Cardiovascular Tina Jones Shadow Health Transcript

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Cardiovascular Tina Jones Shadow Health 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 occurred.)
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. Cardiovascular Tina Jones Shadow Health Transcript
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. Cardiovascular Tina Jones Shadow Health Transcript
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.
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, 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 is usually eaten on 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. Cardiovascular Tina Jones Shadow Health Transcript
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 the sternal angle Exam Action 06/27/20 3:56 PM CDT
Your avatar Inspected fingernails of the 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 the 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 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+ Cardiovascular Tina Jones Shadow Health Transcript 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. Cardiovascular Tina Jones Shadow Health Transcript
Cardiovascular Tina Jones Shadow Health Transcript
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Frequently Asked Questions (FAQs)

1. What are the positions for a cardiovascular assessment?

Inspection, palpation, and auscultation are all common parts of a heart exam. For patient comfort, the examiner should be on the right side of the bed, and the head of the bed may be slightly raised.

2. What is included in a cardiovascular assessment?

The cardiac examination includes assessing (1) the carotid arterial pulse and auscultation for carotid bruits; (2) the jugular venous pulse and auscultation for cervical venous hums; (3) the precordial impulses and palpation for heart sounds and murmurs; and (4) heart auscultation.

3. What is a normal cardiovascular assessment?

A basic, normal cardiac examination should be documented in the following manner: There are no lifts, heaves, or thrills on the outside of the chest. PMI is palpated in the 5th intercostal space at the midclavicular line and is not visible. The pace and rhythm of your heart are normal. Cardiovascular Tina Jones Shadow Health Transcript
Cardiovascular Tina Jones Shadow Health Transcript
Cardiovascular Tina Jones Shadow Health Transcript

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