Cardiovascular tina jones shadow health Transcript

Cardiovascular tina jones shadow health Transcript

Cardiovascular tina jones shadow health Transcript

Transcript

Started: Jun 27, 2020 | Total Time:109 min 

Your avatar Hello my name is Danielle I will be your provider today

Greet
06/27/20 3:27 PM CDT

Tina Jones Hey.  
Your avatar Can you verify your name

Question
06/27/20 3:27 PM CDT

Tina Jones Tina Jones.  
Your avatar Your date of birth

Question
06/27/20 3:27 PM CDT

Tina Jones February 17th.  
Your avatar Thank you

Question
06/27/20 3:27 PM CDT

Tina Jones You’re welcome.  
Your avatar What brings you in today

Question
06/27/20 3:27 PM CDT

Tina Jones I’ve been noticing my heart seems to be beating too fast every once in a while lately, and it started to worry me. My mom said I should make an appointment. You don’t want to ignore heart stuff, I guess.  
Your avatar I’m sorry to hear you’re experiencing those symptoms, they can be very uncomfortable. I’ll ask you some questions to learn more about your symptoms, and we will try to determine what’s causing you to feel this way

Empathize
06/27/20 3:29 PM CDT

Tina Jones Thanks for saying that.  
Your avatar When did you first notice these symptoms

Question
06/27/20 3:30 PM CDT

Tina Jones I think the first time was about a month ago.  
Your avatar What were you doing when you noticed these symptoms (Clarified to What were you doing when you got the palpitations?.)

Question
06/27/20 3:30 PM CDT

Tina Jones I usually notice them on my way to class in the mornings. My schoolwork has really been picking up and I’ve been drinking energy drinks to help keep me focused during the day, so maybe the caffeine or whatever else is in those things has something to do with it. (Clarified to what I was doing when the palpitations occured.)  
Your avatar How many energy drinks do you drink per day

Question
06/27/20 3:31 PM CDT

Tina Jones Usually just one in the morning, kind of like some people have a cup of coffee. Some mornings lately I’ve had two, though.  
Your avatar Drinking high levels of caffeine can make you feel stressed or anxious, and can dehydrate you. over time, lots of caffeine can make you experience “crashes” during the day, too. let’s talk about healthy alternatives

Educate
06/27/20 3:33 PM CDT

Tina Jones Sure, I think I understand what you mean.  
Your avatar How often were you experiencing these symptoms

Question
06/27/20 3:33 PM CDT

Tina Jones No.  
Your avatar How often do you notice your heart racing fast (Clarified to How often does your heart beat fast?.)

Question
06/27/20 3:33 PM CDT

Tina Jones It’s been about once a week for the past month. (Clarified to how often my heart beats fast.)  
Your avatar Can you describe it for me (Clarified to What is your heartbeat like?.)

Question
06/27/20 3:34 PM CDT

Tina Jones It’s usually normal, but it’s way faster during these episodes I’ve been having. (Clarified to what my heartbeat is like.)  
Your avatar How do you feel when your heart is racing fast

Question
06/27/20 3:34 PM CDT

Tina Jones Well, when my heart starts beating really fast, it just feels like a thumping in my chest. It makes me anxious and uncomfortable.  
Your avatar Is there anything that relieves the fast heartbeat (Clarified to Does anything relieve your symptoms?.)

Question
06/27/20 3:35 PM CDT

Tina Jones I haven’t tried anything specific, other than just trying to relax and breathe deep. (Clarified to if anything relieves my symptoms.)  
Your avatar Do you take any medications to help you with your symptoms

Question
06/27/20 3:35 PM CDT

Tina Jones Nope.  
Your avatar What medications are you taking

Question
06/27/20 3:35 PM CDT

Tina Jones I have a daily inhaler and a rescue inhaler for my asthma.  
Your avatar Are you taking any new medications

Question
06/27/20 3:36 PM CDT

Tina Jones Yeah, I have a daily inhaler now that I’ve been using.  
Your avatar What’s the name of the medication

Question
06/27/20 3:36 PM CDT

Tina Jones The daily inhaler is Flovent, and the rescue inhaler is Proventil.  
Your avatar Do you have any new allergies

Question
06/27/20 3:36 PM CDT

Tina Jones No, not that I know of.  
Your avatar Do you have a history of hypertension

Question
06/27/20 3:37 PM CDT

Tina Jones …I’ve never been diagnosed with blood pressure problems. But I think it can be on the high side sometimes.  
Your avatar Do you check your blood pressure

Question
06/27/20 3:37 PM CDT

Tina Jones Only when I’m here at the clinic.  
Your avatar Do you have any health history that would contribute to hypertension (No matching questions found.)

Question
06/27/20 3:38 PM CDT

Your avatar Do you have diabetes

Question
06/27/20 3:38 PM CDT

Tina Jones Yeah, I was diagnosed a few years ago.  
Your avatar Do you have high cholesterol

Question
06/27/20 3:38 PM CDT

Tina Jones I’ve never had it tested. My family has problems with high cholesterol, but I don’t think I do.  
Your avatar Any history of a heart murmur

Question
06/27/20 3:38 PM CDT

Tina Jones No.  
Your avatar Do you have health insurance

Question
06/27/20 3:39 PM CDT

Tina Jones I have health insurance through work. To be honest, though, I’m not exactly sure what it covers.  
Your avatar Are you able to afford your Medications

Question
06/27/20 3:41 PM CDT

Tina Jones It wasn’t the cost that was a problem. I just didn’t like taking it.  
Your avatar What is your access to healthcare

Question
06/27/20 3:42 PM CDT

Tina Jones I have health insurance through my job, so I can go to the doctor if I need to. It’s always a hassle though, so I try to avoid it unless I really have to like right now.  
Your avatar Do you have anything that stresses you out (Clarified to Are you stressed out?.)

Question
06/27/20 3:44 PM CDT

Tina Jones Yeah, I’ve been pretty stressed lately. (Clarified to if I am stressed out.)  
Your avatar What are you stressed about

Question
06/27/20 3:44 PM CDT

Tina Jones School is really busy right now, like I have a lot of projects due all around the same time. And on top of that, I’ve had to cover more at work lately, and I’m in charge of a big project at work, too.  
Your avatar Sounds like you’re working really hard. I’m sorry you’re dealing with so much stress.

Empathize
06/27/20 3:45 PM CDT

Tina Jones Thanks for understanding.  
Your avatar Tell me about your diet (Clarified to What is your diet like?.)

Question
06/27/20 3:46 PM CDT

Tina Jones It’s pretty good, I think. I’m not a huge health nut or anything. (Clarified to what my diet is like.)  
Your avatar What are usually eat in a typical day

Question
06/27/20 3:46 PM CDT

Tina Jones Let’s see . . . a muffin or pumpkin bread for breakfast, a sandwich for lunch, and some kind of meat with a veggie for dinner.  
Your avatar Do you have snacks

Question
06/27/20 3:46 PM CDT

Tina Jones Yeah, I usually have some snacks during the day.  
Your avatar What type of snacks

Question
06/27/20 3:46 PM CDT

Tina Jones I try to eat snacks that are kind of healthy like pretzels–sometimes if I’ll treat myself and get french fries, but I try not to do that too often.  
Your avatar Do you exercise

Question
06/27/20 3:47 PM CDT

Tina Jones I’m pretty exhausted by the end of the day, so I don’t have the energy to do any extra exercise. But I’m on my feet all the time at work so I feel like that’s a little bit of exercise most days at least.  
Your avatar I understand being busy and having very little free time. however, exercise is healthy for you, and can even relieve stress. even small amounts of exercise, such as taking a short walk, can improve your health

Educate
06/27/20 3:49 PM CDT

Tina Jones Thanks for telling me.  
Your avatar Do you use any recreational drugs

Question
06/27/20 3:49 PM CDT

Tina Jones No.  
Your avatar Do you use tobacco products

Question
06/27/20 3:49 PM CDT

Tina Jones No. I think it’s gross.  
Your avatar Do you drink alcohol

Question
06/27/20 3:50 PM CDT

Tina Jones I do sometimes, yeah, when I go out with my friends.  
Your avatar How often do you drink alcohol

Question
06/27/20 3:50 PM CDT

Tina Jones No more than once or twice a week, sometimes less.  
Your avatar How much do you drink when you go out

Question
06/27/20 3:50 PM CDT

Tina Jones Just a few. I’m not a big drinker.  
Your avatar How do you feel overall

Question
06/27/20 3:51 PM CDT

Tina Jones I’m feeling fine right now, but I wanted to make sure there’s nothing serious going on with my heart.  
Your avatar Do you have any other symptoms

Question
06/27/20 3:51 PM CDT

Tina Jones I guess when it happens I feel a bit worried, like anxious, but that’s all.  
Your avatar Do you experience any fatigue

Question
06/27/20 3:51 PM CDT

Tina Jones Yeah, most days I feel pretty exhausted by the end of the day.  
Your avatar Do you have any nausea vomiting

Question
06/27/20 3:51 PM CDT

Tina Jones I haven’t had thrown up, or even had an upset stomach, in a long time.  
Your avatar Have you noticed any swelling in your legs

Question
06/27/20 3:52 PM CDT

Tina Jones No, not that I have noticed.  
Your avatar Do you have a family history of heart problems

Question
06/27/20 3:52 PM CDT

Tina Jones Um, none that I know of. Wait, my Poppa–that’s Mom’s dad–died of a heart attack.  
Your avatar Do you have a family history of heart disease

Question
06/27/20 3:52 PM CDT

Tina Jones Um, none that I know of. Wait, my Poppa–that’s Mom’s dad–died of a heart attack.  
Your avatar Any family history of high cholesterol

Question
06/27/20 3:53 PM CDT

Tina Jones Cholesterol runs high in my family. All four of my grandparents have high cholesterol, and Mom and Dad, too.  
Your avatar Family history of obesity

Question
06/27/20 3:53 PM CDT

Tina Jones No, I don’t think so. My brother and my dad are kind of big, but I wouldn’t say they were obese or anything.  
Your avatar Family history of a stroke

Question
06/27/20 3:53 PM CDT

Tina Jones Yeah, that’s how my Nana died.  
Your avatar Any family history of hypertension

Question
06/27/20 3:53 PM CDT

Tina Jones We’ve got high blood pressure in our family for sure. Granny, Mom, and Dad had it…and honestly I think my other three grandparents might’ve had issues with that, too.  
Your avatar A family history of hypertension means that you may be at risk for developing it, too, and you’ve had some high blood pressure readings. keeping your blood pressure low is important to avoid health problems in the future with your health and other organs

Educate
06/27/20 3:55 PM CDT

Tina Jones Alright, thanks for letting me know.  
Your avatar I am going to examine you now

Question
06/27/20 3:56 PM CDT

Tina Jones Alright.  
Your avatar Inspected anterior chest wall

Exam Action
06/27/20 3:56 PM CDT

Your avatar Inspected right side chest wall

Exam Action
06/27/20 3:56 PM CDT

Your avatar Inspected anterior chest wall

Exam Action
06/27/20 3:56 PM CDT

Your avatar Inspected left side chest wall

Exam Action
06/27/20 3:56 PM CDT

Your avatar Inspected anterior chest wall

Exam Action
06/27/20 3:56 PM CDT

Your avatar Inspected for jugular venous distention: JVP 1 cm above sternal angle

Exam Action
06/27/20 3:56 PM CDT

Your avatar Inspected fingernails of right hand

Exam Action
06/27/20 3:57 PM CDT

Your avatar Checked capillary refill in fingernails

Exam Action
06/27/20 3:57 PM CDT

Your avatar Checked capillary refill in fingernails

Exam Action
06/27/20 3:57 PM CDT

Your avatar Checked capillary refill in fingernails

Exam Action
06/27/20 3:57 PM CDT

Your avatar Checked capillary refill in fingernails

Exam Action
06/27/20 3:57 PM CDT

Your avatar Inspected fingernails of left hand

Exam Action
06/27/20 3:57 PM CDT

Your avatar Checked capillary refill in fingernails

Exam Action
06/27/20 3:58 PM CDT

Your avatar Checked capillary refill in fingernails

Exam Action
06/27/20 3:58 PM CDT

Your avatar Checked capillary refill in fingernails

Exam Action
06/27/20 3:58 PM CDT

Your avatar Checked capillary refill in fingernails

Exam Action
06/27/20 3:58 PM CDT

Your avatar Inspected fingernails of right hand

Exam Action
06/27/20 3:58 PM CDT

Your avatar Inspected legs

Exam Action
06/27/20 3:59 PM CDT

Your avatar Inspected right leg

Exam Action
06/27/20 3:59 PM CDT

Your avatar Inspected legs

Exam Action
06/27/20 3:59 PM CDT

Your avatar Inspected left leg

Exam Action
06/27/20 3:59 PM CDT

Your avatar Inspected legs

Exam Action
06/27/20 3:59 PM CDT

Your avatar Inspected right leg for edema: No edema

Exam Action
06/27/20 3:59 PM CDT

Your avatar Inspected toenails

Exam Action
06/27/20 3:59 PM CDT

Your avatar Checked capillary refill in toenails

Exam Action
06/27/20 3:59 PM CDT

Your avatar Checked capillary refill in toenails

Exam Action
06/27/20 3:59 PM CDT

Your avatar Checked capillary refill in toenails

Exam Action
06/27/20 4:00 PM CDT

Your avatar Checked capillary refill in toenails

Exam Action
06/27/20 4:00 PM CDT

Your avatar Checked capillary refill in toenails

Exam Action
06/27/20 4:00 PM CDT

Your avatar Checked capillary refill in toenails

Exam Action
06/27/20 4:00 PM CDT

Your avatar Checked capillary refill in toenails

Exam Action
06/27/20 4:00 PM CDT

Your avatar Checked capillary refill in toenails

Exam Action
06/27/20 4:00 PM CDT

Your avatar Checked capillary refill in toenails

Exam Action
06/27/20 4:00 PM CDT

Your avatar Checked capillary refill in toenails

Exam Action
06/27/20 4:00 PM CDT

Your avatar Inspected legs

Exam Action
06/27/20 4:00 PM CDT

Your avatar Inspected left leg for edema: No edema

Exam Action
06/27/20 4:00 PM CDT

Your avatar Palpated temporal arteries: No thrill on either side, 2+ on both sides

Exam Action
06/27/20 4:02 PM CDT

Your avatar Palpated temporal arteries: No thrill on either side, 2+ on both sides

Exam Action
06/27/20 4:03 PM CDT

Your avatar Palpated right carotid pulse: No thrill, 2+

Exam Action
06/27/20 4:03 PM CDT

Your avatar Palpated left carotid pulse: No thrill, 2+

Exam Action
06/27/20 4:03 PM CDT

Your avatar Palpated chest at PMI: Present at midclavicular line and 5th intercostal space, brisk and tapping, diameter 2 cm

Exam Action
06/27/20 4:04 PM CDT

Your avatar Palpated right radial pulse: No thrill, 2+

Exam Action
06/27/20 4:05 PM CDT

Your avatar Palpated left radial pulse: No thrill, 2+

Exam Action
06/27/20 4:05 PM CDT

Your avatar Palpated right brachial pulse: No thrill, 2+

Exam Action
06/27/20 4:05 PM CDT

Your avatar Palpated left brachial pulse: No thrill, 2+

Exam Action
06/27/20 4:05 PM CDT

Your avatar Palpated right femoral pulse: No thrill, 2+

Exam Action
06/27/20 4:06 PM CDT

Your avatar Palpated left femoral pulse: No thrill, 2+

Exam Action
06/27/20 4:06 PM CDT

Your avatar Palpated right popliteal pulse: No thrill, 2+

Exam Action
06/27/20 4:06 PM CDT

Your avatar Palpated left popliteal pulse: No thrill, 2+

Exam Action
06/27/20 4:06 PM CDT

Your avatar Palpated right tibial pulse: No thrill, 2+

Exam Action
06/27/20 4:07 PM CDT

Your avatar Palpated left tibial pulse: No thrill, 2+

Exam Action
06/27/20 4:07 PM CDT

Your avatar Palpated right dorsalis pedis pulse: No thrill, 2+

Exam Action
06/27/20 4:07 PM CDT

Your avatar Palpated left dorsalis pedis pulse: No thrill, 2+

Exam Action
06/27/20 4:07 PM CDT

Your avatar Auscultated right temporal pulse

Exam Action
06/27/20 4:08 PM CDT

Your avatar Auscultated left temporal pulse

Exam Action
06/27/20 4:08 PM CDT

Your avatar Auscultated right temporal pulse

Exam Action
06/27/20 4:08 PM CDT

Your avatar Auscultated right carotid pulse

Exam Action
06/27/20 4:12 PM CDT

Your avatar Auscultated left carotid pulse

Exam Action
06/27/20 4:12 PM CDT

Your avatar Auscultated right carotid pulse

Exam Action
06/27/20 4:12 PM CDT

Your avatar Auscultated breath sounds in posterior left upper lobe

Exam Action
06/27/20 4:13 PM CDT

Your avatar Auscultated right temporal pulse

Exam Action
06/27/20 4:13 PM CDT

Your avatar Auscultated breath sounds in anterior left upper lobe

Exam Action
06/27/20 4:13 PM CDT

Your avatar Auscultated breath sounds in anterior right upper lobe

Exam Action
06/27/20 4:13 PM CDT

Your avatar Auscultated breath sounds in anterior right middle lobe

Exam Action
06/27/20 4:13 PM CDT

Your avatar Auscultated breath sounds in anterior left mid-chest (upper lobe)

Exam Action
06/27/20 4:13 PM CDT

Your avatar Auscultated breath sounds in anterior right lower lobe

Exam Action
06/27/20 4:13 PM CDT

Your avatar Auscultated breath sounds in anterior left lower lobe

Exam Action
06/27/20 4:14 PM CDT

Your avatar Auscultated breath sounds in posterior left lower lobe on side

Exam Action
06/27/20 4:14 PM CDT

Your avatar Auscultated breath sounds in posterior left lower lobe near spine

Exam Action
06/27/20 4:14 PM CDT

Your avatar Auscultated breath sounds in posterior right lower lobe near spine

Exam Action
06/27/20 4:14 PM CDT

Your avatar Auscultated breath sounds in posterior right lower lobe on side

Exam Action
06/27/20 4:14 PM CDT

Your avatar Auscultated breath sounds in posterior right lower lobe

Exam Action
06/27/20 4:14 PM CDT

Your avatar Auscultated aortic area with the bell

Exam Action
06/27/20 4:14 PM CDT

Your avatar Auscultated aortic area with the diaphragm

Exam Action
06/27/20 4:14 PM CDT

Your avatar Auscultated pulmonic area with the diaphragm

Exam Action
06/27/20 4:15 PM CDT

Your avatar Auscultated Erb’s point with the diaphragm

Exam Action
06/27/20 4:15 PM CDT

Your avatar Auscultated tricuspid area with the diaphragm

Exam Action
06/27/20 4:15 PM CDT

Your avatar Auscultated mitral area with the diaphragm

Exam Action
06/27/20 4:15 PM CDT

Your avatar Auscultated aorta in abdomen

Exam Action
06/27/20 4:15 PM CDT

Your avatar Auscultated right renal pulse

Exam Action
06/27/20 4:15 PM CDT

Your avatar Auscultated left renal pulse

Exam Action
06/27/20 4:15 PM CDT

Your avatar Auscultated right iliac pulse

Exam Action
06/27/20 4:16 PM CDT

Your avatar Auscultated left iliac pulse

Exam Action
06/27/20 4:16 PM CDT

Your avatar Auscultated right femoral pulse

Exam Action
06/27/20 4:16 PM CDT

Your avatar Auscultated left femoral pulse

Exam Action
06/27/20 4:16 PM CDT

Your avatar Tested ABI: 141/145 = 0.972

Exam Action
06/27/20 4:16 PM CDT

Your avatar Performed EKG: Regular sinus rhythm, no ST changes

Exam Action
06/27/20 4:17 PM CDT

Your avatar Tested ABI: 141/145 = 0.972

Exam Action
06/27/20 4:17 PM CDT

Your avatar Any family history of high cholesterol

Question
06/27/20 5:40 PM CDT

Tina Jones Cholesterol runs high in my family. All four of my grandparents have high cholesterol, and Mom and Dad, too.  
Your avatar A family history of hypertension means that you may be at risk for developing it, too, and you’ve had some high blood pressure readings. keeping your blood pressure low is important to avoid health problems in the future with your health and other organs

Educate
06/27/20 5:40 PM CDT

Tina Jones That makes sense.  
Your avatar Any family history of high cholesterol

Question
06/27/20 5:41 PM CDT

Tina Jones Cholesterol runs high in my family. All four of my grandparents have high cholesterol, and Mom and Dad, too.  
Your avatar A family history of hypertension means that you may be at risk for developing it, too, and you’ve had some high blood pressure readings. keeping your blood pressure low is important to avoid health problems in the future with your health and other organs

Empathize
06/27/20 5:42 PM CDT

Tina Jones Thanks for understanding.  
Your avatar Do you know your family history of high blood pressure is a risk for heart disease

Question
06/27/20 5:45 PM CDT

Tina Jones Yeah, I know.  
Your avatar A family history of hypertension means that you may be at risk for developing it, too, and you’ve had some high blood pressure readings. keeping your blood pressure low is important to avoid health problems in the future with your health and other organs

Educate
06/27/20 5:45 PM CDT

Tina Jones Alright, thanks for letting me know.  
Your avatar A family history of hypertension means that you may be at risk for developing it, too, and you’ve had some high blood pressure readings. keeping your blood pressure low is important to avoid health problems in the future with your health and other organs

Empathize
06/27/20 5:45 PM CDT

Tina Jones Thanks for saying that.

 

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