Danny Rivera Focused Exam: Cough Shadow health Transcript

Hello. I amxxx, I will interview and examine you.

Greet
04/01/23 8:27 AM EDT

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Hi.

What is your name?

Question
04/01/23 8:36 AM EDT

My name is Daniel Rivera, but I just go by Danny.

What brings you to the clinic today?

Question
04/01/23 8:36 AM EDT

My Abuela brought me here because I’ve been feeling sick. I have been coughing a lot… and I feel kinda tired.

Am sorry to hear that you are sick.

Empathize
04/01/23 8:37 AM EDT

Thank you.

Do you have a cough?

Question
04/01/23 8:37 AM EDT

I guess I’m kind of sick… I’ve been coughing a lot.

How long have you had a cough?

Question
04/01/23 8:38 AM EDT

I think the cough started four… No, it started five days ago.

Is your cough a wet or a dry one? Focused Exam: Cough, Danny Rivera Shadow health Transcript

Question
04/01/23 8:40 AM EDT

My cough seems kind of gurgly and watery.

That sounds like a wet cough.

Educate
04/01/23 8:41 AM EDT

Oh, OK.

Do you produce any phlegm or sputum with your cough?

Question
04/01/23 8:42 AM EDT

Is that the gross, slimy stuff? Yeah, I’ve been coughing some of that up. It’s not any strange color, though. It’s just clear.

Am sorry to hear that.

Empathize
04/01/23 8:43 AM EDT

Thank you.

How often is your cough?

NURS 6512 Advanced Health Assessment and Diagnostic Reasoning: A.G is a 38-year-old female

Question
04/01/23 8:43 AM EDT

I just keep feeling like I have to cough every couple minutes or so. I think it gets worse at night.

Is the cough keeping you up at night?

Question
04/01/23 8:43 AM EDT

I don’t usually wake up once I go to bed, but my cough has made it hard to fall asleep.

Am sorry to hear this.

Empathize
04/01/23 8:44 AM EDT

Thank you.

Do you smoke?

Question
04/01/23 8:44 AM EDT

No way! I know smoking is really bad–even for grown-ups. Papi smokes cigars sometimes. I don’t like how they smell.

True smoking is bad for everyone; you should never smoke.

Educate
04/01/23 8:44 AM EDT

Oh, OK.

Are you ever around cigarette smoke?

Question
04/01/23 8:46 AM EDT

Well… sometimes Papi smokes cigars in the house, and my mom has to tell him to go outside. I breathe it a little bit then, but it’s not all the time or anything. I don’t like how it smells.

Am sorry to hear that; I understand your concern.

Empathize
04/01/23 8:46 AM EDT

Thank you.

What makes your cough worse?

Question
04/01/23 8:47 AM EDT

My cough mostly stays the same no matter what I do. It seems to get worse at night, though.

Have you tried to treat your cough?

Question
04/01/23 8:47 AM EDT

I had some cough medicine this morning. [AUDIO COMING SOON]

What is the name of the medicine?

Question
04/01/23 8:47 AM EDT

I don’t know what the name of the cough medicine is. It was purple. [AUDIO COMING SOON]

Who gave you the medicine?

Question
04/01/23 8:47 AM EDT

My mom.

How much medicine did you take?

Question
04/01/23 8:49 AM EDT

I just had one spoonful of it.

How many times have you taken the cough medicine?

Question
04/01/23 8:49 AM EDT

I only took the cough medicine once. My mom gave me a spoonful. [AUDIO COMING SOON]

Do you take vitamins?

Question
04/01/23 8:49 AM EDT

Oh yeah, I take vitamins every day! The gummy dinosaur kind. I don’t think I’m supposed to, but sometimes I sneak extra ones to be super healthy!

I understand it’s good to take vitamins, but do not take more than the recommended dosage.

Educate
04/01/23 8:51 AM EDT

Oh, OK.

Are you usually active?

Question
04/01/23 8:51 AM EDT

I have gym class every day. I do all my exercises there. And there’s a park right next to my house where I play after school, or sometimes on the weekends if it’s nice outside. [AUDIO COMING SOON]

Great, keep exercising.

Educate
04/01/23 8:51 AM EDT

Oh, OK.

Does the cough make you less active?

Question
04/01/23 8:51 AM EDT

No, that doesn’t help my cough.

Are you able to focus in class?

Question
04/01/23 8:52 AM EDT

I can focus normally, but I couldn’t sleep very well last night because of my coughing, so it was harder than normal. Plus, it’s harder to pay attention when you keep having to cough. [AUDIO COMING SOON]

Am sorry to hear that.

Empathize
04/01/23 8:52 AM EDT

Thank you.

Do you have a runny nose?

Question
04/01/23 8:52 AM EDT

My nose is always a little bit runny… but ever since I started coughing it’s been worse, I think.

Am sorry to hear that.

Empathize
04/01/23 8:52 AM EDT

Thank you.

Have you been sneezing?

Question
04/01/23 8:53 AM EDT

I don’t usually have to sneeze. My nose gets runny a lot of times though, like I have a cold.

What color is your snot?

Question
04/01/23 8:53 AM EDT

You mean like when I blow my nose? It’s clear.

Yes, that one, Ok, thanks.

Empathize
04/01/23 8:53 AM EDT

Thank you.

How consistent is your nasal discharge?

Question
04/01/23 8:54 AM EDT

It’s kind of clear and, like, watery.

Any ear pain?

Brian Foster Conditions of the Cardiovascular System Test Selection

Question
04/01/23 8:54 AM EDT

My right ear is starting to hurt a little bit… my left one is OK though.

Sorry, Danny.

Empathize
04/01/23 8:54 AM EDT

Thank you.

Any ear discharge?

Question
04/01/23 8:54 AM EDT

No, nothing comes out of my ears, but my right ear kind of hurts.

Any hearing problems?

Question
04/01/23

8:55 AM EDT

A lady came to my school to give all the kids a hearing test. It was kind of cool! I was hoping I would have super hearing, but I think I was just normal…

Good, it’s good to have a test done whenever there is a chance.

Educate
04/01/23 8:55 AM EDT

Oh, OK.

Any sore throat?

Question
04/01/23 8:55 AM EDT

It feels a little bit sore, yeah.

Does it hurt when you swallow?

Question
04/01/23 8:56 AM EDT

Hello. I amxxx, I will interview and examine you.	Greet 04/01/23 8:27 AM EDT
	Hi.
	What is your name?	Question 04/01/23 8:36 AM EDT
	My name is Daniel Rivera, but I just go by Danny.
	What brings you to the clinic today?	Question 04/01/23 8:36 AM EDT
	My Abuela brought me here because I’ve been feeling sick. I have been coughing a lot. . . and I feel kinda tired.
	Am sorry to hear that you are sick.	Empathize 04/01/23 8:37 AM EDT
	Thank you.
	Do you have a cough?	Question 04/01/23 8:37 AM EDT
	I guess I’m kind of sick. . . I’ve been coughing a lot.
	How long have you had a cough?	Question 04/01/23 8:38 AM EDT
	I think the cough started four. . . No, it started five days ago.
	Is your cough a wet or a dry one? Focused Exam: Cough, Danny Rivera Shadow health Transcript	Question 04/01/23 8:40 AM EDT
	My cough seems kind of gurgly and watery.
	That sounds like a wet cough.	Educate 04/01/23 8:41 AM EDT
	Oh, OK.
	Do you produce any phlegm or sputum with your cough?	Question 04/01/23 8:42 AM EDT
	Is that the gross, slimy stuff? Yeah, I’ve been coughing some of that up. It’s not any strange color, though. It’s just clear.
	Am sorry to hear that.	Empathize 04/01/23 8:43 AM EDT
	Thank you.
	How often is your cough?	Question 04/01/23 8:43 AM EDT
	I just keep feeling like I have to cough every couple minutes or so. I think it gets worse at night.
	Is the cough keeping you up at night?	Question 04/01/23 8:43 AM EDT
	I don’t usually wake up once I go to bed, but my cough has made it hard to fall asleep.
	Am sorry to hear this	Empathize 04/01/23 8:44 AM EDT
	Thank you.
	Do you smoke?	Question 04/01/23 8:44 AM EDT
	No way! I know smoking is really bad–even for grown-ups. Papi smokes cigars sometimes. I don’t like how they smell.
	True smoking is bad for everyone, you should never smoke.	Educate 04/01/23 8:44 AM EDT
	Oh, OK.
	Are you ever around cigarette smoke?	Question 04/01/23 8:46 AM EDT
	Well . . . sometimes Papi smokes cigars in the house and my mom has to tell him to go outside. I breathe it a little bit then, but it’s not all the time or anything. I don’t like how it smells.
	Am sorry to hear that I understand your concern.	Empathize 04/01/23 8:46 AM EDT
	Thank you.
	What makes your cough worse?	Question 04/01/23 8:47 AM EDT
	My cough mostly stays the same no matter what I do. It seems to get worse at night though.
	Have you tried to treat your cough?	Question 04/01/23 8:47 AM EDT
	I had some cough medicine this morning. [AUDIO COMING SOON]
	What is the name of the medicine?	Question 04/01/23 8:47 AM EDT
	I don’t know what the name of the cough medicine is. It was purple. [AUDIO COMING SOON]
	Who gave you the medicine?	Question 04/01/23 8:47 AM EDT
	My mom.
	How much medicine did you take?	Question 04/01/23 8:49 AM EDT
	I just had one spoonful of it.
	How many times have you taken the cough medicine?	Question 04/01/23 8:49 AM EDT
	I only took the cough medicine once. My mom gave me a spoonful. [AUDIO COMING SOON]
	Do you take vitamins?	Question 04/01/23 8:49 AM EDT
	Oh yeah, I take vitamins every day! The gummy dinosaur kind. I don’t think I’m supposed to, but sometimes I sneak extra ones to be super healthy!
	I understand it’s good to take vitamins, but do not take more than the recommended dosage,	Educate 04/01/23 8:51 AM EDT
	Oh, OK.
	Are you usually active?	Question 04/01/23 8:51 AM EDT
	I have gym class every day. I do all my exercises there. And there’s a park right next to my house where I play after school, or sometimes on the weekends, if it’s nice outside. [AUDIO COMING SOON]
	Great, keep exercising.	Educate 04/01/23 8:51 AM EDT
	Oh, OK.
	Does the cough make you less active?	Question 04/01/23 8:51 AM EDT
	No, that doesn’t help my cough.
	Are you able to focus in class?	Question 04/01/23 8:52 AM EDT
	I can focus normally, but I couldn’t sleep very well last night because of my coughing, so it was harder than normal. Plus, it’s harder to pay attention when you keep having to cough. [AUDIO COMING SOON]
	Am sorry to hear that.	Empathize 04/01/23 8:52 AM EDT
	Thank you.
	Do you have a runny nose?	Question 04/01/23 8:52 AM EDT
	My nose is always a little bit runny… but ever since I started coughing it’s been worse, I think.
	Am sorry to hear that.	Empathize 04/01/23 8:52 AM EDT
	Thank you.
	Have you been sneezing?	Question 04/01/23 8:53 AM EDT
	I don’t usually have to sneeze. My nose gets runny a lot of times though, like I have a cold.
	What color is your snot?	Question 04/01/23 8:53 AM EDT
	You mean like when I blow my nose? It’s clear.
	Yes that one, Ok, thanks.	Empathize 04/01/23 8:53 AM EDT
	Thank you.
	How consistent is your nasal discharge?	Question 04/01/23 8:54 AM EDT
	It’s kind of clear and, like, watery.
	Any ear pain?	Question 04/01/23 8:54 AM EDT
	My right ear is starting to hurt a little bit . . . my left one is OK though.
	Sorry Danny.	Empathize 04/01/23 8:54 AM EDT
	Thank you.
	Any ear discharge?	Question 04/01/23 8:54 AM EDT
	No, nothing comes out of my ears, but my right ear kind of hurts.
	Any hearing problems?	Question 04/01/23 8:55 AM EDT
	A lady came to my school to give all the kids a hearing test. It was kind of cool! I was hoping I would have super hearing, but I think I was just normal . . .
	Good, its good to have a test done whenever there is a chance.	Educate 04/01/23 8:55 AM EDT
	Oh, OK.
	Any sore throat?	Question 04/01/23 8:55 AM EDT
	It feels a little bit sore, yeah.
	Does it hurt when you swallow?	Question 04/01/23 8:56 AM EDT
	No, I can swallow OK. It hurts a little right now because my throat is kinda sore.
	Have you had pneumonia?	Question 04/01/23 8:56 AM EDT
	I think I had that last year, when I was seven. My mom was really worried.
	Have you had asthma?	Question 04/01/23 8:56 AM EDT
	Is that when you have to use a, uh, an inhaler? My friend Tony does that sometimes, but I don’t have to.
	Yes that one. Ok	Empathize 04/01/23 8:56 AM EDT
	Thank you.
	Do you have current immunizations?	Question 04/01/23 8:57 AM EDT
	Like getting shots? It seems like I get shots whenever I go to the doctor. Mom says I need them for school, but I hate it.
	Your mum is right Danny, immunization helps prevent diseases.	Educate 04/01/23 8:59 AM EDT
	Oh, OK.
	Do you have seasonal allergies?	Question 04/01/23 8:59 AM EDT
	I don’t think I have any allergies like that.
	Do you have any food allergies?	Question 04/01/23 8:59 AM EDT
	I’m not allergic to any foods I don’t think.
	Are you allergic to any medication?	Question 04/01/23 9:00 AM EDT
	I don’t think I’m allergic to medicine.
	Any family history of asthma?	Question 04/01/23 9:00 AM EDT
	Only Papi had asthma, I think.
	Any family history of allergies?	Question 04/01/23 9:00 AM EDT
	I don’t think so, but I guess I’m not sure.
	Do you have chills?	Question 04/01/23 9:01 AM EDT
	No, I haven’t felt that.
	Do you have fever?	Question 04/01/23 9:01 AM EDT
	My mom said I didn’t have a fever this morning before Abuela took me here.
	Are you fatigued?	Question 04/01/23 9:01 AM EDT
	Yeah, I feel kind of tired. I think it’s because I couldn’t sleep much at night. My cough kept me from falling asleep.
	Sorry about that.	Empathize 04/01/23 9:01 AM EDT
	Thank you.
	Do you have night sweats?	Question 04/01/23 9:02 AM EDT
	I don’t sweat at night unless it gets really hot or something.
	Do you suffer from frequent colds?	Question 04/01/23 9:02 AM EDT
	I get colds a lot. My nose is always runny.
	Do you get headaches?	Question 04/01/23 9:02 AM EDT
	I don’t usually get headaches.