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Felipe Barbosa Sick Visit: Integumentary Shadow Health Transcript | 2025 Revised Update.
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Transcript Started: Feb 16, 2023 | Total Time: 102 minAll Lines (82)Interview Questions (59)Statements (9)Exam Actions (14) Hello. I am xxx, I will interview and examine you. Greet 02/19/23 5:47 PM EST Hi. What is your name? Question 02/19/23 5:47 PM EST Felipe BarbosaFelipe Barbosa Sick Visit: Integumentary ShadowHealth Transcript What brings you here today? Question 02/19/23 5:48 PM EST I’m here for this pain and rash on my back. I am sorry about that Empathize 02/19/23 5:49 PM EST Thank you. How long have you had the pain and rash? Question
The pain and rash has been going on for two days, though I had some tingling in the area four days ago... [AUDIO COMING SOON] Can you describe the rash? Question 02/19/23 5:51 PM EST Yeah, the rash is red, has small blisters, and I feel a burning pain. How long does the pain last? Question 02/19/23 5:52 PM EST The pain has been constant. How severe is your pain? Question 02/19/23 5:53 PM EST Pain — 7 out of 10.
Where is the rash located? Question 02/19/23 5:53 PM EST The rash is on my right lower back. I have pain there too, but it’s not radiating. What relieves your symptoms? Question 02/19/23 5:53 PM EST I took some ibuprofen for the pain — that helped a little. I tried an ice pack, but that did nothing. I didn’t try any ointments or anything for the rash. I’m glad that ibupfrofen helped a little Empathize 02/19/23 5:55 PM EST I appreciate that. What makes your symptoms worse Question 02/19/23 5:56 PM EST Sweat and being hot make the pain feel worse. The pain is constant and in the area of the rash. What is your medical history?
I’ll make a note of that. Any fever? Question 02/19/23 6:05 PM EST No, I haven’t had a fever. Any history of eczema? (Clarified to Do you have a history of psychiatric illness?.) Question 02/19/23 6:06 PM EST I don’t have any clinical mental health issues, but I’m grappling with a traumatic incident — my best friend died recently. (Clarified to if I have a history of psychiatric illness.) Am sorry about that Empathize 02/19/23 6:07 PM EST Thanks. Are you using any supplements? (Clarified to Do you take vitamins or supplements?.) Question 02/19/23 6:08 PM EST No, I don’t take vitamins or supplements. (Clarified to if I take vitamins or supplements.) Any recent travel? Question 02/19/23 6:09 PM EST We haven’t traveled recently. Not since our honeymoon a few years ago. [AUDIO COMING SOON] Any history of surgeries? Question 02/19/23 6:09 PM EST Nope, I’ve never had surgery before. Any history of hospitalizations? Question 02/19/23 6:10 PM EST Nope, no hospitalizations. Any recent exposure to chemicals? (Clarified to Have you had any recent exposure to plants?.) Question 02/19/23 6:13 PM EST No, I haven’t touched any strange plants or anything. [AUDIO COMING SOON] (Clarified to if I have had recent exposure to plants.) What is your diet like?
Question 02/19/23 6:13 PM EST I usually do a protein shake for breakfast and load it up with lots of stuff — I use some super greens powder, or fresh greens if I have them on hand, some fruit, oatmeal, yogurt... they keep me pretty full in the morning before my workouts. Lunch is usually something quick like a salad and pizza, or grain bowl. Dinner I’ll have some steak or fish with pasta and roasted vegetables. I snack too... nuts, chips and guacamole, a good cheese plate, an occasional doughnut Felipe Barbosa Sick Visit: Integumentary ShadowHealth Transcript. Healthy diet is good for your skin Educate 02/19/23 6:15 PM EST Ah, alright, thanks. Any family history of skin conditions? Question 02/19/23 6:16 PM EST I don’t think any skin diseases run in my family. [AUDIO COMING SOON] Any joint pain? Question 02/19/23 6:18 PM EST I don’t have any joint issues. Any night sweats? Felipe Barbosa Sick Visit: Integumentary ShadowHealth Transcript Question 02/19/23 6:18 PM EST I don’t get night sweats. Any vision problems? Question 02/19/23 6:20 PM EST My eyes and vision are good. [AUDIO COMING SOON] Any numbness or tingling? Question 02/19/23 6:21 PM EST I have some tingling sensations in the rash area. The tingling has been going on for about four days. The rash only showed up two days ago. Am sorry about that Empathize 02/19/23 6:22 PM EST That’s nice of you. Any nausea? Question 02/19/23 6:22 PM EST
Exam Action 02/19/23 7:15 PM EST Are you able to work? Question 02/19/23 7:22 PM EST Well I’m a firefighter and I’ve been on my off schedule. I guess I’ll find out tomorrow when I’m back on shift if the pain is going to get in the way... I’ll grit through the pain. Can you stand? (No matching questions found.) Question 02/19/23 7:25 PM EST Have the symptoms affected your sleep? Question 02/19/23 7:25 PM EST Aside from the pain, I have a rash and I’ve been feeling a little tired. Any fatigue? Question 02/19/23 7:26 PM EST Yeah, I’ve been tired lately. How many hours do you sleep per day? Question 02/19/23 7:26 PM EST Usually 8 hours a night. [AUDIO COMING SOON] Any sore throat? Question 02/19/23 7:27 PM EST My throat feels fine. [AUDIO COMING SOON] Any history of infection? (Clarified to Have you ever been diagnosed with an STD?.) Question 02/19/23 7:28 PM EST Um... that’s sort of out of nowhere, but no, I don’t have an STD. [AUDIO COMING SOON] (Clarified to if I have been diagnosed with an STD.) Felipe Barbosa Sick Visit: Integumentary ShadowHealth Transcript Any stress? (Clarified to Have you been stressed recently?.) Question 02/19/23 7:29 PM EST
I recently lost my best friend... he died in the line of duty, he was a firefighter too. It’s been hard. (Clarified to if I have been stressed out lately.) Am sorry about that Empathize 02/19/23 7:30 PM EST I appreciate it. Felipe Barbosa Sick Visit: Integumentary ShadowHealth Transcript Any history of back pain? Question 02/19/23 7:34 PM EST Before the current pain in my right lower back, I haven’t had major back pain. [AUDIO COMING SOON] Are you depressed? Question 02/19/23 7:34 PM EST I don’t have clinical depression or anything, but... I lost my best friend recently, and I’ve been in mourning. [AUDIO COMING SOON] Any history of HIV? (Clarified to Do you have a history of anxiety?.) Question 02/19/23 7:35 PM EST I don’t have an anxiety disorder... but... and I don’t know if “anxiety” is the right word... I lost my best friend recently, and I’ve definitely been on edge. [AUDIO COMING SOON] (Clarified to if I have a history of anxiety.) Any history of childhood illnesses? Question 02/19/23 7:36 PM EST Um, I had chickenpox as a kid. Does the pain radiate? Question 02/19/23 7:42 PM EST The pain in the rash area is really only on my right lower back. It doesn’t go anywhere else. Do you work? Question 02/19/23 7:43 PM EST Yeah, I’m firefighter.Felipe Barbosa Sick Visit: Integumentary ShadowHealth Transcript