Damien Brooks traumatic brain injury shadow health
Damien Brooks traumatic brain injury shadow health Transcript
Started: Feb 11, 2021 | Total Time: 123 min
All Lines (213)Interview Questions (108)Statements (21)Exam Actions (84)
Hello, I am xxx. I will be interviewing you today and later perform a physical examination
Greet
02/05/21 10:42 PM PST
Hey.
What is your name?
Question
02/05/21 10:43 PM PST
Damien Brooks and my birthday is July 25th, if you want to get me anything. [AUDIO COMING SOON] Damien Brooks traumatic brain injury shadow health
Okay
Empathize
02/05/21 10:43 PM PST
Thanks, Nurse.
What brought you into the hospital?
Question
02/05/21 10:43 PM PST
I banged my head up pretty bad and got this big bump. Tim took me to the ER after I threw up. I know puking is a bad sign. Can confirm it’s also a bad time.
Sorry about the bump and the pain
ORDER A PLAGIARISM-FREE PAPER OR SHADOW HEALTH HELP HERE
Empathize
02/05/21 10:44 PM PST
Thanks.
How did you sustain the bump? (No matching questions found.) Damien Brooks traumatic brain injury shadow health
Question
02/05/21 10:44 PM PST
What happened?
Question
02/05/21 10:44 PM PST
I’m not really sure, to be honest.
I understand
Empathize
02/05/21 10:44 PM PST
Cool, I appreciate that.
Di you fall? (Clarified to Did you fall?.)
Question
02/05/21 10:45 PM PST
Yeah, I took a dive. I don’t remember it really at all though, but I can tell I hit my head. No idea how it happened, usually I shred. (Clarified to if I fell.)
Do you have a headache?
Question
02/05/21 10:45 PM PST
Yeah, I definitely have a headache. It hurts to look at light, even. [AUDIO COMING SOON]
Damien Brooks traumatic brain injury shadow health
ORDER A PLAGIARISM-FREE PAPER OR SHADOW HEALTH HELP HERE
Damien Brooks traumatic brain injury shadow health
Damien Brooks traumatic brain injury shadow health
Do you normally wear sport safety gear? (Clarified to Do you usually wear a helmet?.)
Question
02/05/21 11:03 PM PST
Not usually, but we’ll practice with them on sometimes. (Clarified to if I usually wear a helmet.)
why do you not wear helmet?
Question
02/05/21 11:03 PM PST
No one does, really. It looks goofy. Especially on film. I dunno . . . I just kind of got out of the habit.
It is always safe to wear sports safety gear such as helmet
Damien Brooks traumatic brain injury shadow health
Educate
02/05/21 11:04 PM PST
Ok, I’ll keep it in mind.
Do you take alcohol?
Question
02/05/21 11:04 PM PST
No, officer.
Do you take illegal drugs?
Question
02/05/21 11:04 PM PST
Nah. Not into it.
Do you smoke tobacco?
Question
02/05/21 11:05 PM PST
That doesn’t really fit with my brand.
That is good. Smoking, alcohol and drugs are bad for your health
Educate
02/05/21 11:05 PM PST
Sure, yeah.
Do you have changes in vision? (Clarified to Has your vision changed since the accident?.)
Question
02/05/21 11:08 PM PST
I can see just fine, my eyes just feel a little light sensitive. (Clarified to if my vision has changed since the accident.) Damien Brooks traumatic brain injury shadow health
Do you have difficulties moving your extremities? (Clarified to Are you having any issues moving your legs?.)
Question
02/05/21 11:08 PM PST
I’m not feeling awesome right now, but I can move around okay. (Clarified to if I have difficulty moving my legs.)
Do you have any tingling?
Question
02/05/21 11:09 PM PST
No, no tingling or anything.
Do you have ear problem? (Clarified to Do you have ringing in your ears?.)
Question
02/05/21 11:09 PM PST
No, I don’t have any ringing in my ears. [AUDIO COMING SOON] (Clarified to if I have ringing in my ears.)
Do you have memory problems?
Question
02/05/21 11:10 PM PST
Yeah, the whole wipe out is a blur. Kinda messed up not being able to remember stuff.
Do you have neck pain?
Question
02/05/21 11:10 PM PST
My neck is fine.
do you have muscle weakness? Damien Brooks traumatic brain injury shadow health
Question
02/05/21 11:10 PM PST
I’d say I’m pretty strong.
Do you have muscle spasms?
Question
02/05/21 11:11 PM PST
Haven’t had any muscle spasms.
Do you have gait or balance problem?
Question
02/05/21 11:11 PM PST
I can walk pretty OK, it’s my head that’s bothering me.
What is your relationship with the patient?
Question
02/05/21 11:12 PM PST
I’m his stepfather.
What happened to your step-son? (Clarified to Talk to me about what had happened to your son?.)
Question
02/05/21 11:14 PM PST
He was at the skatepark after school, like he usually is, and he fell off his board while doing a grind. He didn’t have a helmet on, which we’re going to have to chat about later . . . (Clarified to to tell you what happened to my son.)
Yeah, it is good to have a helmet
Educate
02/05/21 11:14 PM PST
Thanks, yeah, I’ll remember that.
Did you notice any headache for your son? (No matching questions found.)
Question
02/05/21 11:17 PM PST
Does he have a headache?
Question
02/05/21 11:17 PM PST
Yes, Damien’s had a headache since he got home.
Does he have dizziness? (No matching questions found.)
Question
02/05/21 11:17 PM PST
Did he have dizziness?
Question
02/05/21 11:17 PM PST
I didn’t give him anything at home, but they gave him some medication when we got here — acetaminophen, I think.
Did he have confusion? (No matching questions found.)
Question
02/05/21 11:18 PM PST
Did your son have scalp hematoma? (No matching questions found.)
Question
02/05/21 11:19 PM PST
Did he have scalp hematoma? (No matching questions found.)
Question
02/05/21 11:19 PM PST
Did you notice any blood
Question
02/05/21 11:19 PM PST
I didn’t notice any bleeding. [AUDIO COMING SOON]
Is your son son complaining of light sensitivity? (No matching questions found.)
Question
02/05/21 11:20 PM PST
Is your son complaining of light sensitivity? (Clarified to Has your son been sensitive to light?.)
Question
02/05/21 11:20 PM PST
Yes, definitely. (Clarified to if my son has been sensitive to light.)
Did he report vomiting? (No matching questions found.)
Question
02/05/21 11:21 PM PST
Did he have any vomiting? (Clarified to Has your son vomited?.) Damien Brooks traumatic brain injury shadow health
Question
02/05/21 11:21 PM PST
It was after Damien came home and told me he had fallen. He was feeling dizzy and had a headache. He threw up pretty soon after that, and that’s when I decided to drive him over here. (Clarified to if my son has vomited.)
Did you notice any other additional symptoms? (Clarified to Have you noticed any other injuries on your son?.)
Question
02/05/21 11:23 PM PST
I haven’t noticed any other injuries on Damien other than the welt on his head. (Clarified to if I have noticed any other injuries on my son.)
Describe the onset of the symptoms? (No matching questions found.)
Question
02/05/21 11:26 PM PST
Describe the onset of the head injury (No matching questions found.)
Question
02/05/21 11:26 PM PST
what is the duration of the pain? (No matching questions found.)
Question
02/05/21 11:27 PM PST
How frequent is the headache? (No matching questions found.)
Question
02/05/21 11:28 PM PST
Describe the frequency of the pain (No matching questions found.)
Question
02/05/21 11:28 PM PST
did you notice confusion? (Clarified to When did you notice your son’s symptoms?.)
Question
02/05/21 11:29 PM PST
He’s been dizzy and confused at least since he got home. Kyle said he was complaining about both on the walk back from the skatepark. (Clarified to when I noticed my sons symptoms.)
Did you notice dizziness? (Clarified to Did you see blood?.)
Question
02/05/21 11:29 PM PST
I didn’t notice any bleeding. [AUDIO COMING SOON] (Clarified to if I saw blood.)
When did the fall occur?
Question
02/05/21 11:30 PM PST
Damien fell about two hours ago.
Describe the mechanism of the injury? (No matching questions found.)
Question
02/05/21 11:30 PM PST
how did your son fall?
Question
02/05/21 11:30 PM PST
He was balancing on a rail and just lost his balance. His friend Kyle was recording it, so I watched the video. A hard thing to see.
did he lose consciousness?
Question
02/05/21 11:34 PM PST
Yeah, the fall knocked Damien unconscious.
What are relieving factors for the pain?
Question
02/05/21 11:52 PM PST
I gave him an ice pack and laid him down on the couch. I tried dimming the lights too. But once he threw up, I decided I was out of my depth and drove him here.
What makes the pain worse? Damien Brooks traumatic brain injury shadow health
Question
02/05/21 11:52 PM PST
I’m not sure what all can make his pain worse right now. I know he’s said that light hurts his eyes. [AUDIO COMING SOON]
Okay. i understand
Empathize
02/05/21 11:53 PM PST
Well, that’s kind of you to say.
Has your son received all vaccinations? (No matching questions found.)
Question
02/05/21 11:53 PM PST
Has he had all vaccinations? (Clarified to Does your son have all his vaccines?.)
Question
02/05/21 11:54 PM PST
Yes, he’s got all his shots. (Clarified to if my son is vaccinated.)
That is great. Vaccinations are very important for good health
Educate
02/05/21 11:54 PM PST
I gotcha, loud and clear. Damien Brooks traumatic brain injury shadow health
Has he ever been hospitalized?
Question
02/05/21 11:55 PM PST
Damien’s never been to the hospital before. We’re very lucky, especially if he hasn’t been wearing his helmet like this time. He’s definitely fallen in the past.
Has he ever had head injury? (Clarified to What previous head injuries has your son had?.)
Question
02/05/21 11:56 PM PST
Damien doesn’t have any previous head injuries. (Clarified to what my sons past head injuries are.)
Has your son had any surgery?
Question
02/05/21 11:56 PM PST
Damien’s never had surgery.
What home medication does your son use? (No matching questions found.)
Question
02/05/21 11:56 PM PST
Any home medications? (No matching questions found.)
Question
02/05/21 11:57 PM PST
what medications is your son using?
Question
02/05/21 11:57 PM PST
Really just acetaminophen when he has a fever and the like. He almost never takes any medication at all.
Is your son having dizziness? (No matching questions found.)
Question
02/05/21 11:58 PM PST
Any eye problem for your son? (No matching questions found.) Damien Brooks traumatic brain injury shadow health
Question
02/05/21 11:58 PM PST
Any eye problem? (No matching questions found.)
Question
02/05/21 11:59 PM PST
Does your son have eye problem? (No matching questions found.)
Question
02/05/21 11:59 PM PST
Does your son have headache?
Question
02/05/21 11:59 PM PST
Yes, Damien’s had a headache since he got home.
Does he have vision issues?
Question
02/06/21 12:00 AM PST
Damien’s only mentioned the light sensitivity. [AUDIO COMING SOON]
Any ear problem? (No matching questions found.)
Question
02/06/21 12:00 AM PST
Does Damien have ear issues? (No matching questions found.)
Question
02/06/21 12:00 AM PST
Any issues with the ears (No matching questions found.)
Question
02/06/21 12:00 AM PST
Has your son’s speech changed? (No matching questions found.)
Question
02/06/21 12:01 AM PST
Is he able to follow instructions?
Question
02/06/21 12:01 AM PST
He’s been walking fine. [AUDIO COMING SOON]
Does he have confusion? (No matching questions found.)
Question
02/06/21 12:02 AM PST
Has your son had confusion?
Question
02/06/21 12:02 AM PST
I didn’t give him anything at home, but they gave him some medication when we got here — acetaminophen, I think.
Does your son have movement problem? (No matching questions found.)
Question
02/06/21 12:02 AM PST
Does your son have issue with movement? (Clarified to Does your son have any balance or gait issues?.)
Question
02/06/21 12:03 AM PST
Nope, he’s been getting around just fine. (Clarified to if my son has any balance or gait issues.)
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Damien Brooks traumatic brain injury shadow health
Exam Action
02/06/21 12:12 AM PST
Inspected head front: No abnormal findings
Exam Action
02/06/21 12:12 AM PST
Inspected left eye
Exam Action
02/06/21 12:12 AM PST
Inspected right eye
Exam Action
02/06/21 12:12 AM PST
Inspected left eye
Damien Brooks traumatic brain injury shadow health
Exam Action
02/06/21 12:13 AM PST
Inspected right eye
Exam Action
02/06/21 12:13 AM PST
Inspect e o m
Exam Action
02/06/21 12:13 AM PST
Inspect shoulders
Exam Action
02/06/21 12:14 AM PST
Inspected left shoulder
Exam Action
02/06/21 12:14 AM PST
Inspected upper back
Exam Action
02/06/21 12:14 AM PST
Inspected right shoulder
Exam Action
02/06/21 12:14 AM PST
Inspected shoulders from the front
Exam Action
02/06/21 12:14 AM PST
Inspected right shoulder
Exam Action
02/06/21 12:14 AM PST
Inspected upper back
Exam Action
02/06/21 12:14 AM PST
Inspected left shoulder
Exam Action
02/06/21 12:14 AM PST
Inspected shoulders from the front
Exam Action
02/06/21 12:14 AM PST
Inspect arms
Exam Action
02/06/21 12:15 AM PST
Inspect elbows
Exam Action
02/06/21 12:15 AM PST
Damien Brooks traumatic brain injury shadow health Inspected left wrist
Exam Action
02/06/21 12:16 AM PST
Inspected right wrist
Exam Action
02/06/21 12:16 AM PST
Inspected both hands
Exam Action
02/06/21 12:17 AM PST
Inspect hips
Exam Action
02/06/21 12:17 AM PST
Inspect thighs
Exam Action
02/06/21 12:18 AM PST
Inspect thighs
Exam Action
02/06/21 12:19 AM PST
Inspect knees
Exam Action
02/06/21 12:43 AM PST
Damien Brooks traumatic brain injury shadow health Inspect lower legs
Exam Action
02/06/21 12:44 AM PST
Inspect ankles
Exam Action
02/06/21 12:44 AM PST
Inspect feet
Exam Action
02/06/21 12:44 AM PST
Checked ID band
Exam Action
02/06/21 12:46 AM PST
Auscultated breath sounds
Exam Action
02/06/21 12:46 AM PST
Auscultated heart sounds
Exam Action
02/06/21 12:46 AM PST
Auscultated breath sounds
Exam Action
02/06/21 12:47 AM PST
Palp cardio pulses radial
Exam Action
02/06/21 12:47 AM PST
Confirmed orientation
Exam Action
02/06/21 12:48 AM PST
What is your name and date of birth?
Question
02/06/21 12:48 AM PST
I’m Damien Brooks. It’s . . . [Mr. Brooks reports his correct date of birth.]
What building are you now?
Question
02/06/21 12:48 AM PST
We’re at Dr. Pulaski’s office, right?
what is the date and year
Question
02/06/21 12:49 AM PST
Today? It’s . . .[Mr. Brooks reports the correct date.]
Do you know what’s going on?
Question
02/06/21 12:50 AM PST
Wiped out on my board and knocked my head, which ended me up here. It’s pretty messed up.
Assessed cognition
Exam Action
02/06/21 12:50 AM PST
repeat and remember burger, tulip, nose and tea
Question
02/06/21 12:51 AM PST
Burger, tulip, nose, tea. Damien Brooks traumatic brain injury shadow health
how did you celebrate your birthday?
Question
02/06/21 12:51 AM PST
My birthday? Oh, this year it was actually pretty sick. The squad threw a surprise party for me. They like ambushed me the morning of, had a cake and candles and everything for me right there in bed. The day just went from there. It was a good start to 15, yeah.
repeat the four words from before
Question
02/06/21 12:52 AM PST
Burger . . . nose? Tea?
Vocabulary
Exam Action
02/06/21 12:52 AM PST
Assessed speech
Exam Action
02/06/21 12:53 AM PST
Assessed speech
Exam Action
02/06/21 12:53 AM PST
close your eyes and touch your fingers to your nose
Question
02/06/21 12:54 AM PST
I can do that.
Observed left index finger to nose smooth and accurate Damien Brooks traumatic brain injury shadow health
Exam Action
02/06/21 12:54 AM PST
Observed right index finger to nose smooth and accurate
Exam Action
02/06/21 12:54 AM PST
run your right foot down your shin
Question
02/06/21 12:54 AM PST
Sure.
Observed right heel moving to shin smooth and accurate
Exam Action
02/06/21 12:54 AM PST
run your left foot down your right shin
Question
02/06/21 12:55 AM PST
Ok.
Observed left heel moving to shin smooth and accurate
Exam Action
02/06/21 12:55 AM PST
place your hands on your knees and turn them over
Question
02/06/21 12:55 AM PST
Sounds good
Observed rapid alternating hand movements
Exam Action
02/06/21 12:55 AM PST
Eye Opening Response measured as “spontaneously “
Exam Action
02/06/21 12:56 AM PST
Measured Damien’s best verbal response
Exam Action
02/06/21 12:56 AM PST
Measured Damien’s best motor response
Exam Action
02/06/21 12:56 AM PST
Determined Damien’s Glasgow Coma Score
Exam Action
02/06/21 12:57 AM PST
Tested ROM of elbows – supination and pronation
Exam Action
02/06/21 12:57 AM PST
Tested ROM of elbows – flexion and extension
Exam Action
02/06/21 12:57 AM PST
Tested ROM of wrists – flexion
Exam Action
02/06/21 12:58 AM PST
Tested ROM of wrists – extension
Exam Action
02/06/21 12:58 AM PST
Tested ROM of wrists – ulnar and radial deviation
Exam Action
02/06/21 12:58 AM PST
Tested ROM of hips – flexion
Exam Action
02/06/21 12:59 AM PST
Tested ROM of hips – extension
Exam Action
02/06/21 12:59 AM PST
Tested ROM of hips – abduction Damien Brooks traumatic brain injury shadow health
Exam Action
02/06/21 12:59 AM PST
Tested ROM of hips – adduction
Exam Action
02/06/21 12:59 AM PST
Tested ROM of knees – flexion
Exam Action
02/06/21 1:00 AM PST
Tested ROM of knees – extension
Exam Action
02/06/21 1:00 AM PST
Tested ROM of ankles – inversion and eversion
Exam Action
02/06/21 1:00 AM PST
Tested ROM of ankles – dorsiflexion and plantar flexion
Exam Action
02/06/21 1:00 AM PST
Tested right and left hand strength with grip test: 5/5
Exam Action
02/06/21 1:01 AM PST
Strength test feet
Exam Action
02/06/21 1:02 AM PST
Tested left arm distal sensation
Exam Action
02/06/21 1:03 AM PST
Tested left arm proximal sensation
Exam Action
02/06/21 1:03 AM PST
Yeah.
Yeah.
Tested right arm proximal sensation
Exam Action
02/06/21 1:03 AM PST
Yeah.
Tested right arm distal sensation Damien Brooks traumatic brain injury shadow health
Exam Action
02/06/21 1:03 AM PST
Yeah.
Yeah.
Tested left leg distal sensation
Exam Action
02/06/21 1:04 AM PST
Yeah.
Tested left leg proximal sensation
Exam Action
02/06/21 1:04 AM PST
Yeah.
Tested right leg proximal sensation
Exam Action
02/06/21 1:04 AM PST
Yeah.
Tested right leg distal sensation
Exam Action
02/06/21 1:04 AM PST
Yeah.
Tested sensation of left foot
Exam Action
02/06/21 1:05 AM PST
Yeah.
Tested sensation of right foot
Exam Action
02/06/21 1:05 AM PST
Palpated cap refill
Exam Action
02/06/21 1:06 AM PST
Reflex hammer patellar mode
Exam Action
02/06/21 1:06 AM PST
Reflex hammer brachioradialis mode
Damien Brooks traumatic brain injury shadow health
Exam Action
02/06/21 1:06 AM PST
