tina jones gastrointestinal shadow health transcript
tina jones gastrointestinal shadow health transcript
Hello. My name is xxxx. I will interview you and later do a physical exam.
Greet
07/05/20 10:03 PM CDT
Hey.
What is your name?
Question
07/05/20 10:03 PM CDT
Tina Jones.
What is you date of birth?
Question
07/05/20 10:04 PM CDT
February 17th.
How old are you?
Question
07/05/20 10:05 PM CDT
I’m 28.
What brings you to the clinic today?
Question
07/05/20 10:05 PM CDT
I’ve been having this stomach pain for awhile. It keeps coming back, and it really is starting to bother me.
Sorry to hear that you are feeling bad
Empathize
07/05/20 10:05 PM CDT
Thanks for understanding tina jones gastrointestinal shadow health transcript.
When did the pain start?
Question
07/05/20 10:06 PM CDT
Probably at least a month ago. Maybe longer. It started out really minor so it took me awhile to realize it was getting bad.
Where s the pain located?
Question
07/05/20 10:06 PM CDT
It’s like… my upper stomach. Like right below my breastbone, in the middle.
Describe how the pain feels
Question
07/05/20 10:06 PM CDT
Um, it feels like heartburn. But sometimes, if it’s bad, it’s sharper than that.
Does the pain increase?
Question
07/05/20 10:06 PM CDT
Yeah, it’s getting worse over time. I get these stomach pains every day.
How many times a week are you getting the pain? (Clarified to How many times a week have you been having issues with abdominal pain?.)
Question
07/05/20 10:07 PM CDT
Every time I eat it hurts a little, but 3 or 4 times a week, it’ll be a lot worse. (Clarified to how many times a week I have abdominal pain.)
Do you have the abdominal pain everyday?
Question
07/05/20 10:08 PM CDT
Yeah, I’ve had stomach pain for awhile now.
when did the abdominal pain begin?
Question
07/05/20 10:09 PM CDT
Probably at least a month ago. Maybe longer. It started out really minor so it took me awhile to realize it was getting bad.
How long does the pain last?
Question
07/05/20 10:09 PM CDT
For a few hours after I eat.
How do you rate the pain on a scale of 0 to 10? (Clarified to Can you rate your current pain level on a scale of 0 to 10?.)
Question
07/05/20 10:10 PM CDT
Right now, it’s like a 1 or 2. But after I eat, it’s like a. . . 5? (Clarified to how I would rate my pain on a scale.)
Is the pain crushing?
Question
07/05/20 10:10 PM CDT
No.
Is the pain gnawing ?
Question
07/05/20 10:11 PM CDT
No, it’s not like that.
Is the pain cramping tina jones gastrointestinal shadow health transcript?
Question
07/05/20 10:11 PM CDT
No, it’s not like stomach cramps.
where is the pain located?
Question
07/05/20 10:11 PM CDT
It’s like… my upper stomach. Like right below my breastbone, in the middle.
on what side of your stomach is the pain located?
Question
07/05/20 10:12 PM CDT
No, it’s right in the center of my stomach, like between my belly button and my ribs.
do you have sharp pain in your lower abdomen?
Question
07/05/20 10:13 PM CDT
No, it’s not at all like that. It’s in the middle of my stomach.
Am sorry you feel that
Empathize
07/05/20 10:14 PM CDT
I appreciate you saying that.
does your pain occur after eating?
Question
07/05/20 10:14 PM CDT
Yes. Every time I eat it hurts. I’ve been eating less because I don’t like being in pain.
Your pain is with larger meals?
Question
07/05/20 10:15 PM CDT
Yes, large meals make the pain worse. [AUDIO COMING SOON]
do you eat spicy foods?
Question
07/05/20 10:15 PM CDT
Well, I used to eat spicy food sometimes, but in the last few weeks I can’t. It makes my stomach pain too bad.
Do you eat a lot of fatty foods?
Question
07/05/20 10:16 PM CDT
Not too much. I mean, I like French fries and stuff, but I try not to eat them too often.
French fries are considered fatty foods, try cut down on them
Educate
07/05/20 10:17 PM CDT
Alright, thanks for letting me know.
Is your pain worse when you bend over?
Question
07/05/20 10:17 PM CDT
Yeah. It gets worse when I bend over — I noticed that at work.
sorry to hear that
Empathize
07/05/20 10:18 PM CDT
Thanks for saying that.
Does it hurt when you lie flat?
Question
07/05/20 10:18 PM CDT
Yeah.
Try not to bend over at work
Educate
07/05/20 10:18 PM CDT
Thanks for telling me tina jones gastrointestinal shadow health transcript.
Is the pain better when you sit up? (Clarified to Does the pain improve when you sit up?.)
Question
07/05/20 10:19 PM CDT
Usually, yeah. (Clarified to if my pain improves when I sit up.)
any decrease in appetite?
Question
07/05/20 10:20 PM CDT
Yeah, I haven’t been wanting to eat lately.
Its important you take 3 meals a day
Educate
07/05/20 10:20 PM CDT
OK, I understand.
Do you eat out?
Question
07/05/20 10:20 PM CDT
I try not to eat out too much, but with my schedule I end up having to.
have you been eating smaller meals than usual?
Question
07/05/20 10:21 PM CDT
Yeah, I’ve been trying to eat really little meals. I haven’t been that hungry, and I don’t want to have the pain of eating a big meal.
Any increase in burping? (Clarified to Have you been burping more than usual?.)
Question
07/05/20 10:22 PM CDT
Yeah, that’s been happening after I eat. (Clarified to if I have been burping more than usual lately.)
what makes your stomach pain relieve? (Clarified to What makes the abdominal pain better?.)
Question
07/05/20 10:23 PM CDT
I feel the best in-between meals. And sitting up on the couch seems to help. And sometimes I take an antacid. (Clarified to what makes the abdominal pain better.)
Sitting up position helps prevent stomach acid from coming up the esophagus.
Educate
07/05/20 10:25 PM CDT
Sure, I think I understand what you mean.
What is the name of the antacid?
Question
07/05/20 10:25 PM CDT
I take the chewable Tums.
How many chewable tums? (No matching questions found.)
Question
07/05/20 10:25 PM CDT
How many chew able tums do you take in a day?
Question
07/05/20 10:26 PM CDT
I start with two, and then I chew a couple more if I need to. The bottle says you can have up to four.
Do the tums help relieve your pain?
Question
07/05/20 10:27 PM CDT
Yeah, they help. I try to only take them when the pain seems worse than usual.
Does use of antacid help?
Question
07/05/20 10:27 PM CDT
Yeah, they help. I try to only take them when the pain seems worse than usual.
Does the pain change?
Question
07/05/20 10:28 PM CDT
Yeah, it’s getting worse over time. I get these stomach pains every day.
Does the stomach pain come with nausea and vomiting?
Question
07/05/20 10:28 PM CDT
No, I don’t feel nauseous.
does your pain cause vomiting? (No matching questions found.)
Question
07/05/20 10:29 PM CDT
does the pain cause vomiting? (No matching questions found.)
Question
07/05/20 10:29 PM CDT
is your abdomen tender?
Question
07/05/20 10:30 PM CDT
No. My stomach pain’s not tender like that.
any cramping?
Question
07/05/20 10:30 PM CDT
Yeah, I get cramps pretty bad.
Is your pain associated with gas?
Question
07/05/20 10:31 PM CDT
I don’t think so. I haven’t been gassy lately.
are you passing gas?
Question
07/05/20 10:31 PM CDT
No.
How is your bowel?
Question
07/05/20 10:31 PM CDT
I guess I normally go once a day, or sometimes every other day.
What the bowel colour? (No matching questions found.)
Question
07/05/20 10:32 PM CDT
What is your typical breakfast?
Question
07/05/20 10:33 PM CDT
I usually have either cereal or toast, or if I pick something up on my way to work, I’ll get a muffin or some pumpkin bread.
what is your usual lunch?
Question
07/05/20 10:33 PM CDT
I usually either make a sandwich and bring it with me, or I get a sandwich somewhere. And I have chips or pretzels with it. Or *maybe* French fries, but I try not to get them too often.
Try and avoid fatty foods such as chips and french fries, they are not healthy.
Educate
07/05/20 10:35 PM CDT
That makes sense.
any flatus after eating? (No matching questions found.)
Question
07/05/20 10:35 PM CDT
How often do you eat spicy foods?
Question
07/05/20 10:36 PM CDT
Well, I used to eat spicy food sometimes, but in the last few weeks I can’t. It makes my stomach pain too bad tina jones gastrointestinal shadow health transcript.
Spicy foods can irritate the stomach lining.
Educate
07/05/20 10:36 PM CDT
Alright, thanks for letting me know.
Are you having stomach pain now? (Clarified to Do you have stomach pain right now?.)
Question
07/05/20 10:37 PM CDT
Only a little. (Clarified to if I have stomach pain right now.)
what tome of the day is the pain the worst?
Question
07/05/20 10:37 PM CDT
I don’t think it’s a particular time of day. It just hurts the worst right after I eat.
Do you have allergies?
Question
07/05/20 10:39 PM CDT
Yeah, I’m allergic to cats.
Do you have gastrointestinal disease?
Question
07/05/20 10:39 PM CDT
I don’t have like, diseases. But I’ve had this stomach pain for like, a month.
have you ever had gastrointestinal surgery?
Question
07/05/20 10:40 PM CDT
No.
any past history of appendicitis?
Question
07/05/20 10:40 PM CDT
No.
have you ever had cholecystitis?
Question
07/05/20 10:41 PM CDT
Not that I’ve heard of.
Any history of stomach cancer?
Question
07/05/20 10:42 PM CDT
No.
what about liver disease? (No matching questions found.)
Question
07/05/20 10:42 PM CDT
Any history of liver disease?
Question
07/05/20 10:43 PM CDT
No, I’ve never had any problems with my liver.
any history of ulcers?
Question
07/05/20 10:43 PM CDT
No.
any history of bladder disease?
Question
07/05/20 10:43 PM CDT
No, I never have.
do you experience pain during bowel movements?
Question
07/05/20 10:44 PM CDT
No.
Any bloody or tarry stools?
Question
07/05/20 10:44 PM CDT
Um, no.
any mucus ins stool? (Clarified to Have you had mucus in your stool?.)
Question
07/05/20 10:44 PM CDT
Ew. No. (Clarified to if there has been mucus in my stool.)
Any changes in bowel movements pattern?
Question
07/05/20 10:45 PM CDT
No, everything’s been normal in that department.
Do you have increased urination?
Question
07/05/20 10:45 PM CDT
Yeah, but I’ve been drinking more water.
drinking water is good for you
Educate
07/05/20 10:46 PM CDT
That makes sense.
What is the colour of your urine?
Question
07/05/20 10:46 PM CDT
Um, light yellow or almost clear? The regular color.
Do you have pain during urination?
Question
07/05/20 10:47 PM CDT
No.
do you experience nocturia? (No matching questions found.)
Question
07/05/20 10:48 PM CDT
do you experience nocturia?do you urinate more than usual at night?
Question
07/05/20 10:49 PM CDT
Yeah, but I’ve been drinking more water.
does your urine have blood?
Question
07/05/20 10:50 PM CDT
I don’t think so… My pee hasn’t been red or anything.
when was your last period?
Question
07/05/20 10:51 PM CDT
I think it was just about a month ago tina jones gastrointestinal shadow health transcript.
do you have stomach pain during you periods?
Question
07/05/20 10:51 PM CDT
Yeah, I get cramps pretty bad.
are you sexually active?
Question
07/05/20 10:52 PM CDT
Um, not right now.
when was your last meal?
Question
07/05/20 10:52 PM CDT
This morning, I had breakfast at home.
what did you have for breakfast?
Question
07/05/20 10:53 PM CDT
This morning, I had toast with butter and honey, and some orange juice.
what did you have for dinner yesterday?
Question
07/05/20 10:53 PM CDT
Last night we had baked potatoes with broccoli and cheese soup on them.
what did you have for lunch yesterday?
Question
07/05/20 10:53 PM CDT
I had a piece of pizza. It was someone’s birthday at work, so they ordered pizza for all of us.
what was your breakfast yesterday?
Question
07/05/20 10:54 PM CDT
I had a small bowl of cereal.
What is your typical diet?
Question
07/05/20 10:55 PM CDT
It’s pretty good, I think. I’m not a huge health nut or anything.
what is your typical breakfast?
ORDER A PLAGIARISM FREE PAPER NOW
Question
07/05/20 10:55 PM CDT
I usually have either cereal or toast, or if I pick something up on my way to work, I’ll get a muffin or some pumpkin bread.
what is your typical dinner?
Question
07/05/20 10:55 PM CDT
Oh, we try to make something easy. We eat a lot of frozen chicken breasts. We do hamburgers that we make at home every so often. We make sure we have a vegetable, and we eat a lot of potatoes. And we usually have rolls or something.
what is your typical lunch?
Question
07/05/20 10:56 PM CDT
I usually either make a sandwich and bring it with me, or I get a sandwich somewhere. And I have chips or pretzels with it. Or *maybe* French fries, but I try not to get them too often.
how many meals do you have in a day?
Question
07/05/20 10:56 PM CDT
I try to eat breakfast, lunch, and dinner. I usually have a snack somewhere in there.
Do you take alcohol? (No matching questions found.)
Question
07/05/20 10:56 PM CDT
Do you drink alcohol?
Question
07/05/20 10:57 PM CDT
Not lately, but I do every so often.
how often do you drink alcohol?
Question
07/05/20 10:57 PM CDT
Very rarely.
how many beers do drink per sitting?
Question
07/05/20 10:57 PM CDT
Never any more than 2 or 3.
That moderate drinking which is ok
Educate
07/05/20 10:58 PM CDT
Thanks for telling me.
Do you take soda? (No matching questions found.)
Question
07/05/20 10:58 PM CDT
Do you drink soda?
Question
07/05/20 10:58 PM CDT
Yeah, I drink diet Coke.
How many glasses of water do you take daily?
Question
07/05/20 10:59 PM CDT
Probably… 6 or 8 glasses? I drink a lot of water.
Have you had food poisoning?
Question
07/05/20 10:59 PM CDT
I’ve had food poisoning when I was a kid, and this isn’t anything like that.
Have you had recent travel?
Question
07/05/20 11:00 PM CDT
No. I’ve been here in Shadowville working my butt off!
Do you use illicit drugs tina jones gastrointestinal shadow health transcript?
Question
07/05/20 11:00 PM CDT
Well, I used to smoke pot. . . but I don’t do that anymore.
do you smoke cigarette
Question
07/05/20 11:00 PM CDT
No, I’ve never smoked a cigarette in my life.
Great! Smoking and drugs are not good for you
Educate
07/05/20 11:01 PM CDT
OK, I understand.
are you bloated?
Question
07/05/20 11:01 PM CDT
No, I don’t feel bloated.
Do you have sore throat?
Question
07/05/20 11:02 PM CDT
No, my throat doesn’t hurt.
Are you coughing?
Question
07/05/20 11:02 PM CDT
No, I haven’t been coughing.
do you have difficulty breathing?
Question
07/05/20 11:02 PM CDT
No, my breathing has been fine.
do you have chest pain?
Question
07/05/20 11:02 PM CDT
No, I’m not having chest pain. The pain I’m feeling is lower, like right in the middle of my torso. . . above my stomach, but below my ribs.
has you sense of taste changed?
Question
07/05/20 11:03 PM CDT
No, I can taste everything fine.
Any family history of colon cancer?
Question
07/05/20 11:03 PM CDT
Um, Grandpa Jones died of colon cancer.
am sorry to hear that
Empathize
07/05/20 11:05 PM CDT
Thanks.
do you have a family history of GERD?
Question
07/05/20 11:05 PM CDT
No.
Do you have a family history of ibs?
Question
07/05/20 11:06 PM CDT
No, I haven’t heard anything about that.
Do you have a family history of Cholecystitis?
Question
07/05/20 11:06 PM CDT
Not that I’ve heard of.
Any family history of liver disease?
Question
07/05/20 11:06 PM CDT
No, nobody’s had anything happen with their liver that I know of.
Any family history of bladder disease?
Question
07/05/20 11:07 PM CDT
Not that I’ve heard of.
Any family history of kidney disease?
Question
07/05/20 11:10 PM CDT
No, nobody’s had that.
What are your allergies?
Question
07/05/20 11:10 PM CDT
I’m allergic to cats.
what happens when you are around cats?
Question
07/05/20 11:11 PM CDT
Whenever I’m around cats, I start sneezing, my eyes get itchy. . . and my asthma starts to act up tina jones gastrointestinal shadow health transcript.
Are you allergic to dust?
Question
07/05/20 11:11 PM CDT
Well. . . I don’t know if it’s allergies, but sometimes my asthma acts up around dust.
are you allergic to penicillin?
Question
07/05/20 11:12 PM CDT
Yes.
what do you take for asthma?
Question
07/05/20 11:13 PM CDT
I have my Proventil inhaler, and then my daily Flovent inhaler, too.
what is the dosage of the proventil?
Question
07/05/20 11:13 PM CDT
I haven’t used my rescue inhaler in three months — not since I started the daily Flovent one.
when did you last use you flovent? (No matching questions found.)
Question
07/05/20 11:14 PM CDT
how consistent are your bowel movements? (Clarified to How often do you have a bowel movement?.)
Question
07/05/20 11:15 PM CDT
Usually every other day. (Clarified to how often I have a bowel movement.)
Do you get up in the middle of the night to urinate?
Question
07/05/20 11:16 PM CDT
Yeah, I definitely get up more than once during the night.
how many meals do you typically eat in a day?
Question
07/05/20 11:17 PM CDT
I try to eat breakfast, lunch, and dinner. I usually have a snack somewhere in there.
what did you have for dinner last night?
Question
07/05/20 11:17 PM CDT
Last night we had baked potatoes with broccoli and cheese soup on them.
ok. such a heavy meal may upset your stomach
Educate
07/05/20 11:18 PM CDT
Sure, I think I understand what you mean.
when did you last drink alcohol?
Question
07/05/20 11:19 PM CDT
At least 2 weeks ago. I have been staying at from it.
do you smoke pot?
Question
07/05/20 11:19 PM CDT
No, not since… not in like 6 or 7 years.
its good that you quit
Educate
07/05/20 11:20 PM CDT
That makes sense.
Any fever?
Question
07/05/20 11:20 PM CDT
No. No fever.
Any chills?
Question
07/05/20 11:20 PM CDT
No, no chills.
Any fatigue?
Question
07/05/20 11:20 PM CDT
No, I don’t feel tired tina jones gastrointestinal shadow health transcript.
any night sweats?
Question
07/05/20 11:20 PM CDT
No.
do you have anxiety?
Question
07/05/20 11:20 PM CDT
Not too much — I can get a little anxious and stressed because I’m busy and I work hard. I might have some anxiety lately. Especially since I’d like to get this heartburn fixed.
am sorry to hear that
Empathize
07/05/20 11:21 PM CDT
I appreciate you telling me that.
any feelings of stress?
Question
07/05/20 11:21 PM CDT
Ha. Yeah, I do feel stressed out. I’m almost done with school in a few months, and so I’m job-hunting. Plus I work. It’s a lot right now. And I’d like to figure out what’s going on with my stomach, too.
How do you cope with your stress?
Question
07/05/20 11:21 PM CDT
I just keep my head down and work on one thing at a time. I try to get a lot of sleep, too, if I’m especially stressed. And my mom is really supportive, so just talking with her always makes me feel better.
we should help you get off stress and anxiety
Educate
07/05/20 11:22 PM CDT
Thanks for telling me.
Any nausea?
Question
07/05/20 11:22 PM CDT
No, I’m fine.
Any vomiting?
Question
07/05/20 11:22 PM CDT
No.
Any constipation?
Question
07/05/20 11:23 PM CDT
I don’t have that problem.
any medications that you use?
Question
07/05/20 11:24 PM CDT
I have a daily inhaler. And I’ve been taking antacid chews sometimes for my stomach, too.
what is your highest level of education?
Question
07/05/20 11:24 PM CDT
Well, I’m finishing up my Bachelor’s degree right now.
what course are you pursuing? (No matching questions found.)
Question
07/05/20 11:24 PM CDT
what is your major?
Question
07/05/20 11:25 PM CDT
I’m going to get my bachelor’s in accounting tina jones gastrointestinal shadow health transcript.
Are you working?
Question
07/05/20 11:25 PM CDT
I’m a supervisor at Mid-American Copy & Ship. I’ve been working there since high school, and I’ve just kept moving up.
great, how is the work environment? (Clarified to How is work going?.)
Question
07/05/20 11:25 PM CDT
I like my job now, but once I graduate I’d really like to get a job at an accounting firm. I want my job to teach me new things and allow for real advancement. (Clarified to how work is.)
who do you live with?
Question
07/05/20 11:26 PM CDT
Right now I live back at home with my mom and my sister.
Tested skin turgor on forearm
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07/05/20 11:27 PM CDT
Inspected right side of abdomen
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07/05/20 11:29 PM CDT
Inspected front of abdomen
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Inspected left side of abdomen
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07/05/20 11:29 PM CDT
Auscultated breath sounds in anterior right middle lobe
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Auscultated breath sounds in anterior right upper lobe
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07/05/20 11:30 PM CDT
Auscultated breath sounds in anterior right lower lobe
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07/05/20 11:30 PM CDT
Auscultated breath sounds in anterior left mid-chest (upper lobe)
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07/05/20 11:30 PM CDT
Auscultated breath sounds in anterior left upper lobe
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07/05/20 11:30 PM CDT
Auscultated breath sounds in anterior left lower lobe
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07/05/20 11:30 PM CDT
Auscultated breath sounds in posterior left lower lobe on side
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07/05/20 11:30 PM CDT
Auscultated breath sounds in posterior left lower lobe near spine
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07/05/20 11:30 PM CDT
Auscultated breath sounds in posterior left lower lobe
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07/05/20 11:30 PM CDT
Auscultated breath sounds in posterior left mid-back (lower lobe)
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07/05/20 11:30 PM CDT
Auscultated breath sounds in posterior left lower lobe near spine
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07/05/20 11:30 PM CDT
Auscultated breath sounds in posterior right mid-back (lower lobe)
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07/05/20 11:30 PM CDT
Auscultated breath sounds in posterior right lower lobe near spine
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07/05/20 11:30 PM CDT
Auscultated breath sounds in posterior right lower lobe on side
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07/05/20 11:31 PM CDT
Auscultated breath sounds in posterior right upper lobe
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07/05/20 11:31 PM CDT
Auscultated breath sounds in posterior left upper lobe
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07/05/20 11:31 PM CDT
Auscultated breath sounds in posterior right lower lobe
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07/05/20 11:31 PM CDT
Auscultated aortic area with the bell
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Auscultated tricuspid area with the bell
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07/05/20 11:31 PM CDT
Auscultated mitral area with the bell tina jones gastrointestinal shadow health transcript
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07/05/20 11:31 PM CDT
Auscultated Erb’s point with the bell
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07/05/20 11:31 PM CDT
Auscultated pulmonic area with the bell
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07/05/20 11:32 PM CDT
Auscultated right upper quadrant
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07/05/20 11:32 PM CDT
Auscultated left lower quadrant
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Auscultated left upper quadrant
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Auscultated right lower quadrant
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Auscultated aorta in abdomen
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07/05/20 11:32 PM CDT
Auscultated right lower quadrant
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07/05/20 11:35 PM CDT
Auscultated right upper quadrant
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07/05/20 11:35 PM CDT
Auscultated left upper quadrant
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07/05/20 11:35 PM CDT
Auscultated aorta in abdomen
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07/05/20 11:35 PM CDT
Auscultated left renal artery
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07/05/20 11:36 PM CDT
Auscultated right renal artery
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07/05/20 11:36 PM CDT
Auscultated left iliac artery
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Auscultated right iliac artery
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Auscultated right femoral artery
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07/05/20 11:36 PM CDT
Auscultated left femoral artery
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07/05/20 11:37 PM CDT
Auscultated right femoral artery
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07/05/20 11:37 PM CDT
Percussed right upper quadrant
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07/05/20 11:38 PM CDT
Percussed left upper quadrant
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07/05/20 11:38 PM CDT
Percussed right lower quadrant
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07/05/20 11:38 PM CDT
Percussed left flank for CVA tenderness
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07/05/20 11:38 PM CDT
Percussed right flank for CVA tenderness
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07/05/20 11:38 PM CDT
Percussed spleen
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07/05/20 11:39 PM CDT
Percussed for liver span: 7 cm in the mid-clavicular line
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07/05/20 11:39 PM CDT
Palpated right lower quadrant with light pressure: No tenderness reported; no masses, guarding, or distension
Exam Action
07/05/20 11:40 PM CDT
Palpated left lower quadrant with light pressure: No tenderness reported; no masses, guarding, or distension
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07/05/20 11:40 PM CDT
Palpated right upper quadrant with light pressure: No tenderness reported; no masses, guarding, or distension
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07/05/20 11:40 PM CDT
Palpated left upper quadrant with light pressure: No tenderness reported; no masses, guarding, or distension
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07/05/20 11:40 PM CDT
Palpated right upper quadrant with deep pressure: No masses
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07/05/20 11:41 PM CDT
Palpated left lower quadrant with deep pressure: No masses
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07/05/20 11:41 PM CDT
Palpated right upper quadrant with deep pressure: No masses
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07/05/20 11:42 PM CDT
Palpated left upper quadrant with deep pressure: No masses
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07/05/20 11:42 PM CDT
Palpated right lower quadrant: with deep pressure: No masses
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07/05/20 11:42 PM CDT
Palpated liver: Palpable 1 cm below right costal margin
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07/05/20 11:42 PM CDT
Palpated for spleen: Not palpable
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07/05/20 11:43 PM CDT
Palpated for right kidney: Not palpable
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07/05/20 11:43 PM CDT
Palpated for left kidney: Not palpable
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07/05/20 11:43 PM CDTtina jones gastrointestinal shadow health transcript
