🩺 Record Detail

Patient Info

Name: Unknown
Age: Unknown
Date: 2025-07-10 07:35:42

Transcript

[00:00 → 00:02] Dr. Amit Kohli
[00:02 → 00:04] Bonjour Madame Brown
[00:04 → 00:07] K. Poustier E. Fair-Pourvou Audjardouy
[00:07 → 00:09] Alice Brown
[00:09 → 00:11] Bonjour Doctor
[00:11 → 00:13] Depuis Kelkeshours
[00:13 → 00:16] J. De Difficult-so-Respire-Sertout-Lessoir
[00:16 → 00:19] J. Ossien-Tesseshka-Anne-Passe-Pah
[00:19 → 00:21] Dr. Amit Kohli
[00:21 → 00:23] D'accord
[00:23 → 00:26] Avé-Voudi-Antacidance-Diazmi
[00:26 → 00:28] Alice Brown
[00:28 → 00:30] We, J. A. T. Diagnostiki-Azmati
[00:30 → 00:32] Kwan J. A. Tisette-Lessent
[00:32 → 00:35] May C. A. Ollate-New-C. E. S. Dernie-Zannies
[00:35 → 00:39] M. A. Zlah, C. A. Rivian-Plus-Fort-Sertout-Lanute
[00:39 → 00:41] Dr. Amit Kohli
[00:41 → 00:47] S. C. E. K. Vou-Ressent-Hes-Anne-Apression-Don-La-Poi-Train-O-U-Disiffelments-Kwan-Vou-Respiris
[00:47 → 00:49] Alice Brown
[00:49 → 00:51] We, Exactment
[00:51 → 00:55] L'Anute-Jey-Me-Reveli-Sovent-In-Share-Chant-Mon-Souffle
[00:56 → 00:59] I. T. Parfois-Jey-Intens-Un-Siffelment-Anne-Experent
[00:59 → 01:01] Dr. Amit Kohli
[01:01 → 01:05] Avé-Vou-Ressent-Hes-Anne-Apression-Don-La-Poi-Train-O-U-Disiffelments-Kwan-Vou-Respirisis
[01:05 → 01:10] M. A. Zlah, C. A. Ressent-Hes-Anne-Apression-Don-La-Poi-Train-O-U-Disiffelments-Kwan-Vou-Respiris
[01:10 → 01:13] L'Anute-Jey-Me-Reveli-Sovent-In-Share-Chant-Mon-Souffle
[01:14 → 01:17] Dr. Amit Kohli
[01:17 → 01:19] J. E. Voice
[01:19 → 01:23] Less Symptoms Indiquant-Un-Christ-Dy-As-Me-Mal-Control-E
[01:23 → 01:28] Avé-Vou-Ressent-Hes-Anne-Apression-Don-La-Poi-Train-O-U-Disiffelments-Kwan-Vou-Respirisis
[01:28 → 01:31] L'Anute-Jey-Me-Reveli-Sovent-In-Share-Chant-Mon-Souffle
[01:31 → 01:33] I. T. Parfois-Jey-Me-Reveli-Sovent-In-Share-Chant-Mon-Souffle
[01:33 → 01:37] I. T. Parfois-Jey-Me-Reveli-Sovent-In-Share-Chant-Mon-Souffle
[01:38 → 01:41] Dr. Amit Kohli
[01:41 → 01:44] Sala-Put-Etra-Undi-Clencher
[01:44 → 01:46] J. E. Voice-Vou-Proscrier-Un-Novo-Tracement
[01:46 → 01:47] Uninholator-Defond
[01:47 → 01:48] Corticoids
[01:48 → 01:50] I. Utilizer-2-Less Shores
[01:50 → 01:53] In-Plus-Dunn-In-Holator-Dis-A-Corpore-Less-Crisis
[01:53 → 01:57] E. T. I. O. Fabra-Evider-Less-Allergens-Oton-K-Possible
[01:57 → 01:59] Alice Brown
[01:59 → 02:02] S. C. E. K. C. Quelk-Chose-Degrave
[02:02 → 02:05] Dr. Amit Kohli
[02:05 → 02:08] Sune-Pog-Gravess-I-On-Look-Control-Bien
[02:08 → 02:11] Maze-I-L-N-E-Fopog-Norer-Less Symptoms
[02:11 → 02:13] Surtutla-Nut
[02:13 → 02:17] J. E. Vou-Recommand-Acy-Defair-Un-Test-De-La-Function-Respertoir
[02:17 → 02:20] Spirometry-Pori-Valuer-Votry-Capicycle-Pulmonaryr
[02:20 → 02:22] Alice Brown
[02:22 → 02:24] Trace-Bien
[02:24 → 02:28] S. C. E. K. J. E. Per-Continuer-Affair-Dou-Sport
[02:28 → 02:30] Dr. Amit Kohli
[02:30 → 02:33] We-Maze-Defaken-Matery-Por-Linstant
[02:33 → 02:38] It is Surtut, Utilized-Votry-In-Holotur-Avant-Eleffert
[02:38 → 02:42] On-N-Reparlara-Apray-Less-Result-Hats-D-Tests
[02:42 → 02:44] Alice Brown
[02:44 → 02:50] Merci-Boku, Dr. J. E. Nees-Sens-Dasia-Un-Pou-Rasheri
[02:50 → 02:52] Dr. Amit Kohli
[02:52 → 02:54] S. C. Normal
[02:54 → 02:58] Prinus-Soin-Dee-Vou-E-Tia-Pilus-Wa-Sai-Vou-Ave-Un-Nouvelle-Krise
[02:58 → 03:00] Alice Brown
[03:00 → 03:02] Daccord
[03:02 → 03:05] Merci-On-Cor-A-Tibon-Journey

Clinical Notes

Subjective

  • Patient: Alice Brown

  • Primary Concern: Difficulty in breathing, especially at night, with associated wheezing and increased coughing, especially at night.

  • Symptoms:

  • Shortness of breath, especially at night.
  • Wheezing and coughing more at night.

  • Feeling of chest tightness, especially at night.

  • Medical History:

  • No current antacid use.
  • No recent episodes of intense wheezing or shortness of breath.

Objective

  • Assessment:
  • Symptoms indicating poorly controlled asthma.
  • Patient reports experiencing shortness of breath, chest tightness, wheezing, and increased coughing at night.

Plan

  1. Treatment:
  2. Prescribe a new inhaler with a corticosteroid component.
  3. Instruct on inhaler technique.
  4. Advise using the inhaler 2 puffs at a time.
  5. Educate on the use of a spacer to reduce systemic side effects.

  6. Discuss avoiding possible allergens.

  7. Follow-Up:

  8. Recommend a pulmonary function test, specifically spirometry, to assess pulmonary capacity.

  9. Lifestyle Modifications:

  10. Suggest continuing sports activities.
  11. Emphasize using the inhaler before exercise.

  12. Revisit after reviewing test results.

  13. Education:

  14. Provide instructions on proper inhaler use.

  15. Discuss the importance of monitoring symptoms for any exacerbation.

  16. Reassurance:

  17. Ensure normal findings.

  18. Advise on seeking prompt care in case of a new crisis.

  19. Follow-Up:

  20. Schedule a follow-up appointment for further evaluation.
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