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.
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Greet |
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Hi.
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What is your name?
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Question |
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My name is Daniel Rivera, but I just go by Danny.
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What brings you to the clinic today?
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Question |
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My Abuela brought me here because I’ve been feeling sick. I have been coughing a lot. . . and I feel kinda tired.
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Am sorry to hear that you are sick.
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Empathize |
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Thank you.
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Do you have a cough?
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Question |
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I guess I’m kind of sick. . . I’ve been coughing a lot.
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How long have you had a cough?
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Question |
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I think the cough started four. . . No, it started five days ago.
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Is your cough a wet or a dry one? Focused Exam: Cough, Danny Rivera Shadow health Transcript
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Question |
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My cough seems kind of gurgly and watery.
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That sounds like a wet cough.
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Educate |
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Oh, OK.
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Do you produce any phlegm or sputum with your cough?
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Question |
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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.
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Am sorry to hear that.
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Empathize |
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Thank you.
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How often is your cough?
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Question |
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I just keep feeling like I have to cough every couple minutes or so. I think it gets worse at night.
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Is the cough keeping you up at night?
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Question |
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I don’t usually wake up once I go to bed, but my cough has made it hard to fall asleep.
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Am sorry to hear this
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Empathize |
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Thank you.
|
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Do you smoke?
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Question |
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No way! I know smoking is really bad–even for grown-ups. Papi smokes cigars sometimes. I don’t like how they smell.
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True smoking is bad for everyone, you should never smoke.
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Educate |
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Oh, OK.
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Are you ever around cigarette smoke?
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Question |
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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.
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Am sorry to hear that I understand your concern.
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Empathize |
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Thank you.
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![]() |
What makes your cough worse?
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Question |
![]() |
My cough mostly stays the same no matter what I do. It seems to get worse at night though.
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![]() |
Have you tried to treat your cough?
|
Question |
![]() |
I had some cough medicine this morning. [AUDIO COMING SOON]
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![]() |
What is the name of the medicine?
|
Question |
![]() |
I don’t know what the name of the cough medicine is. It was purple. [AUDIO COMING SOON]
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![]() |
Who gave you the medicine?
|
Question |
![]() |
My mom.
|
|
![]() |
How much medicine did you take?
|
Question |
![]() |
I just had one spoonful of it.
|
|
![]() |
How many times have you taken the cough medicine?
|
Question |
![]() |
I only took the cough medicine once. My mom gave me a spoonful. [AUDIO COMING SOON]
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![]() |
Do you take vitamins?
|
Question |
![]() |
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 |
![]() |
Oh, OK.
|
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![]() |
Are you usually active?
|
Question |
![]() |
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]
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![]() |
Great, keep exercising.
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Educate |
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Oh, OK.
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Does the cough make you less active?
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Question |
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No, that doesn’t help my cough.
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Are you able to focus in class?
|
Question |
![]() |
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]
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Am sorry to hear that.
|
Empathize |
![]() |
Thank you.
|
|
![]() |
Do you have a runny nose?
|
Question |
![]() |
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 |
![]() |
Thank you.
|
|
![]() |
Have you been sneezing?
|
Question |
![]() |
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 |
![]() |
You mean like when I blow my nose? It’s clear.
|
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![]() |
Yes that one, Ok, thanks.
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Empathize |
![]() |
Thank you.
|
|
![]() |
How consistent is your nasal discharge?
|
Question |
![]() |
It’s kind of clear and, like, watery.
|
|
![]() |
Any ear pain?
|
Question |
![]() |
My right ear is starting to hurt a little bit . . . my left one is OK though.
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Sorry Danny.
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Empathize |
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Thank you.
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Any ear discharge?
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Question |
![]() |
No, nothing comes out of my ears, but my right ear kind of hurts.
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![]() |
Any hearing problems?
|
Question |
![]() |
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 |
![]() |
Oh, OK.
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![]() |
Any sore throat?
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Question |
![]() |
It feels a little bit sore, yeah.
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Does it hurt when you swallow?
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Question |
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No, I can swallow OK. It hurts a little right now because my throat is kinda sore.
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Have you had pneumonia?
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Question |
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I think I had that last year, when I was seven. My mom was really worried.
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Have you had asthma?
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Is that when you have to use a, uh, an inhaler? My friend Tony does that sometimes, but I don’t have to.
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Yes that one. Ok
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Empathize |
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Thank you.
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Do you have current immunizations?
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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.
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Your mum is right Danny, immunization helps prevent diseases.
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Educate |
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Oh, OK.
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Do you have seasonal allergies?
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I don’t think I have any allergies like that.
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Do you have any food allergies?
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I’m not allergic to any foods I don’t think.
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Are you allergic to any medication?
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I don’t think I’m allergic to medicine.
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Any family history of asthma?
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Only Papi had asthma, I think.
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Any family history of allergies?
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I don’t think so, but I guess I’m not sure.
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Do you have chills?
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No, I haven’t felt that.
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Do you have fever?
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My mom said I didn’t have a fever this morning before Abuela took me here.
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Are you fatigued?
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Question |
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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.
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Sorry about that.
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Empathize |
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Thank you.
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Do you have night sweats?
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Question |
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I don’t sweat at night unless it gets really hot or something.
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Do you suffer from frequent colds?
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Question |
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I get colds a lot. My nose is always runny.
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Do you get headaches?
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Question |
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I don’t usually get headaches.
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Shoshanna Tillman Follow Up Sick Visit: Musculoskeletal Shadow Health Transcript
Ninety-nine.
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Ninety-nine.
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Ninety-nine.
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Auscultated voice sounds in anterior left lower lobe
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Ninety-nine.
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Ninety-nine.
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Auscultated voice sounds in posterior left upper lobe
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Auscultated voice sounds in posterior right upper lobe
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Ninety-nine.
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Auscultated voice sounds in posterior left mid-back (lower lobe)
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Ninety-nine.
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Auscultated voice sounds in posterior right mid-back (lower lobe)
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Ninety-nine.
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Auscultated voice sounds in posterior left lower lobe near spine
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Ninety-nine.
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Auscultated voice sounds in posterior right lower lobe near spine
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Ninety-nine.
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Ninety-nine.
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Auscultated voice sounds in posterior left lower lobe on side
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Exam Action |
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Ninety-nine.
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Auscultated voice sounds in posterior left lower lobe
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Exam Action |
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Ninety-nine.
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Ninety-nine.
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Auscultated voice sounds in posterior right lower lobe
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Exam Action |
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Ninety-nine.
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Auscultated voice sounds in posterior right lower lobe on side Focused Exam: Cough, Danny Rivera Shadow health Transcript
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Ninety-nine.
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Ninety-nine.
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Auscultated aortic area with the bell
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Auscultated pulmonic area with the bell
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Auscultated Erb’s point with the bell
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Auscultated tricuspid area with the bell
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Auscultated mitral area with the bell
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Auscultated mitral area with the diaphragm
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Auscultated aortic area with the diaphragm
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Auscultated pulmonic area with the diaphragm
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Auscultated Erb’s point with the diaphragm
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Auscultated tricuspid area with the diaphragm
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Auscultated mitral area with the diaphragm
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Percussed anterior right upper lobe
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Percussed anterior left upper lobe
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Percussed anterior right middle lobe
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Percussed anterior left mid-chest (upper lobe)
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Percussed anterior right lower lobe
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Percussed anterior left lower lobe
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Percussed posterior left upper lobe
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Percussed posterior right upper lobe
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Percussed posterior left mid-back (lower lobe)
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Percussed posterior right mid-back (lower lobe)
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Percussed posterior left lower lobe
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Percussed posterior right lower lobe
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Percussed posterior left lower lobe on side
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Percussed posterior left lower lobe near spine
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Percussed posterior right lower lobe near spine
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