🩺 Record Detail

Patient Info

Name: Unknown
Age: Unknown
Date: 2025-05-06 08:54:58

Transcript

[00:00 → 00:09] Hi Amit, I see you have come in with some just discomfort after your gym workout.
[00:09 → 00:12] Can you describe what you are doing?
[00:12 → 00:17] Hi Doctor, it's a sharp pain on the left side that comes after intense cardio.
[00:17 → 00:21] It lasts about 10-5-10 minutes and goes away if I rest.
[00:21 → 00:24] Any shortness of breath, nausea or palpitations?
[00:24 → 00:29] Sometimes I feel a little out of breath but I thought it was normal.
[00:29 → 00:34] It could be a musical skeletal but I want to rule out anything cardiac.
[00:34 → 00:38] It will start with an ECG and treadmill stress test.
[00:38 → 00:43] Also try avoiding high intensity intervals using until we get that results.
[00:43 → 00:47] Okay, I will scale back a bit.
[00:47 → 00:50] But you will follow up after the test.
[00:50 → 00:55] It's always better to be safe, especially with just symptoms.
[00:55 → 00:59] Thank you Doctor, I appreciate it.

Clinical Notes

Subjective

  • Patient: Amit.

  • Primary Concern: Sharp pain on the left side after intense cardio lasting 5-10 minutes.

  • Associated Symptoms:

    • Sometimes feels a little out of breath during the pain.

Objective

  • Medical History: No specific details provided.

Assessment

  1. Musculoskeletal Pain: Likely related to intense cardio workouts.
  2. Cardiac Concerns: Need to rule out cardiac issues due to symptoms.

Plan

  1. Diagnostics:

  2. Perform an ECG and treadmill stress test to rule out cardiac issues.

  3. Activity Modification:

  4. Advise avoiding high-intensity intervals until test results are available.

  5. Follow-Up:

  6. Schedule a follow-up appointment after the tests for further evaluation.
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