Tina jones HEENT shadow health assessment transcript

Tina jones HEENT shadow health assessment transcript

Transcript

Started: March 29, 2022 | Total Time:96 min
Your avatar
Hello. My name is xxx. I will be interviewing you today and then conducting a physical exam.

Greet
03/29/22 6:31 PM EDT

Tina Jones
Hey.
Your avatar
May I know your name, please?

Question
03/29/22 6:31 PM EDT

Tina Jones
Tina Jones.
Your avatar
What brings you to the Clinic today Tina?

Question
03/29/22 6:31 PM EDT

Tina Jones
My throat has been sore… and itchy. And my nose won’t stop running. These symptoms are driving me nuts.
Your avatar
Am sorry to hear that

Empathize
03/29/22 6:32 PM EDT

Tina Jones
I appreciate you telling me that.
Your avatar
How long have you had these symptoms?

Question
03/29/22 6:32 PM EDT

Tina Jones
My itchy eyes, runny nose, and sore throat all started a week ago. [AUDIO COMING SOON]
Your avatar
Have you ever had these symptoms before?

Question
03/29/22 6:33 PM EDT

Tina Jones
No.
Your avatar
How severe is your sore throat?

Question
03/29/22 6:36 PM EDT

Tina Jones
It’s not… terrible. I mean, it hurts a little. Like, mild to moderate. The main thing is that it won’t go away.
Your avatar
Is the sore throat constant?

Question
03/29/22 6:36 PM EDT

Tina Jones
Yeah, it’s sore pretty much all the time.
Your avatar
can you describe the pain?

Question
03/29/22 6:38 PM EDT

Tina Jones
It’s really sore, and it itches a lot, like in the back.
Your avatar
how would you rate the pain on a scale of 0 to 10?

Question
03/29/22 6:38 PM EDT

Tina Jones
It’s like a 4 out of 10, maybe.
Your avatar
Does the pain radiate?

Question
03/29/22 6:38 PM EDT

Tina Jones
No, it’s just in my throat.
Your avatar
What do you think is causing the sore throat?

Question
03/29/22 6:39 PM EDT

Tina Jones
At first, I thought I was getting sick, or a cold or something, but now it doesn’t seem like that. My throat hasn’t gotten worse, but it’s not going away either.
Your avatar
Does anything make the throat feel better?

Question
03/29/22 6:40 PM EDT

Tina Jones
All I’ve done is suck on some throat drops. And I’ve been drinking more water, which helps.
Your avatar
Does anything make the pain worse?

Question
03/29/22 6:41 PM EDT

Tina Jones
It’s a little worse in the morning, but that’s really the only pattern I’ve noticed.
Your avatar
Do you have any other symptoms associated with a sore throat? (No matching questions found.)

Question
03/29/22 6:43 PM EDT

Your avatar
do you have any nasal discharge?

Question
03/29/22 6:43 PM EDT

Tina Jones
Yes, it won’t stop running!
Your avatar
Your avatar
Do you take any over-the-counter medications?

Question
03/29/22 6:50 PM EDT

Tina Jones
I’ve been trying throat drops lately. In general, I take Tylenol for a headache sometimes, or Advil for cramps, but not often.
Your avatar
How often do you get headaches?

Question
03/29/22 6:51 PM EDT

Tina Jones
Maybe once a week? I usually do a lot of my school work at once, so I’ll study for like, 5 or 6 hours. I usually end up with a headache by the end of the night.
Your avatar
How would you rate these headaches?

Question
03/29/22 6:51 PM EDT

Tina Jones
Not too bad. . . I’d say about 3. Or a 4 if I really push it.
Your avatar
What helps your headache?

Question
03/29/22 6:51 PM EDT

Tina Jones
I just take some acetaminophen. The gel kind, 500 mg. [AUDIO COMING SOON]
Your avatar
Does anything make your headache worse?

Question
03/29/22 6:52 PM EDT

Tina Jones
Usually, they get worse if I don’t stop studying. I try to take a break when they start most of the time, but if I have a test or something coming up, I just have to try and ignore it.
Your avatar
How long have you had these headaches?

Question
03/29/22 6:52 PM EDT

Tina Jones
I’m not sure — Maybe over the last year or so.
Your avatar
Do you take any herbal supplements?

Question
03/29/22 6:53 PM EDT

Tina Jones
No, I don’t take anything herbal.
Your avatar
Do you take any prescription medications?

Question
03/29/22 6:53 PM EDT

Tina Jones
Your avatar
Do you take vitamins?

Question
05/29/20 7:21 PM EDT

Tina Jones
No, I don’t take any vitamins.
Your avatar
Are your immunizations up to date?

Question
03/29/22 7:22 PM EDT

Tina Jones
I’m pretty sure I am, yeah.
Your avatar
What side effects did you have with metformin?

Question
03/29/22 7:23 PM EDT

Tina Jones
I felt sick and gassy all the time. It was really uncomfortable.
Your avatar
When you get side effects that you cannot tolerate, you should speak to your doctor for alternatives and also confirm if they react with other medications

Educate
03/29/22 7:25 PM EDT

Tina Jones
Alright, thanks for letting me know.
Your avatar
Are you allergic to medications?

Question
03/29/22 7:28 PM EDT

Tina Jones
Yeah, I’m allergic to penicillin.
Your avatar
Do you have seasonal allergies?

Question
03/29/22 7:28 PM EDT

Tina Jones
Well, no. I mean, I never had allergies to pollen or anything outdoors like that. . . But my nose is acting just like my sister’s right now, and she’s always had hay fever. I’m starting to think that this is allergies.
Your avatar
Do you have food allergies? Are you allergic to latex? (Clarified to Do you have food allergies?.)

Question
03/29/22 7:29 PM EDT

Tina Jones
Nope, no food allergies that I know of. (Clarified if I have food allergies.)
Your avatar
Do you smoke cigarettes?

Question
03/29/22 7:32 PM EDT

Tina Jones
No, I’ve never smoked a cigarette in my life.
Your avatar
Do you take alcohol? (No matching questions found.)

Question
03/29/22 7:32 PM EDT

Your avatar
Do you drink alcohol?

Question
03/29/22 7:33 PM EDT

Tina Jones
I do sometimes, yeah, when I go out with my friends.
Your avatar
How many drinks do you take when you go out? (Clarified to How many drinks do you have when you go out at night?.)

Question
03/29/22 7:33 PM EDT

Tina Jones
Like, two or three drinks. If I have more than two or three drinks, I feel like hell the next day, so I stop at three. (Clarified how many alcoholic drinks I have when I go out.)
Your avatar
That’s moderate drinking which is ok.

Educate
03/29/22 7:34 PM EDT

Tina Jones
Thanks for telling me.
Your avatar
What type of alcohol do you take?

Question
03/29/22 7:34 PM EDT

Tina Jones
I usually get rum and diet coke. I don’t know why that matters.
Your avatar
Different drinks have different alcohol levels, that’s why I asked.

Educate
03/29/22 7:35 PM EDT

Tina Jones
OK, I understand.
Your avatar
How is your family medical history?

Question
03/29/22 7:35 PM EDT

Tina Jones
My mom has some issues, and I think some of my grandparents did, too.
Your avatar
What health issues does your mother have?

Question
03/29/22 7:35 PM EDT

Tina Jones
Mom has high cholesterol and blood pressure, I think. She seems to be doing okay though.
Your avatar
What medical issues does your father have? (Clarified to Tell me about your dad’s health?.)

Question
03/29/22 7:36 PM EDT

Tina Jones
He passed last year. (Clarified what health issues my dad has.)
Your avatar
Am sorry to hear that

Empathize
03/29/22 7:36 PM EDT

Tina Jones
Thanks for understanding.
Your avatar
did your father have any medical conditions?

Question
03/29/22 7:37 PM EDT

Tina Jones
He had high blood pressure and cholesterol, and diabetes too…the same kind as me.
Your avatar
What health issues does your maternal grandmother have?

Question
03/29/22 7:37 PM EDT

Tina Jones
Nana had high blood pressure and cholesterol, I think.
Your avatar
What issues does your maternal grandfather have?

Question
03/29/22 7:38 PM EDT

Tina Jones
Poppa died of a heart attack when he was 80. . . he had some blood pressure and cholesterol issues when he was alive, too.
Your avatar
What health issues does your paternal grandmother have?

Question
03/29/22 7:38 PM EDT

Tina Jones
Granny’s doing good. She’s still living on her own. She’s slowing down, but we help her out. She lives down the street from us, and she gets around okay. I think she takes some pills, maybe for blood pressure? She might have high cholesterol too. She seems happy.
Your avatar
What health issues does your paternal grandfather have?

Question
03/29/22 7:39 PM EDT

Tina Jones
Grandpa Jones had colon cancer, and that caused all kinds of problems for him. Plus, he had high blood pressure, and…I’m pretty sure he had diabetes.
Your avatar
how did you cope with your father’s death?

Question
03/29/22 7:39 PM EDT

Tina Jones
Well, right after he died, after the funeral and everything, I just tried to get through that. Mom was having such a hard time, crying a lot, everything made her sad, and she was kinda depressed. So I guess at first I just focused on getting things done–groceries, laundry, insurance papers, and stuff. Knowing that Mom needed me kinda helped me get through day by day. There was about a month when it was hard for us to get to church. Even getting up and ready for church was too overwhelming. But our church family helped us out, gave us rides to church, and brought meals and all that, so they really helped build us back up. Things were only hard like that for a few months.
Your avatar
Seems you have a strong support system which is great.

Empathize
03/29/22 7:40 PM EDT

Tina Jones
Thanks.
Your avatar
What health conditions does your sister have?

Question
03/29/22 7:41 PM EDT

Tina Jones
She’s pretty healthy. She has asthma too, but she almost never has attacked.
Your avatar
what health conditions does your brother have?

Question
03/29/22 7:41 PM EDT

Tina Jones
None that I know of. He’s got some extra weight on him, I guess.
Your avatar
Is anyone with an obesity problem in your family?

Question
03/29/22 7:45 PM EDT

Tina Jones
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.
Your avatar
Anyone with an alcoholism problem in the family?

Question
03/29/22 7:46 PM EDT

Tina Jones
One person in the family, my dad’s brother, has an alcohol problem, but we never see him.
Your avatar
What work do you do?

Question
03/29/22 7:47 PM EDT

Tina Jones
I’m a supervisor at Mid-American Copy & Ship. I’ve been working there since high school, and I’ve just kept moving up.
Your avatar
Am happy to hear that your job is fine and you are doing well

Empathize
03/29/22 7:47 PM EDT

Tina Jones
Thanks for understanding.
Your avatar
What is your highest level of education?

Question
03/29/22 7:48 PM EDT

Tina Jones
Well, I’m finishing up my Bachelor’s degree right now.
Your avatar
What is your Major?

Question
03/29/22 7:48 PM EDT

Tina Jones
I’m going to get my bachelor’s in accounting.
Your avatar
Tina Jones
I really haven’t traveled that much…I’ve always wanted to go to France but I’ve never even been out of the country. I’m always busy with work or school anyway though. We used to go on some family vacations when I was younger, but they were usually just to see some family in other states.
Your avatar
Am sure when you get less busy, you will travel more

Empathize
03/29/22 7:52 PM EDT

Tina Jones
I appreciate you saying that.
Your avatar
Have you been wheezing?

Question
03/29/22 7:52 PM EDT

Tina Jones
No, I haven’t been wheezing this week.
Your avatar
Please let me examine you now. (No matching questions found.)

Question
03/29/220 7:53 PM EDT

Your avatar
Please let me examine you now.

Educate
05/29/20 7:53 PM EDT

Tina Jones
Sure, I think I understand what you mean.
Your avatar
Inspected general face

Exam Action
03/29/22 7:57 PM EDT

Your avatar
Inspected forehead and scalp

Exam Action
03/29/22 7:58 PM EDT

Your avatar
Inspected nose and mouth

Exam Action
03/29/22 7:58 PM EDT

Your avatar
Inspected left side of the face

Exam Action
03/29/22 7:58 PM EDT

Your avatar
Inspected back of the head

Exam Action
03/29/22 7:58 PM EDT

Your avatar
Inspected right side of the face

Exam Action
03/29/22 7:58 PM EDT

Your avatar
Inspected general face

Exam Action
03/29/22 7:58 PM EDT

Your avatar
Inspected right side of the face

Exam Action
03/29/22 7:58 PM EDT

Your avatar
Inspected general face

Exam Action
03/29/22 7:58 PM EDT

Your avatar
Inspected nose and mouth

Exam Action
03/29/22 7:58 PM EDT

Your avatar
Inspected forehead and scalp

Exam Action
03/29/22 7:58 PM EDT

Your avatar
Inspected nose and mouth

Exam Action
03/29/22 7:58 PM EDT

Your avatar
Inspected right orbital area and sclera

Exam Action
03/29/22 7:59 PM EDT

Your avatar
Inspected lower conjunctiva

Exam Action
03/29/22 7:59 PM EDT

Your avatar
Inspected upper conjunctiva

Exam Action
03/29/22 8:00 PM EDT

Your avatar
Inspected upper conjunctiva

Exam Action
03/29/22 8:00 PM EDT

Your avatar
Inspected left orbital area and sclera

Exam Action
03/29/22 8:00 PM EDT

Your avatar
Performed otoscopic examination of right naris

Exam Action
03/29/22 8:00 PM EDT

Your avatar
Performed otoscopic examination of left naris

Exam Action
03/29/22 8:01 PM EDT

Your avatar
Performed otoscopic examination of the right ear

Exam Action
03/29/22 8:02 PM EDT

Your avatar
Performed otoscopic examination of left ear

Exam Action
03/29/22 8:02 PM EDT

Your avatar
Inspected mouth

Exam Action
03/29/22 8:03 PM EDT

Your avatar
Inspected mouth: pushed tongue left with the tongue blade

Exam Action
03/29/22 8:04 PM EDT

Your avatar
Inspect mouth: pushed tongue right with the tongue blade

Exam Action
03/29/22 8:04 PM EDT

Your avatar
Inspect mouth: lifted tongue with the tongue blade

Exam Action
03/29/22 8:04 PM EDT

Your avatar
Inspected mouth: depressed tongue with the tongue blade

Exam Action
03/29/22 8:04 PM EDT

Your avatar
Inspected front of the neck

Exam Action
03/29/22 8:06 PM EDT

Your avatar
Inspected left side of the neck

Exam Action
03/29/22 8:06 PM EDT

Your avatar
Inspected back of the neck

Exam Action
03/29/22 8:06 PM EDT

Your avatar
Inspected right side of the neck

Exam Action
03/29/22 8:06 PM EDT

Your avatar
Inspected back of the neck

Exam Action
03/29/22 8:06 PM EDT

Your avatar
Inspected right side of the neck

Exam Action
03/29/22 8:07 PM EDT

Your avatar
Inspected front of the neck

Exam Action
03/29/22 8:07 PM EDT

Your avatar
Inspected right side of the neck

Exam Action
03/29/22 8:07 PM EDT

Your avatar
Inspected front of the neck

Exam Action
03/29/22 8:07 PM EDT

Your avatar
Palpated scalp: No balding or thinning hair distribution, no masses, no tenderness reported

Exam Action
03/29/22 8:07 PM EDT

Your avatar
Palpated maxillary sinuses: No tenderness reported

Exam Action
03/29/22 8:08 PM EDT

Your avatar
Palpated frontal sinuses: No tenderness reported

Exam Action
03/29/22 8:08 PM EDT

Your avatar
Palpated temporal arteries bilaterally: Right: no thrill, 2+ / Left: no thrill, 2+

Exam Action
03/29/22 8:08 PM EDT

Your avatar
Palpated right carotid artery: No thrill, 2+

Exam Action
03/29/22 8:10 PM EDT

Your avatar
Palpated left carotid artery: No thrill, 2+

Exam Action
03/29/22 8:10 PM EDT

Your avatar
Palpated jaw: Full range of motion, no popping or clicking

Exam Action
03/29/22 8:11 PM EDT

Your avatar
Palpated axillary lymph nodes: Not palpable

Exam Action
03/29/22 8:11 PM EDT

Your avatar
Palpated supraclavicular lymph nodes: Not palpable

Exam Action
03/29/22 8:12 PM EDT

Your avatar
Palpated lymph nodes of head and neck: Not palpable

Exam Action
03/29/22 8:12 PM EDT

Your avatar
Palpated thyroid gland: No nodules, not enlarged, no irregularities, no tenderness reported

Exam Action
03/29/22 8:12 PM EDT

Your avatar
Auscultated breath sounds in the anterior right lower lobe

Exam Action
03/29/22 8:13 PM EDT

Your avatar
Auscultated breath sounds in the anterior right middle lobe

Exam Action
03/29/22 8:13 PM EDT

Your avatar
Auscultated breath sounds in the anterior right upper lobe

Exam Action
03/29/22 8:13 PM EDT

Your avatar
Auscultated breath sounds in the anterior left upper lobe

Exam Action
03/29/22 8:13 PM EDT

Your avatar
Auscultated breath sounds in anterior left mid-chest (upper lobe)

Exam Action
03/29/22 8:13 PM EDT

Your avatar
Auscultated breath sounds in the anterior left lower lobe

Exam Action
03/29/22 8:13 PM EDT

Your avatar
Auscultated breath sounds in the posterior left upper lobe

Exam Action
03/29/22 8:13 PM EDT

Your avatar
Auscultated breath sounds in posterior left mid-back (lower lobe)

Exam Action
03/29/22 8:13 PM EDT

Your avatar
Auscultated breath sounds in the posterior left lower lobe

Exam Action
03/29/22 8:13 PM EDT

Your avatar
Auscultated breath sounds in the posterior left lower lobe on the side

Exam Action
03/29/22 8:13 PM EDT

Your avatar
Auscultated breath sounds in posterior left lower lobe near the spine

Exam Action
03/29/22 8:13 PM EDT

Your avatar
Auscultated breath sounds in posterior right lower lobe near the spine

Exam Action
03/29/22 8:14 PM EDT

Your avatar
Auscultated breath sounds in the posterior right lower lobe on the side

Exam Action
03/29/22 8:14 PM EDT

Your avatar
Auscultated breath sounds in the posterior right lower lobe

Exam Action
03/29/22 8:14 PM EDT

Your avatar
Auscultated breath sounds in posterior right mid-back (lower lobe)

Exam Action
03/29/22 8:14 PM EDT

Your avatar
Auscultated breath sounds in the posterior right upper lobe

Exam Action
03/29/22 8:14 PM EDT

Your avatar
Auscultated right temporal pulse

Exam Action
03/29/22 8:14 PM EDT

Your avatar
Auscultated left temporal pulse

Exam Action
03/29/22 8:14 PM EDT

Your avatar
Auscultated right carotid pulse

Exam Action
03/29/22 8:15 PM EDT

Your avatar
Auscultated left carotid pulse

Exam Action
03/29/22 8:15 PM EDT

Your avatar
Tested left pupillary reaction with a penlight

Exam Action
03/29/22 8:16 PM EDT

Your avatar
Tested right pupillary reaction with a penlight

Exam Action
03/29/22 8:16 PM EDT

Your avatar
Follow my finger with just your eyes

Question
03/29/22 8:17 PM EDT

Tina Jones
Ok.
Your avatar
Tested EOM to the upper right

Exam Action
03/29/22 8:17 PM EDT

Your avatar
Tested EOM to the lower right

Exam Action
03/29/22 8:17 PM EDT

Your avatar
Tested EOM to the lower center

Exam Action
03/29/22 8:17 PM EDT

Your avatar
Tested convergence to the center

Exam Action
03/29/22 8:17 PM EDT

Your avatar
Tested EOM to the upper center

Exam Action
03/29/22 8:17 PM EDT

Your avatar
Tested EOM to the upper left

Exam Action
03/29/22 8:17 PM EDT

Your avatar
Tested EOM to the lower left

Exam Action
03/29/22 8:17 PM EDT

Your avatar
Tell me when you can no longer see

Question
03/29/22 8:18 PM EDT

Tina Jones
Ok, I will.
Your avatar
Tested peripheral vision

Exam Action
03/29/22 8:18 PM EDT

Tina Jones
Now.
Your avatar
Examined fundus of the right eye with an ophthalmoscope

Exam Action
03/29/22 8:20 PM EDT

Your avatar
Examined fundus of left eye with an ophthalmoscope

Exam Action
03/29/22 8:21 PM EDT

Tina Jones
F P
Your avatar
Is the volume the same in both ears or louder in one ear

Question
03/29/22 8:24 PM EDT

Tina Jones
Ok.
Tina Jones
Same in both ears.
Your avatar
Performed Weber test with a tuning fork

Exam Action
03/29/22 8:25 PM EDT

Your avatar
Tell me when you no longer hear the ringing

Question
03/29/22 8:25 PM EDT

Tina Jones
Ok, I will.
Tina Jones
Now.
Your avatar
F.

Question
03/29/22 8:26 PM EDT

Tina Jones
F.
Your avatar
Eight

Question
03/29/22 8:26 PM EDT

Tina Jones
Eight.
Your avatar
W.

Question
03/29/22 8:26 PM EDT

Tina Jones
W.
Your avatar
Performed whisper test in the right ear

Exam Action
03/29/22 8:26 PM EDT

Your avatar
Four

Question
03/29/22 8:26 PM EDT

Tina Jones
Four.
Your avatar
R.

Question
03/29/22 8:26 PM EDT

Tina Jones
R.
Your avatar
Nine.

Question
03/29/22 8:26 PM EDT

Tina Jones
Nine.
Your avatar
Performed whisper test in the left ear

Exam Action
03/29/22 8:27 PM EDT

Your avatar
Tested gag reflex with the tongue blade

Exam Action
03/29/22 8:27 PM EDT

Tina jones shadow health assessment transcript

Assignment Writing Pro

Order NOW to get 15% Discount!

Pages
{{total || ""}}

Why Choose Us

Premium Quality Papers

We always make sure that writers follow all your instructions precisely. You can choose your academic level: high school, college/university or professional, and we will assign a writer who has a respective degree.

Professional Assignment Writers

We have a team of professional writers with experience in academic and business writing. Many are native speakers and able to perform any task for which you need help.

Free Unlimited Revisions

If you think we missed something, send your order for a free revision. You have 10 days to submit the order for review after you have received the final document. You can do this yourself after logging into your personal account or by contacting our support.

Timely Delivery and 100% Money-Back-Guarantee

All papers are always delivered on time. In case we need more time to master your paper, we may contact you regarding the deadline extension. In case you cannot provide us with more time, a 100% refund is guaranteed

Original & Confidential

We use several writing tools checks to ensure that all documents you receive are free from plagiarism. Our editors carefully review all quotations in the text. We also promise maximum confidentiality in all of our services.

Customer Support 24/7

Our support agents are available 24 hours a day 7 days a week and committed to providing you with the best customer experience. Get in touch whenever you need any assistance.

Our Assignment Writing Help Services

No need to work on your paper at night. Sleep tight, we will cover your back. We offer all kinds of writing services.

Essays

Essay Writing Services

No matter what kind of academic paper you need and how urgent you need it, you are welcome to choose your academic level and the type of your paper at an affordable price. We take care of all your paper needs and give a 24/7 customer care support system.

Admissions

Admission and Business Papers

An admission essay is an essay or other written statement by a candidate, often a potential student enrolling in a college, university, or graduate school. You can be rest assurred that through our service we will write the best admission essay for you.

Editing

Editing and Proofreading

Our academic writers and editors make the necessary changes to your paper so that it is polished. We also format your document by correctly quoting the sources and creating reference lists in the formats APA, Harvard, MLA, Chicago / Turabian.

Coursework

Revision Support

If you think your paper could be improved, you can request a review. In this case, your paper will be checked by the writer or assigned to an editor. You can use this option as many times as you see fit. This is free because we want you to be completely satisfied with the service offered.