Sophia Haddad Pediatric GAS Pharyngitis shadow health transcript
Transcript
Started: Mar 10, 2020 | Total Time:60 min
Hi, Sophia. My name is Danielle and I will be your provider today.
Greet
03/10/20 1:45 AM CDT
Hi there.
Hi Omar, My name is Danielle, and I will be your provider today
Question
03/10/20 1:46 AM CDT
Hello.
What brings you and Sophia in today? (Clarified to What brings you to the office today?.)
Question
03/10/20 1:46 AM CDT
My daughter’s sick. A high fever and a sore throat. (Clarified to what brings me to the office.)
What brings you in to the office
Question
03/10/20 1:48 AM CDT
I’m here because they sent me home at school because I was cold and tired and the teacher sent me to the nurse, and when I told her my throat had been hurting all morning she called my Baba. He’s the guy over there.
I am sorry you are not feeling well, i hope i can help
Empathize
03/10/20 1:49 AM CDT
Thank you.
Where is the pain?
Question
03/10/20 1:50 AM CDT
It hurts in the back of my throat. AND my head hurts.
Why are you sick?
Question
03/10/20 1:51 AM CDT
My throat hurts, and I’m all cold and tired.
When did you notice the pain?
Question
03/10/20 1:51 AM CDT
I was eating breakfast this morning and it hurt to swallow and I realized my throat hurt all the time.
When did your fever start?
Question
03/10/20 1:52 AM CDT
I started feeling all chilly and achy at school, during science class.
How bad does your throat hurt?
Question
03/10/20 1:52 AM CDT
Uh. Bad. It hurts kinda bad.
Do you have problems talking?
Question
03/10/20 1:53 AM CDT
My throat hurts worse when I talk.
Are you able to swallow?
Question
03/10/20 1:53 AM CDT
I can swallow, but it hurts my throat really bad.
Do you drink water?
Question
03/10/20 1:53 AM CDT
I like drinking water. I had some already today.
Do you take any medications?
Question
03/10/20 1:54 AM CDT
Only when Baba makes me. Medicine tastes so bad.
Im sorry you feel that way
Empathize
03/10/20 1:55 AM CDT
OK. Thanks.
Medicines can help us feel better
Educate
03/10/20 1:55 AM CDT
Hmm . . . OK.
How long has sophia been sick?
Question
03/10/20 1:56 AM CDT
The school called me about 2 hours ago saying Sophia had a fever of 102 and a sore throat.
What was your daughters fever at school?
Question
03/10/20 1:57 AM CDT
The school said her fever was 102. I feel so bad she has that on top of a sore throat.
Did she have a fever at home? (Clarified to When did your daughter’s fever start?.)
Question
03/10/20 1:57 AM CDT
I’m not sure, to be honest. I didn’t realize she had a fever this morning, but I do know her temperature was 102 this morning at the school clinic. (Clarified to when my daughter’s fever started.)
When did the pain start?
Question
03/10/20 1:58 AM CDT
I didn’t notice the sore throat or the fever this morning. I feel pretty bad for missing it.
Its okay
Empathize
03/10/20 1:58 AM CDT
OK, thanks.
Are you daughters classmates sick? (No matching questions found.)
Question
03/10/20 1:59 AM CDT
Are your daughters classmates sick?
Question
03/10/20 1:59 AM CDT
The school nurse said that strep throat is going around at her school. I think a few of her classmates are out sick right now.
Is anyone sick in your family?
Question
03/10/20 1:59 AM CDT
No one at home has had strep. My wife and I are both healthy.
What have you done for your daughter’s throat/
Question
03/10/20 2:00 AM CDT
I gave Sophia some ibuprofen for her fever. She also drank a little bit of cold water, which I think helped her throat.
Did you give your daughter medication recently?
Question
03/10/20 2:01 AM CDT
I gave her the ibuprofen on our way here, as we were leaving school.
Does sophia take any home medications
Question
03/10/20 2:01 AM CDT
Sophia doesn’t take any regular medications, thankfully. She really doesn’t handle it well.
How much ibuprofen did sophia receive?
Question
03/10/20 2:02 AM CDT
I gave her children’s ibuprofen, the liquid kind. The strength was . . . 100 mg per 5 mL.
how does your daughter handle taking medications?
Question
03/10/20 2:03 AM CDT
Sophia doesn’t handle taking medicine well. She’s been pretty stubborn about it for a long time.
How does you daughter handle swallowing pills? (No matching questions found.)
Question
03/10/20 2:04 AM CDT
How does you daughter swallow pills? (No matching questions found.)
Question
03/10/20 2:04 AM CDT
What happened when you tried to give sophia the medication?
Question
03/10/20 2:05 AM CDT
When I try to give Sophia medication . . . well, life isn’t great. It’s hard to convince her to do it, and when Sophia doesn’t want to do something, she’s really headstrong about it. For example, before we got here, I gave Sophia some ibuprofen. Sophia took the medicine eventually, but she started crying when I told her that she needed to take it. She used to spit medication out, but she doesn’t do that much anymore.
Is your daughter up to date on vaccines?
Question
03/10/20 2:06 AM CDT
Yes, Sophia’s up to date on her vaccinations.
Has sophia had any surgeries in the past
Question
03/10/20 2:07 AM CDT
Sophia had ear tubes put in when she was two, but no surgeries other than that.
did you daughter have a tonsillectomy? (No matching questions found.)
Question
03/10/20 2:07 AM CDT
did your daughter have a tonsillectomy?
Question
03/10/20 2:07 AM CDT
No, Sophia’s never had her tonsils removed.
When is the last time your daughter had a sore throat?
Question
03/10/20 2:08 AM CDT
I don’t know the last time Sophia had a sore throat . . . she’s never had strep before.
When was your daughters last ear infection?
Question
03/10/20 2:08 AM CDT
It’s been a long time. A few years. They stopped shortly after she got her ear tubes put in, when she was two.
What medications is your daughters allergic to
Question
03/10/20 2:09 AM CDT
Sophia isn’t allergic to any medications.
Does your head hurt/
Question
03/10/20 2:10 AM CDT
Yes. I have a headache right now. It feels kind of achy and heavy.
Does your chest feel tight?
Question
03/10/20 2:10 AM CDT
No, my chest doesn’t feel tight.
Have you been coughing a lot?
Question
03/10/20 2:10 AM CDT
No, I haven’t been coughing at all.
Are you vomiting?
Question
03/10/20 2:11 AM CDT
I haven’t thrown up.
Do you have any lumps or bumps on your skin?
Question
03/10/20 2:11 AM CDT
Yes, I have these red bumps on my chest.
Does you daughter have a runny nose? (No matching questions found.)
Question
03/10/20 2:12 AM CDT
Does your daughter have a runny nose?
Question
03/10/20 2:12 AM CDT
Sophia’s nose hasn’t been runny.
Does your daughter have a cough?
Question
03/10/20 2:12 AM CDT
Sophia doesn’t have a cough.
When did you notice your daughter’s rash/
Question
03/10/20 2:13 AM CDT
The school nurse told me about the rash when I picked Sophia up from school a few hours ago. I didn’t notice it before that.
Can i take a look at sophias throat and rash/
Question
03/10/20 2:14 AM CDT
Yes, I suppose. Go ahead.
can I look at the rash?
Question
03/10/20 2:14 AM CDT
OK, you can look at my rash . . . but I’m warning you, it’s NOT pretty.
Can I please look at your throat? (Clarified to Can I look at your throat?.)
Question
03/10/20 2:14 AM CDT
Yeah, you can look at my throat. (Clarified to if I can look at your throat.)
Sophia’s test came back positive.
Question
03/10/20 2:17 AM CDT
Alright. Thank you.
Follow the instructions on the medication
Question
03/10/20 2:17 AM CDT
I’ll be sure to do that.
Keep medication in safe place, out of children reach
Question
03/10/20 2:18 AM CDT
Good call. I don’t think she’d pour it out or something, butoh, you mean she might drink it. Right, that too.
Check to be sure the dose is correct
Question
03/10/20 2:18 AM CDT
I bet it’s really dangerous to give a kid too much medicine. Better be careful.
Symptoms should improve in a couple of days
Question
03/10/20 2:19 AM CDT
That’s really good to hear. I hate to see her like this.
Sophia will be able to return to school in 3 days
Question
03/10/20 2:19 AM CDT
Yeah, I can do that. Make sure Sophia takes all of her medicine. No matter how much she doesn’t want to. Make her do the thing she doesn’t want to do. I got it.
Looks for a rash in here mouth
Question
03/10/20 2:19 AM CDT
Oh, thrush is terrible. I’ll let you know right away if I see any signs of it.
Stop the medication of you see any signs of an allergic reaction, like difficulty breathing
Question
03/10/20 2:20 AM CDT
Sophia already has some of those things because of the strep. How do I know if she’s also having a reaction to the amoxicillin?
Hives and if your daughter cant breathe
Question
03/10/20 2:21 AM CDT
Understood.
change the toothbrush
Question
03/10/20 2:21 AM CDT
She’s pretty attached to her butterfly toothbrush, but I’m sure we can find another one . . . probably . . .
she can return to school in 3 days
Question
03/10/20 2:21 AM CDT
That’s good to know. Thanks.
She can drink plenty of water
Question
03/10/20 2:22 AM CDT
Sophia’s pretty good about drinking water. Normally I’d go for tea, but I don’t think I need a caffeinated Sophia stuck at home from school. Bad times for everybody.
Have a good day
Question
03/10/20 2:22 AM CDT
Ok. See you later.
