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|---|---|---|---|---|---|---|
doctor: okay so some pain on palpation on the inside little bit of pain on the outside of the knee if i bend the knee back does that hurt patient: yeah | D2N033 | 14 | [
"Physical Examination"
] | [
"Objective"
] | okay so some pain on palpation on the inside little bit of pain on the outside of the knee if i bend the knee back does that hurt | 1,000 |
doctor: how about when i extend it patient: yeah that hurts | D2N033 | 15 | [
"Physical Examination"
] | [
"Objective"
] | how about when i extend it | 1,001 |
doctor: okay so little bit of limited range of motion as well as pain on both flexion and extension on the knee i'm gon na push on this a little bit looks like your mcmurray's test is negative just checking for a meniscus tear okay so let's talk a little bit about your plan what i am concerned about for your knee is it... | D2N033 | 16 | [
"Physical Examination",
"Medication",
"Other Treatments",
"Diagnostic Testing",
"Acute Assessment"
] | [
"Objective",
"Assessment",
"Plan"
] | okay so little bit of limited range of motion as well as pain on both flexion and extension on the knee i'm gon na push on this a little bit looks like your mcmurray's test is negative just checking for a meniscus tear okay so let's talk a little bit about your plan what i am concerned about for your knee is it sounds ... | 1,002 |
doctor: yeah and then for your diabetes as long as you're here it sounds like you're managing that pretty well but i do wan na get a recheck on your hemoglobin a1c and then i'm also i'm going to get a refill on the metformin that you have been taking five hundred milligrams so you can keep taking that as well so do you... | D2N033 | 17 | [
"Medication",
"Therapeutic History",
"Diagnostic Testing",
"Reassessment"
] | [
"Subjective",
"Assessment",
"Plan"
] | yeah and then for your diabetes as long as you're here it sounds like you're managing that pretty well but i do wan na get a recheck on your hemoglobin a1c and then i'm also i'm going to get a refill on the metformin that you have been taking five hundred milligrams so you can keep taking that as well so do you have an... | 1,003 |
doctor: alright well thank you hope that you feel better | D2N033 | 18 | [
"Chitchat"
] | [
"Null"
] | doctor: alright well thank you hope that you feel better | 1,004 |
doctor: hey alan i good to see you today so i looked here my appointment notes and i see that you're coming in you had some shoulder pain left shoulder pain for the last three weeks so how you doing is it is it gotten any better patient: yeah yeah i've been having a lot of pain of my shoulder for the last three weeks n... | D2N034 | 0 | [
"Acute Symptoms",
"Greetings"
] | [
"Subjective"
] | hey alan i good to see you today so i looked here my appointment notes and i see that you're coming in you had some shoulder pain left shoulder pain for the last three weeks so how you doing is it is it gotten any better | 1,005 |
doctor: okay do you remember what you were doing when the pain first started patient: so i i was thinking that i i ca n't recall like falling on it injuring it getting hit | D2N034 | 1 | [
"Acute Symptoms"
] | [
"Subjective"
] | okay do you remember what you were doing when the pain first started | 1,006 |
doctor: okay so do you remember hitting it or anything like that patient: no nothing at all | D2N034 | 3 | [
"Acute Symptoms"
] | [
"Subjective"
] | okay so do you remember hitting it or anything like that | 1,007 |
doctor: okay alright did you fall do you remember doing that patient: no | D2N034 | 4 | [
"Acute Symptoms"
] | [
"Subjective"
] | okay alright did you fall do you remember doing that | 1,008 |
doctor: okay hmmm so like a little mystery so have you had pain in that shoulder before patient: i mean i'm very active so i can get pains in my shoulders but it's nothing that sometime some tylenol can help | D2N034 | 5 | [
"Personal History"
] | [
"Subjective"
] | okay hmmm so like a little mystery so have you had pain in that shoulder before | 1,009 |
doctor: okay and are you able to move the arm or is it kinda just stuck patient: i'm having a lot of pain like i can move it but you know when i try to reach for something lifting anything and even like i do n't even try to put my hands over my head because it causes so much pain | D2N034 | 6 | [
"Acute Symptoms"
] | [
"Subjective"
] | okay and are you able to move the arm or is it kinda just stuck | 1,010 |
doctor: alright so does that pain radiate anywhere or like where would you say it is in your shoulder patient: it actually it stays pretty much just right at the shoulder it does n't go down anywhere | D2N034 | 7 | [
"Acute Symptoms"
] | [
"Subjective"
] | alright so does that pain radiate anywhere or like where would you say it is in your shoulder | 1,011 |
doctor: okay and the pain is it is it all the time or does it come and go patient: it's pretty much all the time anytime i put any pressure on it like when i'm trying to sleep it hurts even more so it's been affecting my sleep as well | D2N034 | 8 | [
"Acute Symptoms"
] | [
"Subjective"
] | okay and the pain is it is it all the time or does it come and go | 1,012 |
doctor: okay so i know you mentioned tylenol patient: so this time i have n't taken anything for it | D2N034 | 9 | [
"Therapeutic History"
] | [
"Subjective"
] | okay so i know you mentioned tylenol | 1,013 |
doctor: okay did you try icing it at all patient: i iced it initially but i have n't iced it at all recently | D2N034 | 11 | [
"Acute Symptoms"
] | [
"Subjective"
] | okay did you try icing it at all | 1,014 |
doctor: alright and so with your shoulder have you experienced any numbness in your arm or in your fingers patient: no numbness or tingling | D2N034 | 12 | [
"Physical Examination"
] | [
"Objective"
] | alright and so with your shoulder have you experienced any numbness in your arm or in your fingers | 1,015 |
doctor: okay good so i'm gon na go ahead and do a quick physical exam and take a look at your your shoulder so i reviewed your your vitals everything looks good with that so touch here in your shoulder so your left shoulder exam you have limited active and passive range of motion so pressure here so that there is tende... | D2N034 | 13 | [
"Physical Examination"
] | [
"Objective"
] | okay good so i'm gon na go ahead and do a quick physical exam and take a look at your your shoulder so i reviewed your your vitals everything looks good with that so touch here in your shoulder so your left shoulder exam you have limited active and passive range of motion so pressure here so that there is tenderness of... | 1,016 |
doctor: tuberosity of the humerus let's see there is no tenderness at the sternoclavicular or acro patient: yeah | D2N034 | 14 | [
"Physical Examination"
] | [
"Objective"
] | tuberosity of the humerus let's see there is no tenderness at the sternoclavicular or acro | 1,017 |
doctor: acromioclavicular joints patient: yeah | D2N034 | 15 | [
"Physical Examination"
] | [
"Objective"
] | acromioclavicular joints | 1,018 |
doctor: yeah and looks like you have good hand grip let me see so on the neurovascular exam of your left arm your capillary refill is less than three seconds and your sensation is is intact to light touch patient: yes thank you | D2N034 | 16 | [
"Discussion",
"Diagnostic Testing",
"Acute Assessment",
"Referral",
"Radiology Examination"
] | [
"Objective",
"Assessment",
"Plan"
] | yeah and looks like you have good hand grip let me see so on the neurovascular exam of your left arm your capillary refill is less than three seconds and your sensation is is intact to light touch | 1,019 |
doctor: yep so you did get a we get we had to get a x-ray of your shoulder before you came in and so it's normal so that's really good so there is no fractures no bony abnormalities so let's talk a little bit about my assessment and plan for you so you you do have that left shoulder pain so your symptoms are most likel... | D2N034 | 17 | [
"Discussion",
"Referral",
"Medication"
] | [
"Plan"
] | yep so you did get a we get we had to get a x-ray of your shoulder before you came in and so it's normal so that's really good so there is no fractures no bony abnormalities so let's talk a little bit about my assessment and plan for you so you you do have that left shoulder pain so your symptoms are most likely due to... | 1,020 |
doctor: okay so what i'm gon na do i'm going to refer you to physical therapy for approximately six to eight weeks and so they can help you strengthen those muscles around your shoulder and that should definitely help with the pain during that time you can also continue to take tylenol i do n't think i need to prescrib... | D2N034 | 18 | [
"Discussion"
] | [
"Plan"
] | okay so what i'm gon na do i'm going to refer you to physical therapy for approximately six to eight weeks and so they can help you strengthen those muscles around your shoulder and that should definitely help with the pain during that time you can also continue to take tylenol i do n't think i need to prescribe anythi... | 1,021 |
doctor: yeah so many patients are very successful with rehab and so we'll start with that and see how you do most most of the time once we build up those muscles around that shoulder you know things things the pain alleviates itself and and and you will be good to go back to working on your basement and running and jog... | D2N034 | 19 | [
"Chitchat"
] | [
"Null"
] | yeah so many patients are very successful with rehab and so we'll start with that and see how you do most most of the time once we build up those muscles around that shoulder you know things things the pain alleviates itself and and and you will be good to go back to working on your basement and running and jogging and... | 1,022 |
doctor: well hello christina so how are you doing i was notified you were in the hospital for some heart failure what happened patient: well i'm doing better now but i just started having problems that my ankles were swelling and could n't get them to go down even when i went to bed and could n't breathe very good had ... | D2N035 | 0 | [
"Personal History",
"Greetings"
] | [
"Subjective"
] | well hello christina so how are you doing i was notified you were in the hospital for some heart failure what happened | 1,023 |
doctor: i'm sure you do n't yeah i see that your blood pressure was high also it was two hundred over ninety have you been patient: yeah i guess is that really high | D2N035 | 2 | [
"Personal History"
] | [
"Subjective"
] | i'm sure you do n't yeah i see that your blood pressure was high also it was two hundred over ninety have you been | 1,024 |
doctor: yeah that's patient: i feel really bad | D2N035 | 3 | [
"Chitchat"
] | [
"Null"
] | yeah that's | 1,025 |
doctor: yeah that's pretty high are you taking your medications or you missing some doses patient: i do n't know i might miss one now but i try to take them all time | D2N035 | 4 | [
"Therapeutic History"
] | [
"Subjective"
] | yeah that's pretty high are you taking your medications or you missing some doses | 1,026 |
doctor: yeah yeah you really need to take them very consistently now you also said you were watching your diet did you did you have some slips with that you said your ankles were swelling patient: no i yeah i do i like to i like to eat | D2N035 | 5 | [
"Personal History"
] | [
"Subjective"
] | yeah yeah you really need to take them very consistently now you also said you were watching your diet did you did you have some slips with that you said your ankles were swelling | 1,027 |
doctor: are you eating a lot of salty foods and pizza or patient: i like potato chips | D2N035 | 6 | [
"Vegetative History"
] | [
"Subjective"
] | are you eating a lot of salty foods and pizza or | 1,028 |
doctor: well so do you do you go out to eat a lot or do you where you where where are you eating those potato chips or is that just the home snacking or patient: that's home snacking i buy the the the the brand name salt and vinitive because brand wo n't taste real good but the the brand names really tastes good | D2N035 | 8 | [
"Other Socials",
"Vegetative History"
] | [
"Subjective"
] | well so do you do you go out to eat a lot or do you where you where where are you eating those potato chips or is that just the home snacking or | 1,029 |
doctor: goodness well you know you we need to probably stop eating those now patient: yeah well i hate to hate to give those up but i guess i might have to | D2N035 | 10 | [
"Other Treatments",
"Vegetative History"
] | [
"Subjective",
"Plan"
] | goodness well you know you we need to probably stop eating those now | 1,030 |
doctor: well since you've been in the hospital and and they've helped you out with some with all that how are you feeling now patient: well i'm i'm doing better | D2N035 | 11 | [
"Acute Symptoms"
] | [
"Subjective"
] | well since you've been in the hospital and and they've helped you out with some with all that how are you feeling now | 1,031 |
doctor: mm-hmm and they patient: i do n't do n't have quite as much shortness of breath i think maybe getting up and walking a little more is helping | D2N035 | 12 | [
"Acute Symptoms"
] | [
"Subjective"
] | mm-hmm and they | 1,032 |
doctor: and they gave you a water pill and is that is that helping is that making you pee a lot patient: yeah yeah i have almost incontinence so | D2N035 | 13 | [
"Therapeutic History",
"Vegetative History"
] | [
"Subjective"
] | and they gave you a water pill and is that is that helping is that making you pee a lot | 1,033 |
doctor: goodness patient: yes that's not very pleasant at all | D2N035 | 14 | [
"Chitchat"
] | [
"Null"
] | goodness | 1,034 |
doctor: and so they added another blood pressure medication also how are you doing with that are you feeling a little bit better patient: yeah i think so | D2N035 | 15 | [
"Acute Symptoms",
"Therapeutic History"
] | [
"Subjective"
] | and so they added another blood pressure medication also how are you doing with that are you feeling a little bit better | 1,035 |
doctor: well a a pill box or maybe setting an alarm on your phone might really help patient: okay i'll i'll give that a try anything that will help | D2N035 | 18 | [
"Discussion",
"Medication"
] | [
"Subjective",
"Plan"
] | well a a pill box or maybe setting an alarm on your phone might really help | 1,036 |
doctor: yeah okay well that's good to hear so now have you bought a blood pressure cuff to have at home now patient: yes i already had one but i very failed if i ever used it | D2N035 | 19 | [
"Discussion"
] | [
"Plan"
] | yeah okay well that's good to hear so now have you bought a blood pressure cuff to have at home now | 1,037 |
doctor: okay and you might even just keep a log of what your blood pressures are and when it's up think about you know what you've eaten if you've done something different because that may help you to figure out what you need to cut back on or how you might need to change your your eating habits a little bit so patient... | D2N035 | 22 | [
"Other Treatments"
] | [
"Plan"
] | okay and you might even just keep a log of what your blood pressures are and when it's up think about you know what you've eaten if you've done something different because that may help you to figure out what you need to cut back on or how you might need to change your your eating habits a little bit so | 1,038 |
doctor: have you been short of breath or any problems sleeping since you've been home patient: no i've been sleeping like a log | D2N035 | 23 | [
"Vegetative History"
] | [
"Subjective"
] | have you been short of breath or any problems sleeping since you've been home | 1,039 |
doctor: okay good alright have you had any chest pain patient: no no chest pain | D2N035 | 24 | [
"Acute Symptoms"
] | [
"Subjective"
] | okay good alright have you had any chest pain | 1,040 |
doctor: okay alright well let's do a quick physical exam here so your vital signs your blood pressure looks pretty good today at one twenty eight over seventy two your temperature is ninety eight . seven and your heart rate is seventy two your respirations are eighteen your oxygen saturation looks pretty good at at nin... | D2N035 | 25 | [
"Physical Examination",
"Follow-up",
"Medication",
"Other Treatments",
"Radiology Examination",
"Reassessment",
"Acute Assessment"
] | [
"Objective",
"Assessment",
"Plan"
] | okay alright well let's do a quick physical exam here so your vital signs your blood pressure looks pretty good today at one twenty eight over seventy two your temperature is ninety eight . seven and your heart rate is seventy two your respirations are eighteen your oxygen saturation looks pretty good at at ninety six ... | 1,041 |
doctor: and i also want you to see a nutritionist to give you some education about what foods you can eat okay now for your second problem for i know this sounds like this is just for you and so for your second problem for your hypertension i want you to continue on the cozaar one hundred milligrams daily continue on t... | D2N035 | 26 | [
"Follow-up",
"Medication",
"Other Treatments",
"Diagnostic Testing",
"Reassessment"
] | [
"Assessment",
"Plan"
] | and i also want you to see a nutritionist to give you some education about what foods you can eat okay now for your second problem for i know this sounds like this is just for you and so for your second problem for your hypertension i want you to continue on the cozaar one hundred milligrams daily continue on the norva... | 1,042 |
doctor: alright it's good to see you and i hope we'll just keep getting you feeling better patient: okay | D2N035 | 27 | [
"Chitchat"
] | [
"Null"
] | alright it's good to see you and i hope we'll just keep getting you feeling better | 1,043 |
doctor: hey george how are you today i understand you're here for some numbness and tingling in your fingers and some pain in your wrist patient: right my right wrist and hand has been bothering me probably for a few months now with pain and numbness | D2N036 | 0 | [
"Acute Symptoms",
"Greetings"
] | [
"Subjective"
] | hey george how are you today i understand you're here for some numbness and tingling in your fingers and some pain in your wrist | 1,044 |
doctor: okay and you said that's been ongoing for several months do you know what caused this type of pain or is it just something that started slowly or patient: it just kinda started on it's own it i notice it mostly at night | D2N036 | 1 | [
"Acute Symptoms"
] | [
"Subjective"
] | okay and you said that's been ongoing for several months do you know what caused this type of pain or is it just something that started slowly or | 1,045 |
doctor: what kind of work do you do patient: i do yard work | D2N036 | 3 | [
"Other Socials"
] | [
"Subjective"
] | what kind of work do you do | 1,046 |
doctor: yard work patient: landscaping landscaping | D2N036 | 4 | [
"Chitchat"
] | [
"Null"
] | yard work | 1,047 |
doctor: landscaping okay so a lot of raking a lot of digging so a lot of repetitive type movements patient: yeah it's pretty heavy labor but it's yeah the same thing day in and day out | D2N036 | 5 | [
"Personal History",
"Other Socials"
] | [
"Subjective"
] | landscaping okay so a lot of raking a lot of digging so a lot of repetitive type movements | 1,048 |
doctor: okay okay just a couple questions for you you did say that you have the pain at night in that and you have to you get that numbness into the hand is it in all the fingers patient: yeah it seems to happen to all my fingers but i notice it more in my thumb and pointer finger | D2N036 | 6 | [
"Acute Symptoms"
] | [
"Subjective"
] | okay okay just a couple questions for you you did say that you have the pain at night in that and you have to you get that numbness into the hand is it in all the fingers | 1,049 |
doctor: okay okay and anything into that little into your fifth finger your little finger any numbness there at times no patient: sometimes yeah it seems like it's numb too | D2N036 | 7 | [
"Acute Symptoms"
] | [
"Subjective"
] | okay okay and anything into that little into your fifth finger your little finger any numbness there at times no | 1,050 |
doctor: okay what about your right hand any problems with that hand patient: no i do n't seem to have any problems with my right hand so far it's just mostly my left | D2N036 | 8 | [
"Personal History"
] | [
"Subjective"
] | okay what about your right hand any problems with that hand | 1,051 |
doctor: okay okay good and just a couple you know do you how do you have many or do you drink often do you have you know many any alcohol consumption patient: i drink usually a a beer or two on fridays and saturdays on the weekends | D2N036 | 9 | [
"Drug History"
] | [
"Subjective"
] | okay okay good and just a couple you know do you how do you have many or do you drink often do you have you know many any alcohol consumption | 1,052 |
doctor: okay and do you have any evidence of any anybody ever said that you had some rheumatoid arthritis in your hand or wrist anything like that patient: no nobody say anything like that so i mean | D2N036 | 10 | [
"Personal History"
] | [
"Subjective"
] | okay and do you have any evidence of any anybody ever said that you had some rheumatoid arthritis in your hand or wrist anything like that | 1,053 |
doctor: okay okay good so let me go ahead and do a physical exam here real quick and you know i'm gon na quickly just listen to your heart and lungs okay that's good i'd like you to squeeze i'm gon na hold your hands here and i'd like you to squeeze both hands patient: okay | D2N036 | 11 | [
"Physical Examination"
] | [
"Objective"
] | okay okay good so let me go ahead and do a physical exam here real quick and you know i'm gon na quickly just listen to your heart and lungs okay that's good i'd like you to squeeze i'm gon na hold your hands here and i'd like you to squeeze both hands | 1,054 |
doctor: you seem a little bit weaker on that left hand is that what you've noticed patient: yeah i i i experienced some weakness in my left hand | D2N036 | 12 | [
"Physical Examination"
] | [
"Objective"
] | you seem a little bit weaker on that left hand is that what you've noticed | 1,055 |
doctor: okay do you you find that you're dropping things when you're picking it up is it to that level or patient: yeah i drop things mostly because i have a hard time feeling it | D2N036 | 13 | [
"Physical Examination"
] | [
"Objective"
] | okay do you you find that you're dropping things when you're picking it up is it to that level or | 1,056 |
doctor: okay okay good and so you you do have a a grip strength is less on the left and i just wan na touch your fingers here on the on the right side you can feel me touching all the fingers on the right patient: yeah i can i can say you touch me but it feels a little more weird on the thumb side than my pointer finge... | D2N036 | 14 | [
"Physical Examination"
] | [
"Objective"
] | okay okay good and so you you do have a a grip strength is less on the left and i just wan na touch your fingers here on the on the right side you can feel me touching all the fingers on the right | 1,057 |
doctor: okay okay and i wan na turn your wrist over here and turn your hand over and i'm gon na go ahead and tap on the right wrist on the back here does that do anything when i do that patient: i still i feel a little jolt or a zing in my finger tips | D2N036 | 15 | [
"Physical Examination"
] | [
"Objective"
] | okay okay and i wan na turn your wrist over here and turn your hand over and i'm gon na go ahead and tap on the right wrist on the back here does that do anything when i do that | 1,058 |
doctor: okay and then when i do that on the left side patient: yeah same thing | D2N036 | 16 | [
"Physical Examination"
] | [
"Objective"
] | okay and then when i do that on the left side | 1,059 |
doctor: same thing okay so you do have a bilateral positive tinel's sign so so here's here's where i'm at i think your your diagnosis is beginning to have some bilateral carpal tunnel syndrome usually we see that with repetitive actions such as the landscaping the heavy labor and you you know your your clinical exam an... | D2N036 | 17 | [
"Physical Examination",
"Discussion",
"Diagnostic Testing",
"Acute Assessment",
"Other Treatments"
] | [
"Objective",
"Assessment",
"Plan"
] | same thing okay so you do have a bilateral positive tinel's sign so so here's here's where i'm at i think your your diagnosis is beginning to have some bilateral carpal tunnel syndrome usually we see that with repetitive actions such as the landscaping the heavy labor and you you know your your clinical exam and and hi... | 1,060 |
doctor: okay that would be good so that's i i just want you to kinda eliminate that the active repetitive motions that you're doing all the time just for a couple weeks i'm also gon na give you a wrist splint to wear and that should help and i'd like you to take ibuprofen six hundred milligrams every six hours and then... | D2N036 | 18 | [
"Discussion",
"Diagnostic Testing",
"Follow-up",
"Other Treatments",
"Medication"
] | [
"Plan"
] | okay that would be good so that's i i just want you to kinda eliminate that the active repetitive motions that you're doing all the time just for a couple weeks i'm also gon na give you a wrist splint to wear and that should help and i'd like you to take ibuprofen six hundred milligrams every six hours and then i wan n... | 1,061 |
doctor: okay okay so i i just just off off the record here what kind of what do what do you specialize in landscaping is your company do patient: mostly like yard work and maintenance flower beds not really designing just up keep | D2N036 | 19 | [
"Chitchat"
] | [
"Null"
] | okay okay so i i just just off off the record here what kind of what do what do you specialize in landscaping is your company do | 1,062 |
doctor: okay yeah i'm looking for a landscape designer i need somebody to put in some elaborate walkways back through the backyard so yeah we can do stuff like that i mean if you have an idea what you want i think that's easy patient: okay you know if you're looking for like some backyard elasis rehab remodel that's i ... | D2N036 | 20 | [
"Chitchat"
] | [
"Null"
] | okay yeah i'm looking for a landscape designer i need somebody to put in some elaborate walkways back through the backyard so yeah we can do stuff like that i mean if you have an idea what you want i think that's easy | 1,063 |
doctor: okay yeah i may have to keep that in mind because i do wan na do some of that so let's listen i'm gon na get my my nurse in here to discharge you do you have any other questions for me before we end this patient: no i think it's all clear i appreciate it | D2N036 | 21 | [
"Discussion"
] | [
"Plan"
] | okay yeah i may have to keep that in mind because i do wan na do some of that so let's listen i'm gon na get my my nurse in here to discharge you do you have any other questions for me before we end this | 1,064 |
doctor: okay take care and i'll look forward to see you in two weeks patient: very good appreciate your time | D2N036 | 22 | [
"Chitchat"
] | [
"Null"
] | okay take care and i'll look forward to see you in two weeks | 1,065 |
doctor: hey dylan what's going on patient: so i lift quite a bit of weights i try to stay in shape as much as i can i'm not like normal people i lift heavy weights and my elbow is extremely sore | D2N037 | 0 | [
"Acute Symptoms",
"Greetings"
] | [
"Subjective"
] | hey dylan what's going on | 1,066 |
doctor: which elbow is it patient: actually it's both my elbows but my right elbow is hurting me the most | D2N037 | 1 | [
"Acute Symptoms"
] | [
"Subjective"
] | which elbow is it | 1,067 |
doctor: okay and you said you lift a lot of weights patient: mm-hmm | D2N037 | 2 | [
"Other Socials"
] | [
"Subjective"
] | okay and you said you lift a lot of weights | 1,068 |
doctor: did you play any sports when you were younger patient: no anything you can think of primarily it was basketball baseball and football | D2N037 | 3 | [
"Other Socials"
] | [
"Subjective"
] | did you play any sports when you were younger | 1,069 |
doctor: okay and did your elbows hurt at that time or is this a a new injury patient: it's new | D2N037 | 4 | [
"Personal History"
] | [
"Subjective"
] | okay and did your elbows hurt at that time or is this a a new injury | 1,070 |
doctor: when did it start patient: probably year and a half ago | D2N037 | 5 | [
"Personal History"
] | [
"Subjective"
] | when did it start | 1,071 |
doctor: okay on both elbows about a year and a half ago patient: yeah | D2N037 | 6 | [
"Personal History"
] | [
"Subjective"
] | okay on both elbows about a year and a half ago | 1,072 |
doctor: okay have you taken anything for the pain patient: ibuprofen eight hundred milligrams three times a day | D2N037 | 7 | [
"Therapeutic History"
] | [
"Subjective"
] | okay have you taken anything for the pain | 1,073 |
doctor: okay and does anything make it better or worse patient: the more i use my hands or my arms the more it hurts | D2N037 | 8 | [
"Therapeutic History"
] | [
"Subjective"
] | okay and does anything make it better or worse | 1,074 |
doctor: okay have you tried icing patient: yes | D2N037 | 9 | [
"Therapeutic History"
] | [
"Subjective"
] | okay have you tried icing | 1,075 |
doctor: does that give you any relief patient: no | D2N037 | 10 | [
"Therapeutic History"
] | [
"Subjective"
] | does that give you any relief | 1,076 |
doctor: alright is it the inside or outside of your elbows patient: inside | D2N037 | 11 | [
"Acute Symptoms"
] | [
"Subjective"
] | alright is it the inside or outside of your elbows | 1,077 |
doctor: inside okay let's just do a quick physical exam here i'll take a look at your right elbow first patient: mm-hmm | D2N037 | 12 | [
"Physical Examination"
] | [
"Objective"
] | inside okay let's just do a quick physical exam here i'll take a look at your right elbow first | 1,078 |
doctor: if i bend it this way up does it hurt it's your left does that hurt patient: yes | D2N037 | 13 | [
"Physical Examination"
] | [
"Objective"
] | if i bend it this way up does it hurt it's your left does that hurt | 1,079 |
doctor: how about this patient: yes | D2N037 | 14 | [
"Physical Examination"
] | [
"Objective"
] | how about this | 1,080 |
doctor: okay so pain with both flexion and extension patient: mm-hmm | D2N037 | 15 | [
"Physical Examination"
] | [
"Objective"
] | okay so pain with both flexion and extension | 1,081 |
doctor: looks like you have little bit of limited range of motion on extension not on flexion though you said it hurts right here on the inside of your elbow patient: yes | D2N037 | 16 | [
"Physical Examination"
] | [
"Objective"
] | looks like you have little bit of limited range of motion on extension not on flexion though you said it hurts right here on the inside of your elbow | 1,082 |
doctor: okay so pain on the medial side with palpation patient: yes | D2N037 | 17 | [
"Physical Examination"
] | [
"Objective"
] | okay so pain on the medial side with palpation | 1,083 |
doctor: alright how about the outside patient: no | D2N037 | 18 | [
"Physical Examination"
] | [
"Objective"
] | alright how about the outside | 1,084 |
doctor: no pain with palpation outside of the elbow you have do you have normal sensation in your fingers patient: i think so | D2N037 | 19 | [
"Physical Examination"
] | [
"Objective"
] | no pain with palpation outside of the elbow you have do you have normal sensation in your fingers | 1,085 |
doctor: okay great patient: good to go | D2N037 | 21 | [
"Chitchat"
] | [
"Null"
] | okay great | 1,086 |
doctor: sensation is normal to the touch patient: yes | D2N037 | 22 | [
"Physical Examination"
] | [
"Objective"
] | sensation is normal to the touch | 1,087 |
doctor: pulses equal in all extremities how about the left elbow same thing if i bend it this way does that hurt patient: not as much | D2N037 | 23 | [
"Physical Examination"
] | [
"Objective"
] | pulses equal in all extremities how about the left elbow same thing if i bend it this way does that hurt | 1,088 |
doctor: how about this way patient: not as much | D2N037 | 24 | [
"Physical Examination"
] | [
"Objective"
] | how about this way | 1,089 |
doctor: alright so little bit of pain on flexion and extension little bit of limited range of motion on extension of the arm how about if you twist like you're opening a door patient: yes | D2N037 | 25 | [
"Physical Examination"
] | [
"Objective"
] | alright so little bit of pain on flexion and extension little bit of limited range of motion on extension of the arm how about if you twist like you're opening a door | 1,090 |
doctor: okay so some pain with torsion and twisting supination what about pronation patient: no | D2N037 | 26 | [
"Physical Examination"
] | [
"Objective"
] | okay so some pain with torsion and twisting supination what about pronation | 1,091 |
doctor: no pain with pronation on the right side patient: mm-hmm | D2N037 | 27 | [
"Physical Examination"
] | [
"Objective"
] | no pain with pronation on the right side | 1,092 |
doctor: same thing on the left patient: yes | D2N037 | 28 | [
"Physical Examination"
] | [
"Objective"
] | same thing on the left | 1,093 |
doctor: pain with supination no pain with pronation patient: correct | D2N037 | 29 | [
"Physical Examination"
] | [
"Objective"
] | pain with supination no pain with pronation | 1,094 |
doctor: alright so dylan it took some x-rays coming in looks like you do n't have any any fractures or any bony misalignment which i expect with this kind of injury i do think that what you have is medial epicondylitis which is patient: is that golfer's elbow | D2N037 | 30 | [
"Acute Assessment",
"Radiology Examination"
] | [
"Objective",
"Assessment"
] | alright so dylan it took some x-rays coming in looks like you do n't have any any fractures or any bony misalignment which i expect with this kind of injury i do think that what you have is medial epicondylitis which is | 1,095 |
doctor: yes same thing have you been golfing a lot patient: well not in the past year and a half i've had this for a long time | D2N037 | 31 | [
"Other Socials"
] | [
"Subjective"
] | yes same thing have you been golfing a lot | 1,096 |
doctor: okay also known as pictures elbow patient: well i have n't been pitching either | D2N037 | 32 | [
"Chitchat"
] | [
"Null"
] | okay also known as pictures elbow | 1,097 |
doctor: hmmm well in any case what i'm gon na have to do is i'm gon na send you up for mri to take another look at this patient: mm-hmm | D2N037 | 33 | [
"Diagnostic Testing"
] | [
"Plan"
] | hmmm well in any case what i'm gon na have to do is i'm gon na send you up for mri to take another look at this | 1,098 |
doctor: that will be our next step so we'll get you scheduled for the mri probably get you in pretty quick here since we're a private practice patient: thank god | D2N037 | 34 | [
"Diagnostic Testing"
] | [
"Plan"
] | that will be our next step so we'll get you scheduled for the mri probably get you in pretty quick here since we're a private practice | 1,099 |
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