Felipe Barbosa Sick Visit: Integumentary ShadowHealth Transcript

Felipe Barbosa Sick Visit: Integumentary ShadowHealth Transcript

Transcript

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

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

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Greet
02/19/23 5:47 PM EST

Felipe Barbosa:
Hi.

Your Avatar:
What is your name?

Question
02/19/23 5:47 PM EST

Felipe Barbosa:
Felipe Barbosa

Felipe Barbosa Sick Visit: Integumentary ShadowHealth Transcript

Your Avatar:
What brings you here today?

Question
02/19/23 5:48 PM EST

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

Your Avatar:
I am sorry about that

Empathize
02/19/23 5:49 PM EST

Felipe Barbosa:
Thank you.

Your Avatar:
How long have you had the pain and rash?

Question
02/19/23 5:51 PM EST

Felipe Barbosa:
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]

Your Avatar:
Can you describe the rash?

Question
02/19/23 5:51 PM EST

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

Your Avatar:
How long does the pain last?

Question
02/19/23 5:52 PM EST

Felipe Barbosa:
The pain has been constant.

Your Avatar:
How severe is your pain?

Question
02/19/23 5:53 PM EST

Felipe Barbosa:
Pain — 7 out of 10.

PLACE YOUR ORDER HERE

Your Avatar:
Where is the rash located?

Question
02/19/23 5:53 PM EST

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

Your Avatar:
What relieves your symptoms?

Question
02/19/23 5:53 PM EST

Felipe Barbosa:
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.

Your Avatar:
I’m glad that ibuprofen helped a little

Empathize
02/19/23 5:55 PM EST

Felipe Barbosa:
I appreciate that.

Your Avatar:
What makes your symptoms worse

Question
02/19/23 5:56 PM EST

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

Your Avatar:
What is your medical history?

Question
02/19/23 5:57 PM EST

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

Your Avatar:
Any allergies?

Question
02/19/23 5:57 PM EST

Felipe Barbosa:
Nope, I don’t have allergies.

Your Avatar:
Have you had a rash in the past?

Question
02/19/23 5:58 PM EST

Felipe Barbosa:
Yeah I have a rash and pain in my back.

Your Avatar:
Are your immunizations up to date?

Question
02/19/23 5:58 PM EST

Felipe Barbosa:
Yup, I have all my shots.

Your Avatar:
Any past history of skin conditions?

Question
02/19/23 5:59 PM EST

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

Your Avatar:
Any history of chronic disease?

Question
02/19/23 6:02 PM EST

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

Your Avatar:
Are you using any other medications?

Question
02/19/23 6:03 PM EST

Felipe Barbosa:
I don’t have any prescriptions. I just take ibuprofen.

Your Avatar:
Have you been sexually active

Question
02/19/23 6:03 PM EST

Felipe Barbosa:
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]

Your Avatar:
Some skin conditions are spread through contact

Educate
02/19/23 6:05 PM EST

Felipe Barbosa:
I’ll make a note of that.

Your Avatar:
Any fever?

Question
02/19/23 6:05 PM EST

Felipe Barbosa:
No, I haven’t had a fever.

Your Avatar:
Any history of eczema?

Question
02/19/23 6:06 PM EST

Felipe Barbosa:
I don’t have any clinical mental health issues, but I’m grappling with a traumatic incident — my best friend died recently.

Your Avatar:
Am sorry about that

Empathize
02/19/23 6:07 PM EST

Felipe Barbosa:
Thanks.

Your Avatar:
Are you using any supplements?

Question
02/19/23 6:08 PM EST

Felipe Barbosa:
No, I don’t take vitamins or supplements.

Your Avatar:
Any recent travel?

Question
02/19/23 6:09 PM EST

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

Your Avatar:
Any history of surgeries?

Question
02/19/23 6:09 PM EST

Felipe Barbosa:
Nope, I’ve never had surgery before.

Your Avatar:
Any history of hospitalizations?

Question
02/19/23 6:10 PM EST

Felipe Barbosa:
Nope, no hospitalizations.

Your Avatar:
Any recent exposure to chemicals?

Question
02/19/23 6:13 PM EST

Felipe Barbosa:
No, I haven’t touched any strange plants or anything. [AUDIO COMING SOON]

Your Avatar:
What is your diet like?

Question
02/19/23 6:13 PM EST

Felipe Barbosa:
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.

Your Avatar:
Healthy diet is good for your skin

Educate
02/19/23 6:15 PM EST

Felipe Barbosa:
Ah, alright, thanks.

Your Avatar:
Any family history of skin conditions?

Question
02/19/23 6:16 PM EST

Felipe Barbosa:
I don’t think any skin diseases run in

my family. [AUDIO COMING SOON]

Your Avatar:
Any joint pain?

Question
02/19/23 6:18 PM EST

Felipe Barbosa:
I don’t have any joint issues.

Your Avatar:
Any night sweats?

Question
02/19/23 6:18 PM EST

Felipe Barbosa:
I don’t get night sweats.

Your Avatar:
Any vision problems?

Question
02/19/23 6:20 PM EST

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

Your Avatar:
Any numbness or tingling?

Question
02/19/23 6:21 PM EST

Felipe Barbosa:
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.

Your Avatar:
Am sorry about that

Empathize
02/19/23 6:22 PM EST

Felipe Barbosa:
That’s nice of you.

Your Avatar:
Any nausea?

Question
02/19/23 6:22 PM EST

Felipe Barbosa:
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

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

Exam Action
02/19/23 7:10 PM EST

Your Avatar:
Assessed location of rash.

Exam Action
02/19/23 7:12 PM EST

Your Avatar:
Assessed character of rash.

Exam Action
02/19/23 7:13 PM EST

Your Avatar:
Palpated abdomen light

Exam Action
02/19/23 7:13 PM EST

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

Exam Action
02/19/23 7:14 PM EST

Your Avatar:
Palpated rash: Patient verbalized pain by saying “Ouch” upon palpation

Exam Action
02/19/23 7:14 PM EST

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

Exam Action
02/19/23 7:15 PM EST

Your Avatar:
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

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

Exam Action
02/19/23 7:15 PM EST

Your Avatar:
Are you able to work?

Question
02/19/23 7:22 PM EST

Felipe Barbosa:
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.

Your Avatar:
Can you stand?

Question
02/19/23 7:25 PM EST

Your Avatar:
Have the symptoms affected your sleep?

Question
02/19/23 7:25 PM EST

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

Your Avatar:
Any fatigue?

Question
02/19/23 7:26 PM EST

Felipe Barbosa:
Yeah, I’ve been tired lately.

Your Avatar:
How many hours do you sleep per day?

Question
02/19/23 7:26 PM EST

Felipe Barbosa:
Usually 8 hours a night.

Your Avatar:
Any sore throat?

Question
02/19/23 7:27 PM EST

Felipe Barbosa:
My throat feels fine.

Your Avatar:
Any history of infection?

Question
02/19/23 7:28 PM EST

Felipe Barbosa:
Um . . . that’s sort of out of nowhere, but no, I don’t have an STD.

Your Avatar:
Any stress?

Question
02/19/23 7:29 PM EST

Felipe Barbosa:
I recently lost my best friend . . . he died in the line of duty, he was a firefighter too. It’s been hard.

Your Avatar:
Am sorry about that

Empathize
02/19/23 7:30 PM EST

Felipe Barbosa:
I appreciate it.

Your Avatar:
Any history of back pain?

Question
02/19/23 7:34 PM EST

Felipe Barbosa:
Before the current pain in my right lower back, I haven’t had major back pain.

Your Avatar:
Are you depressed?

Question
02/19/23 7:34 PM EST

Felipe Barbosa:
I don’t have clinical depression or anything, but . . . I lost my best friend recently, and I’ve been in mourning.

Your Avatar:
Any history of HIV?

Tips for Achieving Success in Walden University Discussion Posts

Question
02/19/23 7:35 PM EST

Felipe Barbosa:
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.

Your Avatar:
Any history of childhood illnesses?

Question
02/19/23 7:36 PM EST

Felipe Barbosa:
Um, I had chickenpox as a kid.

Your Avatar:
Does the pain radiate?

Question
02/19/23 7:42 PM EST

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

Your Avatar:
Do you work?

Question
02/19/23 7:43 PM EST

Felipe Barbosa:
Yeah, I’m a firefighter.

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

Greet
02/19/23 5:47 PM EST

Felipe Barbosa.
Hi.
Your Avatar.
What is your name?

Question
02/19/23 5:47 PM EST

Felipe Barbosa.
Felipe Barbosa
Felipe Barbosa Sick Visit: Integumentary ShadowHealth Transcript
Your Avatar.
What brings you here today?

Question
02/19/23 5:48 PM EST

Felipe Barbosa.
I’m here for this pain and rash on my back.
Your Avatar.
I am sorry about that

Empathize
02/19/23 5:49 PM EST

Felipe Barbosa.
Thank you.
Your Avatar.
How long have you had the pain and rash?

Question
02/19/23 5:51 PM EST

Felipe Barbosa.
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]
Your Avatar.
Can you describe the rash?

Question
02/19/23 5:51 PM EST

Felipe Barbosa.
Yeah, the rash is red, has small blisters, and I feel a burning pain.
Your Avatar.
How long does the pain last?

Question
02/19/23 5:52 PM EST

Felipe Barbosa.
The pain has been constant.
Your Avatar.
How severe is your pain?

Question
02/19/23 5:53 PM EST

Your Avatar.
Where is the rash located?

Question
02/19/23 5:53 PM EST

Felipe Barbosa.
The rash is on my right lower back. I have pain there too, but it’s not radiating.
Your Avatar.
What relieves your symptoms?

Question
02/19/23 5:53 PM EST

Felipe Barbosa.
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.
Your Avatar.
I’m glad that ibupfrofen helped a little

Empathize
02/19/23 5:55 PM EST

Felipe Barbosa.
I appreciate that.
Your Avatar.
What makes your symptoms worse

Question
02/19/23 5:56 PM EST

Felipe Barbosa.
Sweat and being hot make the pain feel worse. The pain is constant and in the area of the rash.
Your Avatar.
What is your medical history?

Question
02/19/23 5:57 PM EST

Felipe Barbosa.
Aside from the rash and the pain, no other health issues.
Your Avatar.
Any allergies?

Question
02/19/23 5:57 PM EST

Felipe Barbosa.
Nope, I don’t have allergies.
Your Avatar.
Have you had a rash in the past?

Question
02/19/23 5:58 PM EST

Felipe Barbosa.
Yeah I have a rash and pain in my back.
Your Avatar.
Are your immunizations up to date?

Question
02/19/23 5:58 PM EST

Felipe Barbosa.
Yup, I have all my shots.
Your Avatar.
Any past history of skin conditions?

Question
02/19/23 5:59 PM EST

Felipe Barbosa.
I don’t have any skin conditions or other medical conditions. Just this rash. [AUDIO COMING SOON]
Your Avatar.
Any history of chronic disease?

Question
02/19/23 6:02 PM EST

Felipe Barbosa.
Yeah, my family has some health issues — Dad has high cholesterol and hypertension. Mom has diabetes. They’re both living.
Your Avatar.
Are you using any other medications? (Clarified to What other medications are you taking?.)

Question
02/19/23 6:03 PM EST

Felipe Barbosa.
I don’t have any prescriptions. I just take ibuprofen. (Clarified to what other medications I am taking.)
Your Avatar.
Have you been sexually active

Question
02/19/23 6:03 PM EST

Felipe Barbosa.
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]
Your Avatar.
Some skin conditions are spread through contact

Educate
02/19/23 6:05 PM EST

Felipe Barbosa.
I’ll make a note of that.
Your Avatar.
Any fever?

Question
02/19/23 6:05 PM EST

Felipe Barbosa.
No, I haven’t had a fever.
Your Avatar.
Any history of eczema? (Clarified to Do you have a history of psychiatric illness?.)

Question
02/19/23 6:06 PM EST

Felipe Barbosa.
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.)
Your Avatar.
Am sorry about that

Empathize
02/19/23 6:07 PM EST

Felipe Barbosa.
Thanks.
Your Avatar.
Are you using any supplements? (Clarified to Do you take vitamins or supplements?.)

Question
02/19/23 6:08 PM EST

Felipe Barbosa.
No, I don’t take vitamins or supplements. (Clarified to if I take vitamins or supplements.)
Your Avatar.
Any recent travel?

Question
02/19/23 6:09 PM EST

Felipe Barbosa.
We haven’t traveled recently. Not since our honeymoon a few years ago. [AUDIO COMING SOON]
Your Avatar.
Any history of surgeries?

Question
02/19/23 6:09 PM EST

Felipe Barbosa.
Nope, I’ve never had surgery before.
Your Avatar.
Any history of hospitalizations?

Question
02/19/23 6:10 PM EST

Felipe Barbosa.
Nope, no hospitalizations.
Your Avatar.
Any recent exposure to chemicals? (Clarified to Have you had any recent exposure to plants?.)

Question
02/19/23 6:13 PM EST

Felipe Barbosa.
No, I haven’t touched any strange plants or anything. [AUDIO COMING SOON] (Clarified to if I have had recent exposure to plants.)
Your Avatar.
What is your diet like?

Question
02/19/23 6:13 PM EST

Felipe Barbosa.
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.
Your Avatar.
Healthy diet is good for your skin

Educate
02/19/23 6:15 PM EST

Felipe Barbosa.
Ah, alright, thanks.
Your Avatar.
Any family history of skin conditions?

Question
02/19/23 6:16 PM EST

Felipe Barbosa.
I don’t think any skin diseases run in my family. [AUDIO COMING SOON]
Your Avatar.
Any joint pain?

Question
02/19/23 6:18 PM EST

Felipe Barbosa.
I don’t have any joint issues.
Your Avatar.
Any night sweats? Felipe Barbosa Sick Visit: Integumentary ShadowHealth Transcript

Question
02/19/23 6:18 PM EST

Felipe Barbosa.
I don’t get night sweats.
Your Avatar.
Any vision problems?

Question
02/19/23 6:20 PM EST

Felipe Barbosa.
My eyes and vision are good. [AUDIO COMING SOON]
Your Avatar.
Any numbness or tingling?

Question
02/19/23 6:21 PM EST

Felipe Barbosa.
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.
Your Avatar.
Am sorry about that

Empathize
02/19/23 6:22 PM EST

Felipe Barbosa.
That’s nice of you.
Your Avatar.
Any nausea?

Question
02/19/23 6:22 PM EST

Felipe Barbosa.
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

Your Avatar.
 Auscultated heart sounds: S1 and S2 audible with no extra heart sounds

Exam Action
02/19/23 7:10 PM EST

Your Avatar.
 Assessed location of rash.

Exam Action
02/19/23 7:12 PM EST

Your Avatar.
 Assessed character of rash.

Exam Action
02/19/23 7:13 PM EST

Your Avatar.
 Palpated abdomen light

Exam Action
02/19/23 7:13 PM EST

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

Exam Action
02/19/23 7:14 PM EST

Your Avatar.
 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

Your Avatar.
 Tested sensation in left and right legs: Expected sensation in left and right legs

Exam Action
02/19/23 7:15 PM EST

Your Avatar.
 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

Your Avatar.
 Tested spine range of motion: Full range of motion performed without discomfort

Exam Action
02/19/23 7:15 PM EST

Your Avatar.
Are you able to work?

Question
02/19/23 7:22 PM EST

Felipe Barbosa.
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.
Your Avatar.
Can you stand? (No matching questions found.)

Question
02/19/23 7:25 PM EST

Your Avatar.
Have the symptoms affected your sleep?

Question
02/19/23 7:25 PM EST

Felipe Barbosa.
Aside from the pain, I have a rash and I’ve been feeling a little tired.
Your Avatar.
Any fatigue?

Question
02/19/23 7:26 PM EST

Felipe Barbosa.
Yeah, I’ve been tired lately.
Your Avatar.
How many hours do you sleep per day?

Question
02/19/23 7:26 PM EST

Felipe Barbosa.
Usually 8 hours a night. [AUDIO COMING SOON]
Your Avatar.
Any sore throat?

Question
02/19/23 7:27 PM EST

Felipe Barbosa.
My throat feels fine. [AUDIO COMING SOON]
Your Avatar.
Any history of infection? (Clarified to Have you ever been diagnosed with an STD?.)

Question
02/19/23 7:28 PM EST

Felipe Barbosa.
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
Your Avatar.
Any stress? (Clarified to Have you been stressed recently?.)

Question
02/19/23 7:29 PM EST

Felipe Barbosa.
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.)
Your Avatar.
Am sorry about that

Empathize
02/19/23 7:30 PM EST

Felipe Barbosa.
I appreciate it. Felipe Barbosa Sick Visit: Integumentary ShadowHealth Transcript
Your Avatar.
Any history of back pain?

Question
02/19/23 7:34 PM EST

Felipe Barbosa.
Before the current pain in my right lower back, I haven’t had major back pain. [AUDIO COMING SOON]
Your Avatar.
Are you depressed?

Question
02/19/23 7:34 PM EST

Felipe Barbosa.
I don’t have clinical depression or anything, but . . . I lost my best friend recently, and I’ve been in mourning. [AUDIO COMING SOON]
Your Avatar.
Any history of HIV? (Clarified to Do you have a history of anxiety?.)

Question
02/19/23 7:35 PM EST

Felipe Barbosa.
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.)
Your Avatar.
Any history of childhood illnesses?

Question
02/19/23 7:36 PM EST

Felipe Barbosa.
Um, I had chickenpox as a kid.
Your Avatar.
Does the pain radiate?

Question
02/19/23 7:42 PM EST

Felipe Barbosa.
The pain in the rash area is really only on my right lower back. It doesn’t go anywhere else.
Your Avatar.
Do you work?

Question
02/19/23 7:43 PM EST

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Felipe Barbosa.
Yeah, I’m firefighter.
Felipe Barbosa Sick Visit: Integumentary ShadowHealth Transcript

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