Felipe Barbosa Sick Visit: Integumentary ShadowHealth Transcript

Felipe Barbosa Sick Visit: Integumentary ShadowHealth Transcript

Transcript

Started:
Feb 16, 2023 | 
Total Time:
102 min

All Lines (82)
Interview Questions (59)
Statements (9)
Exam Actions (14)

Hello. I am xxx, I will interview and examine you.

Greet

02/19/23 5:47 PM EST

Hi.

What is your name?

Question

02/19/23 5:47 PM EST

Felipe Barbosa

Felipe Barbosa Sick Visit: Integumentary ShadowHealth Transcript

What brings you here today?

Question

02/19/23 5:48 PM EST

I’m here for this pain and rash on my back.

I am sorry about that

Empathize

02/19/23 5:49 PM EST

Thank you.

How long have you had the pain and rash?

Question

02/19/23 5:51 PM EST

The pain and rash has been going on for two days, though I had some tingling in the area four days ago . . . [AUDIO COMING SOON]

Can you describe the rash?

Question

02/19/23 5:51 PM EST

Yeah, the rash is red, has small blisters, and I feel a burning pain.

How long does the pain last?

Question

02/19/23 5:52 PM EST

The pain has been constant.

How severe is your pain?

Question

02/19/23 5:53 PM EST

Pain — 7 out of 10.

PLACE YOUR ORDER HERE

Where is the rash located?

Question

02/19/23 5:53 PM EST

The rash is on my right lower back. I have pain there too, but it’s not radiating.

What relieves your symptoms?

Question

02/19/23 5:53 PM EST

I took some ibuprofen for the pain — that helped a little. I tried an ice pack, but that did nothing. I didn’t try any ointments or anything for the rash.

I’m glad that ibupfrofen helped a little

Empathize

02/19/23 5:55 PM EST

I appreciate that.

What makes your symptoms worse

Question

02/19/23 5:56 PM EST

Sweat and being hot make the pain feel worse. The pain is constant and in the area of the rash.

What is your medical history?

Question

02/19/23 5:57 PM EST

Aside from the rash and the pain, no other health issues.

Any allergies?

Question

02/19/23 5:57 PM EST

Nope, I don’t have allergies.

Have you had a rash in the past?

Question

02/19/23 5:58 PM EST

Yeah I have a rash and pain in my back.

Are your immunizations up to date?

Question

02/19/23 5:58 PM EST

Yup, I have all my shots.

Any past history of skin conditions?

Question

02/19/23 5:59 PM EST

I don’t have any skin conditions or other medical conditions. Just this rash. [AUDIO COMING SOON]

Any history of chronic disease?

Question

02/19/23 6:02 PM EST

Yeah, my family has some health issues — Dad has high cholesterol and hypertension. Mom has diabetes. They’re both living.

Are you using any other medications? (Clarified to What other medications are you taking?.)

Question

02/19/23 6:03 PM EST

I don’t have any prescriptions. I just take ibuprofen. (Clarified to what other medications I am taking.)

Have you been sexually active

Question

02/19/23 6:03 PM EST

Not totally sure how that relates, but yes . . . I’m sexually active with my husband. Not since I got this rash, though. [AUDIO COMING SOON]

Some skin conditions are spread through contact

Educate

02/19/23 6:05 PM EST

I’ll make a note of that.

Any fever?

Question

02/19/23 6:05 PM EST

No, I haven’t had a fever.

Any history of eczema? (Clarified to Do you have a history of psychiatric illness?.)

Question

02/19/23 6:06 PM EST

I don’t have any clinical mental health issues, but I’m grappling with a traumatic incident — my best friend died recently. (Clarified to if I have a history of psychiatric illness.)

Am sorry about that

Empathize

02/19/23 6:07 PM EST

Thanks.

Are you using any supplements? (Clarified to Do you take vitamins or supplements?.)

Question

02/19/23 6:08 PM EST

No, I don’t take vitamins or supplements. (Clarified to if I take vitamins or supplements.)

Any recent travel?

Question

02/19/23 6:09 PM EST

We haven’t traveled recently. Not since our honeymoon a few years ago. [AUDIO COMING SOON]

Any history of surgeries?

Question

02/19/23 6:09 PM EST

Nope, I’ve never had surgery before.

Any history of hospitalizations?

Question

02/19/23 6:10 PM EST

Nope, no hospitalizations.

Any recent exposure to chemicals? (Clarified to Have you had any recent exposure to plants?.)

Question

02/19/23 6:13 PM EST

No, I haven’t touched any strange plants or anything. [AUDIO COMING SOON] (Clarified to if I have had recent exposure to plants.)

What is your diet like?

Question

02/19/23 6:13 PM EST

I usually do a protein shake for breakfast and load it up with lots of stuff — I use some super greens powder, or fresh greens if I have them on hand, some fruit, oatmeal, yogurt . . . they keep me pretty full in the morning before my workouts. Lunch is usually something quick like a salad and pizza, or grain bowl. Dinner I’ll have some steak or fish with pasta and roasted vegetables. I snack too . . . nuts, chips and guacamole, a good cheese plate, an occasional doughnut Felipe Barbosa Sick Visit: Integumentary ShadowHealth Transcript.

Healthy diet is good for your skin

Educate

02/19/23 6:15 PM EST

Ah, alright, thanks.

Any family history of skin conditions?

Question

02/19/23 6:16 PM EST

I don’t think any skin diseases run in my family. [AUDIO COMING SOON]

Any joint pain?

Question

02/19/23 6:18 PM EST

I don’t have any joint issues.

Any night sweats? Felipe Barbosa Sick Visit: Integumentary ShadowHealth Transcript

Question

02/19/23 6:18 PM EST

I don’t get night sweats.

Any vision problems?

Question

02/19/23 6:20 PM EST

My eyes and vision are good. [AUDIO COMING SOON]

Any numbness or tingling?

Question

02/19/23 6:21 PM EST

I have some tingling sensations in the rash area. The tingling has been going on for about four days. The rash only showed up two days ago.

Am sorry about that

Empathize

02/19/23 6:22 PM EST

That’s nice of you.

Any nausea?

Question

02/19/23 6:22 PM EST

I haven’t been nauseated.

Auscultated breath sounds: Breath sounds present in all areas with no adventitious sounds

Exam Action

02/19/23 7:09 PM EST

 Auscultated heart sounds: S1 and S2 audible with no extra heart sounds

Exam Action

02/19/23 7:10 PM EST

 Assessed location of rash.

Exam Action

02/19/23 7:12 PM EST

 Assessed character of rash.

Exam Action

02/19/23 7:13 PM EST

 Palpated abdomen light

Exam Action

02/19/23 7:13 PM EST

 Palpated spine: Spine and accessory muscles were nontender to palpation.

Exam Action

02/19/23 7:14 PM EST

 Palpated rash: Patient verbalized pain by saying “Ouch” upon palpation Felipe Barbosa Sick Visit: Integumentary
ShadowHealth
Transcript

Exam Action

02/19/23 7:14 PM EST

 Tested sensation in left and right legs: Expected sensation in left and right legs

Exam Action

02/19/23 7:15 PM EST

 Tested sensation of left and right feet: Tested sensation in feet. Expected sensation in left and right feet

Exam Action

02/19/23 7:15 PM EST

 Tested spine range of motion: Full range of motion performed without discomfort

Exam Action

02/19/23 7:15 PM EST

Are you able to work?

Question

02/19/23 7:22 PM EST

Well I’m a firefighter and I’ve been on my off schedule. I guess I’ll find out tomorrow when I’m back on shift if the pain is going to get in the way . . . I’ll grit through the pain.

Can you stand? (No matching questions found.)

Question

02/19/23 7:25 PM EST

Have the symptoms affected your sleep?

Question

02/19/23 7:25 PM EST

Aside from the pain, I have a rash and I’ve been feeling a little tired.

Any fatigue?

Question

02/19/23 7:26 PM EST

Yeah, I’ve been tired lately.

How many hours do you sleep per day?

Question

02/19/23 7:26 PM EST

Usually 8 hours a night. [AUDIO COMING SOON]

Any sore throat?

Question

02/19/23 7:27 PM EST

My throat feels fine. [AUDIO COMING SOON]

Any history of infection? (Clarified to Have you ever been diagnosed with an STD?.)

Question

02/19/23 7:28 PM EST

Um . . . that’s sort of out of nowhere, but no, I don’t have an STD. [AUDIO COMING SOON] (Clarified to if I have been diagnosed with an STD.) Felipe Barbosa Sick Visit: Integumentary ShadowHealth Transcript

Any stress? (Clarified to Have you been stressed recently?.)

Question

02/19/23 7:29 PM EST

I recently lost my best friend . . . he died in the line of duty, he was a firefighter too. It’s been hard. (Clarified to if I have been stressed out lately.)

Am sorry about that

Empathize

02/19/23 7:30 PM EST

I appreciate it. Felipe Barbosa Sick Visit: Integumentary ShadowHealth Transcript

Any history of back pain?

Question

02/19/23 7:34 PM EST

Before the current pain in my right lower back, I haven’t had major back pain. [AUDIO COMING SOON]

Are you depressed?

Question

02/19/23 7:34 PM EST

I don’t have clinical depression or anything, but . . . I lost my best friend recently, and I’ve been in mourning. [AUDIO COMING SOON]

Any history of HIV? (Clarified to Do you have a history of anxiety?.)

Question

02/19/23 7:35 PM EST

I don’t have an anxiety disorder . . . but . . . and I don’t know if “anxiety” is the right word . . . I lost my best friend recently, and I’ve definitely been on edge. [AUDIO COMING SOON] (Clarified to if I have a history of anxiety.)

Any history of childhood illnesses?

Question

02/19/23 7:36 PM EST

Um, I had chickenpox as a kid.

Does the pain radiate?

Question

02/19/23 7:42 PM EST

The pain in the rash area is really only on my right lower back. It doesn’t go anywhere else.

Do you work?

Question

02/19/23 7:43 PM EST

Yeah, I’m firefighter.

Felipe Barbosa Sick Visit: Integumentary ShadowHealth Transcript