🩺 Record Detail
Patient Info
Transcript
Doctor: Hi, Omit. I see you've come in with some chest discomfort after your gym workouts. Can you describe what you're feeling? Patient: Hi, Doctor. It's a sharp pain on the left side that comes after intense cardio. It lasts about 5-10 minutes and goes away if I rest. Doctor: Any Shortness of Breath, Nausea, or Palpitations? Patient: Sometimes I feel a little out of breath, but I thought it was normal. Doctor: It could be Musculoskeletal, but I want to rule out anything cardiac. We'll start with an ECG and a treadmill stress test. Also, try avoiding high intensity intervals until we get the results. Patient: Okay, I'll scale back a bit. Doctor: Good. We'll follow up after the test. It's always better to be safe, especially with chest symptoms. Patient: Thank you, Doctor. I appreciate it.
Clinical Notes
Patient Information: - Name: Omit - Age: Not specified - Sex: Not specified - Date of Birth: Not specified - Parent/Guardian Name: Not specified - Date of Consultation: Not specified - Referring Physician: Not specified
Chief Complaint: Chest discomfort after intense cardio workouts.
History of Present Illness (HPI): The patient reports sharp pain on the left side lasting 5-10 minutes after intense cardio, relieved by rest. Denies shortness of breath, nausea, or palpitations.
Assessment: Possible musculoskeletal chest pain. Differential includes cardiac etiology.
Plan: - Perform ECG and treadmill stress test to rule out cardiac issues. - Advise the patient to avoid high-intensity intervals until test results are available. - Follow up after the tests for further evaluation.
Note: Patient's age, sex, date of birth, and consultation date were not provided during the consultation.