Tina Jones Respiratory Shadow Health Transcript

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Hi. My name is xx . I will be interviewing you today and later examine you.

Greet
10/03/20 4:23 AM EDT

Tina Jones.

Hey.

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What is your name?

Question
10/03/20 4:34 AM EDT

Tina Jones.

Tina Jones.

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What is your date of birth?

Question
10/03/20 4:45 AM EDT

Tina Jones.

February 17th.

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How a old are you?

Question
10/03/20 4:55 AM EDT

Tina Jones.

I’m 28.

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What brings you to the clinic today?

Question
10/03/20 5:56 AM EDT

Tina Jones.

I came in because I’ve been having breathing problems, and my inhaler just isn’t working the way it normally does.

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Am sorry to hear that.

Empathize
10/03/201 5:57 AM EDT

Tina Jones.

I appreciate you saying that.

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What medical problems do you have?

Question
11/05/21 9:13 PM EDT

Tina Jones.

Well. . . I’ve had asthma since I was really little, though for a while there it wasn’t really much of a problem. And I have sugar diabetes, too.

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What do you use for your asthma?
xxx
 Inspected anterior chest wall

Exam Action
11/05/21 9:35 PM EDT
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 Inspected right side chest wall

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11/05/21 9:36 PM EDT
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 Inspected posterior chest wall

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11/05/21 9:36 PM EDT
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 Inspected left side chest wall

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11/05/21 9:36 PM EDT
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 Inspected anterior chest wall

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11/05/21 9:36 PM EDT
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 Palpated chest expansion: Both sides rise symmetrically

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11/05/21 9:37 PM EDT
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 Percussed anterior right upper lobe

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11/05/21 9:43 PM EDT
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 Percussed anterior left upper lobe

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11/05/21 9:43 PM EDT
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 Percussed anterior right middle lobe

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11/05/21 9:43 PM EDT
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 Percussed anterior left mid-chest (upper lobe)

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11/05/21 9:43 PM EDT
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 Percussed anterior right lower lobe

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11/05/21 9:43 PM EDT
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 Percussed anterior left lower lobe

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11/05/21 9:44 PM EDT
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 Percussed posterior left upper lobe

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11/05/21 9:45 PM EDT
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 Percussed posterior right upper lobe

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11/05/21 9:46 PM EDT
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 Percussed posterior left mid-back (lower lobe)

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11/05/21 9:46 PM EDT
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 Percussed posterior right mid-back (lower lobe)

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11/05/21 9:46 PM EDT
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 Percussed posterior left lower lobe

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11/05/21 9:46 PM EDT
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 Percussed posterior right lower lobe

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11/05/21 9:46 PM EDT
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 Percussed posterior right lower lobe

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11/05/21 9:46 PM EDT
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 Percussed posterior left lower lobe on side

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11/05/21 9:46 PM EDT
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 Percussed posterior left lower lobe near spine

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11/05/21 9:46 PM EDT
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 Percussed posterior right lower lobe near spine

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11/05/21 9:46 PM EDT
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 Percussed posterior right lower lobe on side

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11/05/21 9:47 PM EDT
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 Auscultated breath sounds in anterior right upper lobe

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11/05/21 9:48 PM EDT
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 Auscultated breath sounds in anterior left upper lobe

Exam Action
11/05/21 9:49 PM EDT
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 Auscultated breath sounds in anterior right middle lobe

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11/05/21 9:49 PM EDT
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 Auscultated breath sounds in anterior left mid-chest (upper lobe)

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11/05/21 9:49 PM EDT
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 Auscultated breath sounds in anterior right lower lobe

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11/05/21 9:49 PM EDT
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 Auscultated breath sounds in anterior left lower lobe

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11/05/21 9:49 PM EDT
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 Auscultated breath sounds in posterior left upper lobe

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11/05/21 9:49 PM EDT
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 Auscultated breath sounds in posterior right upper lobe

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11/05/21 9:49 PM EDT
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 Auscultated breath sounds in posterior left mid-back (lower lobe)

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11/05/21 9:49 PM EDT
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 Auscultated breath sounds in posterior right mid-back (lower lobe)

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11/05/21 9:49 PM EDT
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 Auscultated breath sounds in posterior left lower lobe

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11/05/21 9:49 PM EDT
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 Auscultated breath sounds in posterior right lower lobe

Exam Action
11/05/21 9:49 PM EDT
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 Auscultated breath sounds in posterior left lower lobe on side

Exam Action
11/05/21 9:49 PM EDT
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 Auscultated breath sounds in posterior left lower lobe near spine

Exam Action
11/05/21 9:50 PM EDT
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 Auscultated breath sounds in posterior right lower lobe near spine

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11/05/21 9:50 PM EDT
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 Auscultated breath sounds in posterior right lower lobe on side

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11/05/21 9:50 PM EDT
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 Auscultated voice sounds in anterior right upper lobe

Exam Action
11/05/21 9:53 PM EDT
Tina Jones.
Ninety-nine.
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 Auscultated voice sounds in anterior left upper lobe

Exam Action
11/05/21 9:53 PM EDT
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 Auscultated voice sounds in anterior right middle lobe

Exam Action
11/05/21 9:53 PM EDT
Tina Jones.
Ninety-nine.
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 Auscultated voice sounds in anterior left mid-chest (upper lobe)

Exam Action
11/05/21 9:53 PM EDT
Tina Jones.
Ninety-nine.
Tina Jones.
Ninety-nine.
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 Auscultated voice sounds in anterior right lower lobe

Exam Action
11/05/21 9:54 PM EDT
Tina Jones.
Ninety-nine.
Tina Jones.
Ninety-nine.
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 Auscultated voice sounds in anterior left lower lobe

Exam Action
11/05/21 9:54 PM EDT
Tina Jones.
Ninety-nine.
Tina Jones.
Ninety-nine.
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 Auscultated voice sounds in posterior left upper lobe

Exam Action
11/05/21 9:54 PM EDT
Tina Jones.
Ninety-nine.
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 Auscultated voice sounds in posterior right upper lobe

Exam Action
11/05/21 9:54 PM EDT
Tina Jones.
Ninety-nine.
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 Auscultated voice sounds in posterior left mid-back (lower lobe)

Exam Action
11/05/21 9:54 PM EDT
Tina Jones.
Ninety-nine.
Tina Jones.
Ninety-nine.
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 Auscultated voice sounds in posterior right mid-back (lower lobe)

Exam Action
11/05/21 9:54 PM EDT
Tina Jones.
Ninety-nine.
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 Auscultated voice sounds in posterior left lower lobe

Exam Action
11/05/21 9:54 PM EDT
Tina Jones.
Ninety-nine.
Tina Jones.
Ninety-nine.
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 Auscultated voice sounds in posterior right lower lobe

Exam Action
11/05/21 9:54 PM EDT
Tina Jones.
Ninety-nine.
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 Auscultated voice sounds in posterior left lower lobe on side

Exam Action
11/05/21 9:54 PM EDT
Tina Jones.
Ninety-nine.
Tina Jones.
Ninety-nine.
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 Auscultated voice sounds in posterior left lower lobe near spine

Exam Action
11/05/21 9:54 PM EDT
Tina Jones.
Ninety-nine.
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 Auscultated voice sounds in posterior right lower lobe near spine

Exam Action
11/05/21 9:54 PM EDT
Tina Jones.
Ninety-nine.
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 Auscultated voice sounds in posterior right lower lobe on side

Exam Action
11/05/21 9:55 PM EDT
Tina Jones.
Ninety-nine.
Tina Jones.
Ninety-nine.
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 Check pulse oximetry using right hand

Exam Action
11/05/21 9:57 PM EDT
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 Checked pulse oximetry using left hand

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11/05/21 9:57 PM EDT
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 Checked spirometer

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11/05/21 9:58 PM EDT
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 Checked patient’s inhaler

Exam Action
11/05/21 9:58 PM EDT
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Always make sure your inhaler is up to date.

Educate
11/05/21 11:38 PM EDT
Tina Jones.
Sure, I think I understand what you mean.
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What medications do you take?

Question
11/05/21 11:39 PM EDT
Tina Jones.
My inhaler is the only prescription I always have, but I usually don’t need it everyday, except for recently. . .
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When did you last use your inhaler?

xxx

Any changes in your appetite?

Question
11/06/21 3:49 AM EDT
Tina Jones.
I wouldn’t say it’s changed recently, but I do feel hungry a lot.
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When was your last chest x-ray?

Question
11/06/21 3:49 AM EDT
Tina Jones.
The last time I went to the hospital for an asthma attack, when I was still in high school, they did a chest x-ray.
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 Auscultated voice sounds in anterior right lower lobe

Exam Action
11/06/21 4:17 AM EDT
Tina Jones.
Ninety-nine.
Tina Jones.
Ninety-nine.
Tina Jones.
Ninety-nine.
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 Auscultated voice sounds in anterior left lower lobe

Exam Action
11/06/21 4:17 AM EDT
Tina Jones.
Ninety-nine.
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 Auscultated voice sounds in anterior left upper lobe

Exam Action
11/06/21 4:17 AM EDT
Tina Jones.
Ninety-nine.