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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.

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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?

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