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Exam (elaborations)

Focused Exam Pain Transcript Completed shadow Health

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Focused Exam Pain Transcript Completed shadow Health. Hi Mr Carter, I am Jessica, your nurse caring for you today. Hello. Can you verify your identity please? Yes -- I'm Edward Carter. what is your date of birth? January 1 . . . [Mr. Carter reports the correct birth year.] I am here to examine you today Mr Carter Thank you. I'm ready. [AUDIO COMING SOON] Do you feel any pain right now? (Clarified to Do you have pain right now?.) Right now, the pain has gone down a lot from whatever pain medication they're giving me. I was in terrible pain this morning though . . . and I've never had my joints fail on me like that. Between that and falling in my bedroom, I'm pretty worried that this just going to get worse. (Clarified to if I am in pain right now.) can you rate your current pain from 0 to 10? Right now, it's more of a 1. Thank God for the medication. All Lines (204) Questio 05/22/20 11:53 PM ED Exam Actio 05/22/20 11:53 PM ED Exam Actio 05/22/20 11:54 PM ED Exam Actio 05/22/20 11:54 PM ED Exam Actio 05/22/20 11:55 PM ED Questio 05/22/20 11:55 PM ED Questio 05/22/20 11:56 PM ED Questio 05/22/20 11:56 PM ED Questio 05/22/20 11:56 PM ED Questio 05/22/20 11:57 PM ED Questio 05/22/20 11:57 PM ED Questio 05/22/20 11:58 PM ED Questio 05/22/20 11:58 PM ED May I take your vitals Mr Carter? Yes, go ahead. Assessed vitals Assessed IV bag Assessed IV pump Assessed IV site: Dressing dry and intact When did the pain start? I started noticing the pain get worse gradually over the last month. It was more subtle then, but this morning it was unbearable. can you describe the pain? It was a deep, aching sort of pain. And occasionally it feels like my joints are grating. where is the pain located? The pain was mostly in my hips and knees, but my back is sort of tender from when I hit it on the bed frame as I fell. is the pain constant? Yes, it was constant from the time I woke up this morning until I came to the ER. What medicine were you administered in the ER? They gave me OxyContin when I was in the ER. Do you know the dosage? (Clarified to What is the dosage of your medication?.) Let's see -- the Hyzaar is a combination drug -- I know it's 100 milligram of one of the drugs in there, and ... 25 milligram of the other. I'm afraid I don't know what those two drugs ARE, though. (Clarified to what the dosage of my medication is.)

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Uploaded on
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