected anterior chest wall Exam Action 01/26/20 7:50 PM MST Exam Action 01/26/20 7:50 PM MST Exam Action 01/26/20 7:50 PM MST Exam Action 01/26/20 7:51 PM MST Exam Action 01/26/20 7:51 PM MST Exam Action 01/26/20 7:52 PM MST Exam Action 01/26/20 7:52 PM MST Exam Action 01/26/20 7:52 PM Palpated right brachial pulse: 2+ Palpated brachial pulse, left: 2+ Palpated left radial pulse: 2+ Palpated right radial pulse: 2+ Palpated anterior chest: PMI nondisplaced, no heaves or lifts Palpated right femoral pulse: 2+ Palpated left femoral pulse: 2+ Palpated left popliteal pulse: 2+ Exam Action 01/26/20 7:52 PM MST Exam Action 01/26/20 7:52 PM MST Exam Action 01/26/20 7:52 PM MST Exam Action 01/26/20 7:52 PM MST Exam Action 01/26/20 7:53 PM MST Exam Action 01/26/20 7:54 PM MST Exam Action 01/26/20 7:54 PM MST Exam Action 01/26/20 7:54 PM Palpated right popliteal pulse: 2+ Palpated right tibial pulse: 2+ Palpated left tibial pulse: 2+ Palpated left dorsalis pedis pulse: 2+ Palpated right dorsalis pedis pulse: 2+ Palpated right carotid: 2+, no thrill Palpated left carotid: 2+, no thrill Auscultated left carotid artery: no bruit Exam Action 01/26/20 7:54 PM MST Exam Action 01/26/20 7:55 PM MST Exam Action 01/26/20 7:55 PM MST Exam Action 01/26/20 7:55 PM MST Exam Action 01/26/20 7:55 PM MST Exam Action 01/26/20 7:55 PM MST Exam Action 01/26/20 7:55 PM MST Exam Action 01/26/20 7:56 PM Auscultated right carotid artery: no bruit Auscultated aorta: no bruit Auscultated left renal artery: no bruit Auscultated right renal artery: no bruit Auscultated right iliac artery: no bruit Auscultated left iliac artery: no bruit Auscultated left femoral artery: no bruit Auscultated right femoral artery: no bruit Exam Action 01/26/20 7:56 PM MST Exam Action 01/26/20 7:56 PM MST Exam Action 01/26/20 7:56 PM MST Exam Action 01/26/20 7:56 PM MST Exam Action 01/26/20 7:56 PM MST Exam Action 01/26/20 7:56 PM MST Exam Action 01/26/20 7:56 PM MST Exam Action 01/26/20 7:56 PM Auscultated aortic area with the bell Auscultated pulmonic area with the bell Auscultated Erb's point with the bell Auscultated tricuspid area with the bell Auscultated mitral area with the bell Auscultated mitral area with the diaphragm Auscultated tricuspid area with the diaphragm Auscultated Erb's point with the diaphragm Exam Action 01/26/20 7:56 PM MST Exam Action 01/26/20 7:56 PM MST Exam Action 01/26/20 7:57 PM MST Exam Action 01/26/20 7:57 PM MST Exam Action 01/26/20 7:57 PM MST Exam Action 01/26/20 7:57 PM MST Exam Action 01/26/20 7:57 PM MST Exam Action 01/26/20 7:57 PM Auscultated pulmonic area with the diaphragm Auscultated aortic area with the diaphragm Tested capillary refill Palpate nails Tested capillary refill Palpate nails Tested capillary refill Palpate nails Exam Action 01/26/20 7:57 PM MST Exam Action 01/26/20 7:57 PM MST Exam Action 01/26/20 7:57 PM MST Exam Action 01/26/20 7:57 PM MST Exam Action 01/26/20 7:57 PM MST Exam Action 01/26/20 7:57 PM MST Exam Action 01/26/20 7:57 PM MST Exam Action 01/26/20 7:57 PM Tested capillary refill Palpate nails Tested capillary refill Palpate nails Inspected posterior chest Inspected posterior chest wall Palpated fremitus: equal bilaterally in upper posterior chest wall Exam Action 01/26/20 7:58 PM MST Exam Action 01/26/20 7:58 PM MST Exam Action 01/26/20 7:58 PM MST Exam Action 01/26/20 7:58 PM MST Exam Action 01/26/20 7:59 PM MST Exam Action 01/26/20 7:59 PM MST Exam Action 01/26/20 8:00 PM MST Palpated fremitus: equal bilaterally in middle posterior chest wall Exam Action 01/26/20 8:00 PM MST Palpated fremitus: equal bilaterally in lower posterior chest wall Exam Action 01/26/20 8:00 PM MST Palpated thoracic expansion: symmetric Palpated fremitus: equal bilaterally in upper anterior chest wall Exam Action 01/26/20 8:00 PM MST Exam Action 01/26/20 8:01 PM MST Palpated fremitus: equal bilaterally in lower anterior chest wall Exam Action 01/26/20 8:01 PM MST Percussed right upper posterior chest wall: resonant Exam Action 01/26/20 8:01 PM MST Percussed left upper posterior chest wall: resonant Percussed left middle posterior chest wall: resonant Percussed right middle posterior chest wall: resonant Percussed right lower posterior chest wall: resonant Percussed left lower posterior chest wall: resonant Percussed left lower posterior chest wall: resonant Percussed left lower posterior chest wall: resonant Percussed right lower posterior chest wall: resonant Exam Action 01/26/20 8:01 PM MST Exam Action 01/26/20 8:01 PM MST Exam Action 01/26/20 8:01 PM MST Exam Action 01/26/20 8:01 PM MST Exam Action 01/26/20 8:01 PM MST Exam Action 01/26/20 8:01 PM MST Exam Action 01/26/20 8:01 PM MST Exam Action 01/26/20 8:01 PM Percussed left upper anterior chest wall: resonant Percussed right upper anterior chest wall: resonant Percussed right middle anterior chest wall: resonant Percussed left middle anterior chest wall: resonant Percussed left lower anterior chest wall: resonant Percussed right lower anterior chest wall: resonant Auscultated right upper anterior chest wall Auscultated left upper anterior chest wall Exam Action 01/26/20 8:02 PM MST Exam Action 01/26/20 8:02 PM MST Exam Action 01/26/20 8:02 PM MST Exam Action 01/26/20 8:02 PM MST Exam Action 01/26/20 8:02 PM MST Exam Action 01/26/20 8:02 PM MST Exam Action 01/26/20 8:02 PM MST Exam Action 01/26/20 8:02 PM Auscultated left middle anterior chest wall Auscultated right middle anterior chest wall Auscultated right lower anterior chest wall Auscultated left lower anterior chest wall Auscultated upper left posterior chest wall Auscultated upper right posterior chest wall Auscultated middle right posterior chest wall Auscultated middle left posterior chest wall Exam Action 01/26/20 8:03 PM MST Exam Action 01/26/20 8:03 PM MST Exam Action 01/26/20 8:03 PM MST Exam Action 01/26/20 8:03 PM MST Exam Action 01/26/20 8:04 PM MST Exam Action 01/26/20 8:04 PM MST Exam Action 01/26/20 8:04 PM MST Exam Action 01/26/20 8:04 PM MST Auscultated lower left posterior chest wall Auscultated lower right posterior chest wall Auscultated lower right posterior chest wall Auscultated lower right posterior chest wall Auscultated lower left posterior chest wall Auscultated lower left posterior chest wall Performed spirometry Exam Action 01/26/20 8:04 PM MST Exam Action 01/26/20 8:04 PM MST Exam Action 01/26/20 8:04 PM MST Exam Action 01/26/20 8:04 PM MST Exam Action 01/26/20 8:04 PM MST Exam Action 01/26/20 8:04 PM MST Exam Action 01/26/20 8:04 PM MST Question 01/26/20 8:06 PM MST Tested right heel moving to shin Exam Action 01/26/20 8:06 PM MST Question 01/26/20 8:06 PM MST Tested left heel moving to shin Exam Action 01/26/20 8:07 PM MST Question 01/26/20 8:07 PM MST Tested left index finger to nose Tested right index finger to nose Exam Action 01/26/20 8:07 PM MST Exam Action 01/26/20 8:07 PM Question 01/26/20 8:08 PM MST Discovered orientation to person Exam Action 01/26/20 8:08 PM MST Question 01/26/20 8:08 PM MST Discovered orientation to place Exam Action 01/26/20 8:08 PM MST Question 01/26/20 8:08 PM MST Confirmed situation orientation Exam Action 01/26/20 8:08 PM Discovered orientation to time Exam Action 01/26/20 8:08 PM MST Question 01/26/20 8:09 PM MST Tested rapid alternating hand movements Exam Action 01/26/20 8:09 PM MST Question 01/26/20 8:09 PM MST Tested right leg proximal dull pain Exam Action 01/26/20 8:10 PM MST Tested left leg proximal dull pain Exam Action 01/26/20 8:10 PM MST Tested left leg distal dull pain Exam Action 01/26/20 8:10 PM MST Tested right leg distal dull pain Exam Action 01/26/20 8:10 PM MST Tested right leg proximal sharp pain Exam Action 01/26/20 8:10 PM MST Tested right leg distal sharp pain Exam Action 01/26/20 8:10 PM MST Tested left leg proximal sharp pain Exam Action 01/26/20 8:10 PM MST Tested left leg distal sharp pain Exam Action 01/26/20 8:10 PM MST Question 01/26/20 8:11 PM MST Tested right arm proximal light touch Exam Action 01/26/20 8:11 PM MST Tested right arm distal light touch Exam Action 01/26/20 8:11 PM MST Test sensory light chest Exam Action 01/26/20 8:11 PM MST Tested left arm distal sharp pain Exam Action 01/26/20 8:11 PM MST Tested left arm proximal sharp pain Exam Action 01/26/20 8:11 PM MST Question 01/26/20 8:11 PM MST [Show More]

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