Summary:

Table of Contents

The transcript is from a health assessment for Tina Jones, conducted on November 2, 2021, lasting about 399 minutes. Tina’s physical measurements were recorded, including her height (170 cm), weight (90 kg), BMI (31), blood glucose level (238), temperature (101.1 F), blood pressure (142/82), respiratory rate (19), O2 saturation (99%), and heart rate (86). Additionally, details about a wound on her foot were documented, with measurements, treatment actions, and questions about her medical history, symptoms, and family history.

Expanded:

This document is a record of a health evaluation for Tina Jones that occurred on November 2, 2021, spanning approximately 399 minutes. During the assessment, various physical metrics were noted, such as Tina’s height, recorded as 170 centimeters, and her weight, which was documented as 90 kilograms. Tina’s BMI, indicating her body mass index, was calculated to be 31. Other vital signs, including her blood glucose level, temperature, blood pressure, respiratory rate, O2 saturation, and heart rate, were also measured and recorded at specific times.

Furthermore, details regarding a wound on Tina’s foot were outlined in the transcript. The wound’s dimensions were specified as 2 centimeters by 1.5 centimeters, with a depth of 2.5 millimeters. The wound was treated by cleansing and irrigating it with normal saline, followed by the application of a dry sterile dressing. Swabs from the wound were collected and sent to the lab for culture and sensitivity testing.

In addition to the physical examination, the transcript includes a conversation between Tina and her healthcare provider. Tina described experiencing pain and discomfort due to the wound on her foot, which worsened over time. She provided information about the circumstances of the injury, her symptoms, and her efforts to manage the pain. The healthcare provider asked Tina about her medical history, including any pre-existing conditions, previous injuries, and family medical history.

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Throughout the assessment, Tina’s responses were documented, providing insights into her overall health status, lifestyle, and any relevant medical issues. The dialogue between Tina and her healthcare provider also addressed her concerns, symptoms, and treatment options, aiming to ensure comprehensive care and management of her health condition.

Shadow health Tina Jones Health History transcript