Exam

Anita Douglas - First attempt transcript

Hi I'm Andy what brings you in today Hello. Event today (No matching questions found.) What brings you in today I'm here because I've got an awful... [Show More] cough, a fever, and my chest feels like I've been kicked by a horse. I'm sure this is some kind of upper respiratory infection. I was hoping it would go away on its own, but it hasn't, so my husband Jeffrey convinced me to come in. As amusing as it is for Jeffrey to serve me my meals, this has gone on long enough. I need to feel better. I am sorry to hear that you are in pain. Let's work on figuring out what is going on so we can find you comfort and relief. Well, that's very nice. When did these symptoms start Most of my symptoms started three days ago. I developed this nasty cough, and my nose has been all stuffed up. That's also when the chest pain started, and when I began to feel exhausted. The fever set in last night. That was the last straw, so Jeffrey brought me in. All Lines (77) Question 04/13/20 3:30 PM CDT Question 04/13/20 3:30 PM CDT Question 04/13/20 3:31 PM CDT Question 04/13/20 3:31 PM CDT Question 04/13/20 3:32 PM CDT Question 04/13/20 3:33 PM CDT Question 04/13/20 3:33 PM CDT Question 04/13/20 3:33 PM CDT Question 04/13/20 3:33 PM CDT Does anything help your cough Resting seems to help a little. Drinking tea or using my humidifier can ease the scratchiness in my throat. What makes your cough worse My cough is bad enough with no help from me. It doesn't get worse. It stays constantly terrible. Are you in pain currently I have some chest pain. It's more of a deep, dull pain, really. It's more or less constant, but gets more severe when I cough. This started three days ago. The cough and congestion began when the chest pain did, but I didn't start coughing anything up until two days ago. Makes your chest pain better (Clarified to What makes the chest pain better?.) I took some aspirin last night. Jeffrey brought me some hot tea to help, and I used my humidifier. I also took a hot shower, hoping that the hot steam would help. I thought it would be good to just get all of this nasty mucus out, so I've been letting myself cough this stuff up and blowing my nose to try and get my sinuses to drain. (Clarified to what makes the chest pain better.) Are you allergic to anything No, I don't have allergies. Are you allergic to any foods I don't have any food allergies. do have any medication allergies I don't have any medication allergies. do you have any environmental allergies No environmental allergies here. What's your medical history Question 04/13/20 3:33 PM CDT Question 04/13/20 3:33 PM CDT Question 04/13/20 3:34 PM CDT Question 04/13/20 3:34 PM CDT Question 04/13/20 3:34 PM CDT Question 04/13/20 3:35 PM CDT Question 04/13/20 3:35 PM CDT Question 04/13/20 3:36 PM CDT Question 04/13/20 3:36 PM CDT I have hypertension and chronic kidney disease. stage 2. Take any medication for your hypertension I take a combination drug for my hypertension and chronic kidney disease -- trandolapril and verapamil. I also take chlorothiazide for my hypertension. How much is this medication do you take a day I take chlorothiazide, not hydrochlorothiazide. [AUDIO COMING SOON] Do you know your dosages of medication (Clarified to Do you know what dose your medications are?.) The trandolapril/verapamil combination is 2 milligrams of trandolapril and 180 milligrams of verapamil. The chlorothiazide pill is 500 milligrams. The aspirin is 325 milligrams each pill. As for the supplements: the calcium is 1200 milligrams and the vitamin D is 15 micrograms. (Clarified to if I know what dose my medications are.) Are you on any herbs or supplements I take two supplements -- vitamin D and calcium. When did you take your medication last I took all of my medications and supplements this morning, after breakfast. who prescribed her medications My primary care provider, Dr. Shaw, did. It was some time ago, though. Nine years. How long have you been taking your hypertension medication (Clarified to How long have you been taking your medication?.) I've been on the trandolapril/verapamil combination, vitamin D, and calcium supplement for 9 years. I've taken chlorothiazide for 14 years. I've only taken the aspirin for three days. (Clarified to how long I have been taking my medication.) Why did you start taking aspirin I have taken aspirin for three days. Do you have any side effects to your medications Question 04/13/20 3:36 PM CDT Question 04/13/20 3:37 PM CDT Question 04/13/20 3:37 PM CDT Question 04/13/20 3:37 PM CDT Question 04/13/20 3:37 PM CDT Question 04/13/20 3:38 PM CDT Question 04/13/20 3:38 PM CDT Question 04/13/20 3:38 PM CDT I'm not experiencing any side effects from the trandolapril/verapamil or the vitamin D or calcium supplements. The aspirin hasn't given me any trouble, either. The chlorothiazide has seemed to make me urinate more. How much aspirin do you take a day I take aspirin three times during the day -- that's every six hours. Two pills each time I take it, at 325 milligrams each. Did you last take aspirin Yes. I took it this morning. Does your floors thiazide have any side effects I'm not experiencing any side effects from the trandolapril/verapamil or the vitamin D or calcium supplements. The aspirin hasn't given me any trouble, either. The chlorothiazide has seemed to make me urinate more. how Often do you take chlorothiazide I take chlorothiazide twice a day. Do you take any pain medication (Clarified to Have you taken medication for the pain?.) I took some aspirin to try to get relief from the chest pain and fever. It helped a little. (Clarified to if I took medication for the pain.) How bad was your pain I think that this cough is pretty severe. It brings my chest pain up from a 2 out of 10 to a 5 out of 10. How high has your fever been Last night, when I checked my fever, it was 100.1. I felt pretty terrible all day and stayed in bed. I took the aspirin and tried to rest, hoping the fever would break, but it's been constant. The fever is what finally pushed me over the edge to make an appointment here. How often do you monitor your blood pressure Question 04/13/20 3:39 PM CDT Question 04/13/20 3:39 PM CDT Question 04/13/20 3:40 PM CDT Question 04/13/20 3:40 PM CDT Question 04/13/20 3:40 PM CDT Question 04/13/20 3:42 PM CDT Question 04/13/20 3:42 PM CDT Question 04/13/20 3:42 PM CDT Question 04/13/20 3:42 PM CDT I check it fairly regularly, though not on a strict schedule. When were you diagnosed with chronic kidney disease [Show Less]

Preview 2 out of 10 pages