Adolescent Sports Evaluation Samantha Monroe shadow health Transcript
Hello. My name is xxxx, and I will interview you and then conduct a physical examination.
Greeting
March 5, 2022, 5:41 AM EST
Hello.
What is your relationship with the patient?
Question
March 5, 2022, 5:42 AM EST
Oh, this person is my mother.
Hey, I’m Jackie Monroe. This is my daughter, Samantha.
Why are you here today?
Question
March 5, 2022, 5:42 AM EST
I’m here for a sports check-up. I’m going to play on my school’s soccer team. We’re called the Nightingales, which is pretty cool.
Do you have any medical issues?
Question
March 5, 2022, 5:43 AM EST
No, I don’t have any health problems.
Have you had any surgeries in the past?
Question
March 5, 2022, 5:43 AM EST
I had my tonsils removed when I was around 9 years old, but that’s it.
Yes, Samantha’s only surgery was the tonsil removal.
Do you have any missing organs?
Question
March 5, 2022, 5:45 AM EST
Does your daughter have any missing organs?
Question
March 5, 2022, 5:46 AM EST
Have any of your organs been removed?
Question
March 5, 2022, 5:46 AM EST
No, all my organs are present.
Do you have any allergies?
Question
March 5, 2022, 5:49 AM EST
No, I’ve never had any allergies before.
Are your vaccinations up to date?
Question
March 5, 2022, 5:50 AM EST
Yes, I’ve received all my vaccines.
I always made sure she was up to date on her vaccinations.
Are you taking any medications?
Question
March 5, 2022, 5:50 AM EST
No, I’m not taking any medication.
Are you using any vitamins or supplements?
Question
March 5, 2022, 5:51 AM EST
I take a multivitamin, and I also drink apple cider vinegar, which is like a supplement.
Do you faint during exercise?
Question
March 5, 2022, 5:52 AM EST
No, I’ve never fainted while exercising.
Do you experience dizziness?
Question
March 5, 2022, 5:53 AM EST
No, I feel fine right now.
Have you ever felt dizzy?
Question
March 5, 2022, 5:53 AM EST
I’ve felt dizzy once or twice, usually when I skip lunch and then have gym class.
Apologies for that.
Thank you for the heads-up.
Have you experienced heart problems after exercising?
Question
March 5, 2022, 5:56 AM EST
No, I haven’t experienced any heart problems after exercise.
Have you experienced heart problems during exercise?
Question
March 5, 2022, 5:57 AM EST
Nope, no problems during exercise.
Have you been diagnosed with a heart problem?
Question
March 5, 2022, 5:58 AM EST
No, I’ve never been diagnosed with any heart problems that I know of.
How is your breathing during and after exercise?
Question
March 5, 2022, 5:59 AM EST
My breathing is normal during and after exercise.
Do you have a history of seizures?
Question
March 5, 2022, 6:00 AM EST
I’m pretty sure I’ve never had a seizure.
That’s correct. No seizures or anything like that.
Have you had any injuries?
Question
March 5, 2022, 6:01 AM EST
Well, I sprained my ankle when I was around 10 years old, but that’s about it. I’m always ready to play.
Do you have any rashes?
Question
March 5, 2022, 6:01 AM EST
No, I don’t have any rashes.
Do you have a history of head injuries?
Question
March 5, 2022, 6:02 AM EST
No, my head is fine.
Have you ever had a concussion?
Question
March 5, 2022, 6:03 AM EST
I’ve never had a concussion, but I did see my friend have a bad fall at the skatepark once.
Do you experience numbness or tingling?
Question
March 5, 2022, 6:04 AM EST
No, I don’t experience numbness or tingling.
Do you have any weakness in your limbs?
Question
March 5, 2022, 6:09 AM EST
No, I don’t have any weakness.
Do you exercise in hot weather?
Question
March 5, 2022, 6:14 AM EST
Yes, sometimes we have gym class outside, and during soccer season, we practice and play games outdoors.
Do you have any eye problems?
Question
March 5, 2022, 6:16 AM EST
No, my eyesight is fine.
Have you started menstruating?
Question
March 5, 2022, 6:17 AM EST
No, I haven’t started my period yet.
She asked about when I got my first period. I told her I was around 12 years old.
It’s normal for someone your age not to have started their period yet.
That’s good to know.
Tell me about your family’s medical history.
Question
March 5, 2022, 6:21 AM EST
Are there any genetic heart conditions in your family?
Question
March 5, 2022, 6:22 AM EST
No, there aren’t any genetic heart conditions in my family.
Do you have any family members with heart problems?
Question
March 5, 2022, 6:22 AM EST
I don’t think so, but I’m not entirely sure.
I can’t recall anyone in the family having heart problems.
Have there been any unexpected deaths in your family?
Question
March 5, 2022, 6:23 AM EST
Any family members with pacemakers before the age of 35?
Question
March 5, 2022, 6:25 AM EST
I’m not sure about the pacemaker thing.
To my knowledge, no one in the family has had a pacemaker.
How do you feel about your weight?
Question
March 5, 2022, 6:27 AM EST
I wish I could lose some weight. It’s awkward when my friends wear smaller sizes than me.
I told her middle school can be tough, especially with social media. But things get better as you get older.
How do you feel about your weight?
Question
March 5, 2022, 6:29 AM EST
Um, I think I should lose weight to look more athletic and fit in with everyone.
You shouldn’t try to fit in. Everyone is different.
That makes sense
.
Tell me about your diet.
Question
March 5, 2022, 6:31 AM EST
I follow the Mediterranean diet and avoid unhealthy foods like candy and processed foods.
Do you skip meals?
Question
March 5, 2022, 6:32 AM EST
Yes, I skip lunch occasionally.
It’s not recommended to skip meals at your age because you’re still growing.
Got it. Thanks.
How long have you been skipping lunch?
Question
March 5, 2022, 6:34 AM EST
I started skipping lunch about a month ago.
Checked weight and height growth chart.
Exam Action
March 5, 2022, 6:35 AM EST
Examined the skin.
Exam Action
March 5, 2022, 6:48 AM EST
Assessed appearance.
Exam Action
March 5, 2022, 6:49 AM EST
Assessed the range of motion in the cervical spine.
Exam Action
March 5, 2022, 6:52 AM EST
Assessed full range of motion in the spine without discomfort.
Exam Action
March 5, 2022, 6:53 AM EST
Assessed wrist range of motion.
Exam Action
March 5, 2022, 7:01 AM EST
Assessed elbow range of motion.
Exam Action
March 5, 2022, 7:03 AM EST
Assessed shoulder range of motion – adduction and abduction: Strength was equal bilaterally against full resistance.
Exam Action
March 5, 2022, 7:06 AM EST
Assessed trapezius strength: Strength was equal bilaterally against full resistance.
Exam Action
March 5, 2022, 7:06 AM EST
Assessed deltoid strength and shoulder rotation.
Exam Action
March 5, 2022, 7:07 AM EST
Assessed hand and finger range of motion and strength: Strength was equal bilaterally against resistance.
Exam Action
March 5, 2022, 7:08 AM EST
Assessed symmetry of extremities.
Exam Action
March 5, 2022, 7:09 AM EST
Assessed leg symmetry, knee, and ankle for effusion.
Exam Action
March 5, 2022, 7:09 AM EST
Assessed calf symmetry and leg strength.
Exam Action
March 5, 2022, 7:10 AM EST
Tested hip, knee, and ankle range of motion.
Exam Action
March 5, 2022, 7:11 AM EST
Tested cardinal fields of vision.
Exam Action
March 5, 2022, 7:14 AM EST
Tested peripheral vision.
Exam Action
March 5, 2022, 7:15 AM EST
Tested visual acuity.
Exam Action
March 5, 2022, 7:15 AM EST
Tested balance, which was as expected.
Exam Action
March 5, 2022, 7:16 AM EST
Auscultated lungs.
Exam Action
March 5, 2022, 7:17 AM EST
Auscultated abdomen.
Exam Action
March 5, 2022, 7:18 AM EST
Auscultated heart.
Exam Action
March 5, 2022, 7:18 AM EST
Screened Adam’s Forward Bend.
Exam Action
March 5, 2022, 7:20 AM EST
Mrs. Monroe, please step out so I can speak privately with your daughter.
Educated
March 5, 2022, 7:34 AM EST
Sure, no problem.
I’ll be asking you some personal questions, and it’s important to know you’re in a safe and nonjudgmental environment.
Understood. Sounds good.
Tell me about your school life, friends, and hobbies.
Question
March 5, 2022, 7:38 AM EST
Everything’s okay. My grades are average, and I hang out with friends. Soccer will be fun, but things were easier before I turned 13.
I’m sorry to hear that. Everything will be fine.
Thanks. I appreciate your understanding.
Tell me about your support system.
Question
March 5, 2022, 7:41 AM EST
My mom and I are close, and I have supportive friends.
Have you ever used tobacco?
Question
March 5, 2022, 7:42 AM EST
No, I haven’t. I know smoking can be harmful, so I wouldn’t do it.
Have you used any drugs?
Question
March 5, 2022, 7:43 AM EST
No, I’ve never used drugs.
Have you used alcohol?
Question
March 5, 2022, 7:44 AM EST
No, I don’t drink alcohol.
Are you interested in relationships and dating?
Question
March 5, 2022, 7:45 AM EST
Not really at this time.
Are you sexually active?
Question
March 5, 2022, 7:45 AM EST
No, I’m not.
I’d like to learn more about any nervousness or anxiety you may feel.
Question
March 5, 2022, 7:54 AM EST
School can be stressful, especially with projects and tests. I also want to do well in soccer, but keeping up appearances can be overwhelming.
I’m sorry to hear that.
Thank you.
I noticed your concerns about body image, weight, and diet.
Question
March 5, 2022, 7:57 AM EST
I’ve been paying more attention to my health, but I want to look good in photos.
Have you ever considered extreme measures to manage your weight?
Question
March 5, 2022, 7:58 AM EST
No, I wouldn’t do anything risky.
Do you have any questions for me?
Question
March 5, 2022, 7:59 AM EST
No, I don’t think so.
You’ll now discuss appropriate non-pharmacological interventions with Samantha and her mother, Ms. Monroe. Your responses will not be automatically scored, but your instructor may review them.
Exam Action
March 6, 2022, 8:19 AM EST
I’m ready to begin the conversation with Samantha.
In your own words, discuss life-threatening health problems related to disordered eating with Samantha and Ms. Monroe.
Exam Action
March 6, 2022, 8:20 AM EST
Restricting food intake can lead to serious health issues because the body needs proper nutrition for strong bones, teeth, and hair.
Oh, okay. I don’t want any of that to happen.
Thank you. We’ll take this seriously.
In your own words, discuss limiting media exposure with Samantha and Jackie.
Exam Action
March 6, 2022, 8:24 AM EST
It’s important to limit media exposure and remember that your body deserves care, regardless of its size.
Yeah, I don’t want to develop an eating disorder. I thought what I was doing was normal, but I guess not.
We’ll both need to change how we view our bodies and talk about
nutrition. I don’t want my daughter to struggle with self-esteem issues.
In your own words, discuss learning coping mechanisms with Samantha and Jackie.
Exam Action
March 6, 2022, 8:33 AM EST
You can try journaling, relaxation techniques, and affirmations to help manage stress.
That makes sense. I don’t want to feel this way.
I’m relieved we identified this issue. I had no idea it was a problem.
You’ve provided education on appropriate non-pharmacological interventions.
Adolescent Sports Evaluation Samantha Monroe shadow health Transcript
Transcript
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Hello. I am xxxx, I will interview you and later conduct a physical exam.\
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Greet |
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Hello.
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What is your relationship with the patient?
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Question |
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Oh, this is my mom.
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Hey, I’m Jackie Monroe. This is my daughter, Samantha.
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Why are you here today?
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Question |
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I’m here for a sports physical. I’m gonna play on my school soccer team. We’re called the Nightingales, which is pretty cool.
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Any medical issue?
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Uh, nope. No health issues. Adolescent Sports Evaluation Samantha Monroe shadow health Transcript
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Any history of surgery?
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Question |
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I had my tonsils removed when I was like 9, but that’s it.
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Yeah, that was Samantha’s only surgery.
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Any missing organ? (No matching questions found.)
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Does your daughter have any missing organ? (No matching questions found.)
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Question |
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Have you had any of your organs removed?
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Uh . . . no. All my organs are 100% present.
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Any allergies?
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No, I’ve never had any allergies before.
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Are your vaccinations current? Adolescent Sports Evaluation Samantha Monroe shadow health Transcript
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Yeah, I’ve had all my vaccines.
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I always made sure she was up to date on her vaccinations.
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Are you using any medications?
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Question |
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No, I don’t take anything.
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Are you using any vitamins or supplements?
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Question |
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I take a multivitamin. Plus, I drink apple cider vinegar, which is kinda like a supplement.
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Do you pass out during exercise? (Clarified to Have you passed out during exercise?.)
ORDER SHADOW HEALTH, EXAM OR WRITEN PAPER HERE
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Question |
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No way. I’ve never passed out while I was exercising. (Clarified to if I have passed out during exercise.)
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Any dizziness?
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Question |
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Oh, no. I feel totally fine right now.
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Have you ever been dizzy? (Clarified to Have you felt dizzy in the past?.)
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Question |
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I’ve only been dizzy like once or twice. And that was because I skipped lunch and then had to go to gym class. (Clarified to if I have felt dizzy in the past.)
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Am sorry about that Adolescent Sports Evaluation Samantha Monroe shadow health Transcript
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Educate |
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Thanks for the heads-up.
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Any heart problems after exercising? (Clarified to Have you had heart problems after exercise?.)
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Question |
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No heart problems after exercise. (Clarified to if I have had heart problems after exercise.)
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Have you had heart problems during exercise?
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Question |
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Nope. No problems during exercise.
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Have you been diagnosed with a heart problem?
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Question |
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No, I’ve never been diagnosed with any heart problems that I know of.
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No, no heart problems.
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How is your breathing during and after exercise?
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Question |
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My breathing is fine during and after exercise.
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Any history of seizures?
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Question |
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Pretty sure I’ve never ever had a seizure.
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That is correct. No seizures or anything like that.
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Any injuries?
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Question |
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Um, well I did sprain my ankle when I was like 10. That’s really it, though. I’m always good to play.
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Any rashes?
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Question |
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No rashes. Ew.
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Any history of head injuries? Adolescent Sports Evaluation Samantha Monroe shadow health Transcript
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Question |
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Nope. My head’s fine.
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Have you had a concussion?
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Question |
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I’ve never had a concussion, but I did see my friend wipeout at the skatepark once. It was crazy. He was skating, then boom. I was filming, so it was, you know, pretty scarring.
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Any numbness or tingling?
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Question |
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No numbness or tingling. That sounds weird.
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Any weakness in your limbs?
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Question |
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Nope, no weakness.
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Do you exercise in the heat?
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Question |
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Sure. We do gym outside sometimes. When soccer season starts, practice and games are outside.
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Any eye problems?
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Question |
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My eyes are fine.
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Have you started your periods?
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Question |
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No, I haven’t started my period yet. It’s kind of weird because all my friends have? Whenever they talk about it, like the cramps or whatever, I just pretend like I’ve had mine, too. Just to fit in.
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She asked how old I was when I got my first period. I told her I was about 12.
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I understand your concerns, but it’s normal for a person of your age to not have started their periods yet.
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Educate |
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Cool. Good to know.
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Tell me about your family medical history.
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Question |
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Wait, like the entire family medical history or do you mean something more specific?
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Any genetic conditions in your family? (Clarified to Does anyone in your family have a genetic heart condition?.)
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Question |
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I don’t know. Mom? (Clarified to if anyone in my family has a genetic heart condition.)
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No, no one in the family has any genetic heart conditions.
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Any heart problems in your family?
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Question |
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I don’t think anyone has heart problems, but I’m not totally sure.
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You know, I can’t think of anybody in the family who’s had heart problems.
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Any history of unexpected deaths in your family? (No matching questions found.)
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Question |
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Any family history of unexpected deaths before the age of 35? (No matching questions found.)
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Question |
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Has any of your family members had a pacemaker before age 35? (Clarified to Has anyone in your family had a pacemaker before 35?.) Adolescent Sports Evaluation Samantha Monroe shadow health Transcript
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Question |
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I’m not sure about the pacemaker thing. (Clarified to if anyone in my family had a pacemaker before thirty five.)
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To my knowledge, there isn’t anyone in the family who’s ever had a pacemaker.
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Do you feel your weight is okay? (Clarified to How do you feel about your weight?.)
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Question |
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Um, I mean, I wish I could lose this baby fat. All my friends wear one size smaller than me, so it’s super awkward when they’re swapping clothes . . . and talking about their periods . . . just hard not to compare. (Clarified to how I feel about my weight.)
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I told her . . . middle school is tough, especially with all the social media they’re dealing with now. But luckily time goes by faster the older you get and one day you’re my age and it’s all in the rearview.
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I understand your concerns but you should not try to fit in or compare yourself to others.
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Educate |
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Gotcha.
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Do you want to lose weight? (Clarified to Why do you think you need to lose weight?.)
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Question |
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Just . . . to look more athletic, you know. Like I fit in with everybody. (Clarified to why I think I need to lose weight.)
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You should not try to fit in. Everyone is unique.
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Educate |
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Um, that makes sense.
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Tell me about your diet.
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Question |
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I do the Mediterranean diet. It’s healthy. I try not to eat bad stuff. No candy, white carbs, processed food.
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Do you skip any meals?
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Question |
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Yeah, I skip lunch once or twice each week.
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It is not advisable to skip any meal at your age because you are still growing
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Educate |
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For sure. OK.
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How long have you been skipping your lunch? (Clarified to How long have you been skipping lunch?.)
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Question |
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I started skipping lunch maybe a month ago? (Clarified to how long I have been skipping lunch.)
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Inspected weight and height growth chart
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Exam Action |
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Inspected Skin
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Exam Action |
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Assessed appearance
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Exam Action |
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Assessed Cervical Spine Range of Motion
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Exam Action |
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Assessed Spine Range of Motion: Full range of motion performed without discomfort
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Exam Action |
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Assessed wrist range of motion
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Exam Action |
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Assessed Elbow Range of Motion
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Exam Action |
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Assessed range of motion of shoulders – adduction and abduction: Strength equal bilaterally against full resistance
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Exam Action |
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Assessed Trapezius Strength: Strength equal bilaterally against full resistance
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Exam Action |
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Assessed deltoid strength and shoulder rotation
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Exam Action |
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Assessed Hand and Finger Range of Motion and Strength: Right and left hand strength equal bilaterally against resistance
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Exam Action |
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Assessed Symmetry of Extremities
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Exam Action |
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Assessed leg symmetry, knee and ankle effusion
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Exam Action |
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Assessed Calf Symmetry and Leg Strength Adolescent Sports Evaluation Samantha Monroe shadow health Transcript
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Exam Action |
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Tested Hip, Knee, and Ankle ROM
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Exam Action |
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Tested Cardinal Fields of Vision
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Exam Action |
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Tested peripheral vision
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Exam Action |
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Tested visual acuity
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Exam Action |
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Tested balance: Expected
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Exam Action |
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Auscultated lungs
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Exam Action |
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Auscultated abdomen
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Exam Action |
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Auscultated heart
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Exam Action |
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Screened Adam’s Forward Bend
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Exam Action |
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Mrs. Monroe please step out so I can have a private conversation with your daughter.
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Educate |
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Sure, no problem.
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I will be asking you some personal questions and I need you to know that you are in a safe and a nonjudgmental environment.
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Educate |
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OK. That sounds alright.
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Tell me about your school life, friends and hobbies.
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Question |
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Everything’s fine. I mean . . . My grades are average. I get a lot of Bs. I feel like my friends used to be really chill but I don’t know what happened this year. It’s like everybody got super skinny and so many more followers on their social accounts. Soccer is gonna be fun, for sure, but . . . everything was easier before I turned 13.
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Am sorry about that. Everything will be fine.
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Empathize |
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Thanks. I’m glad you understand.
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Tell me about your support system.
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Question |
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Yeah, me and my mom are pretty close, and I have some friends who get it. We talk and stuff.
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Have you ever used tobacco?
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Question |
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Definitely not. I feel like I’ve heard smoking can help you lose weight, but I’m not ever gonna do it because it’s so bad for your lungs. That would ruin my soccer game.
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Have you used any drugs?
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Question |
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No. I wouldn’t ever do drugs.
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Have you used alcohol?
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Question |
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I don’t drink. No way.
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Are you interested in relationships and dating?
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Question |
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I’m not really interested in that yet.
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Are you sexually active?
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Question |
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No.
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I would like to know more about your feeling of nervousness or anxiety. Adolescent Sports Evaluation Samantha Monroe shadow health Transcript
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Question |
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I mean . . . school’s a lot. Projects and tests and stuff. And I want to do really well in soccer. But I guess it’s mostly the whole “keeping up with appearances” thing. It’s like a full-time job.
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Am sorry about that.
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Empathize |
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Thanks.
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I noticed that you are concerned about your body image, weight, and diet.
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Question |
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Well, I’ve definitely started paying more attention to health stuff, but I thought that was a good thing. I just want to post a selfie and not have a double-chin, you know?
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Have you ever considered doing anything more extreme to manage your weight?
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Question |
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No, I wouldn’t do anything dangerous. I promise.
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Do you have any questions for me?
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Question |
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No, I don’t think so.
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You will now discuss the appropriate non-pharmacological interventions with Samantha and her mother, Ms. Monroe. You will not be automatically scored on your choices or responses in this activity, but your instructor may choose to review your responses.
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Exam Action |
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I am ready to begin the conversation with Samantha.
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Question |
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In your own words, discuss life-threatening health problems related to disordered eating with Samantha and Ms. Monroe.
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Exam Action |
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Forcing yourself to diet or skip meals can make you very sick because strong bones teeth, and hair require adequate nutrition.
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Question |
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Oh, um yeah. That makes sense. I don’t want any of that to happen.
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Thank you. This is pretty concerning so we’ll take this very seriously.
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In your own words, discuss limiting media intake with Samantha and Jackie.
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Exam Action |
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You should limit media exposure and remember that your body deserves to be fed, cared or, regardless of the size.
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Question |
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Yeah, I mean I don’t want an eating disorder or anything like that. I just thought thinking like that was pretty normal, but I guess not.
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We’re just both going to have to rethink how we see our bodies and talk about nutrition. I don’t want to see my daughter struggle with her self-esteem.
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In your own words, discuss increasing knowledge of coping mechanisms with Samantha and Jackie. Adolescent Sports Evaluation Samantha Monroe shadow health Transcript
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Exam Action |
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You can try journalling, relaxation and stress management techniques, and affirmations
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Question |
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Yeah, that make sense. It’s not like I want to feel this way, you know?
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I’m just glad we figured out that this was an issue. I had no idea.
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You have provided Samantha and her mother education on all appropriate non-pharmacological interventions. Adolescent Sports Evaluation Samantha Monroe shadow health Transcript
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