🩺 Record Detail

Patient Info

Name: Unknown
Age: Unknown
Date: 2025-07-08 09:51:13

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] Itte-Parfois-Jey-Antens-Uncifelment-Anne-Experent
[00:59 → 01:01] Dr. Amit Kohli
[01:01 → 01:02] Avé-Vou-Ressent-Hes-Anne-Apression-Don-La-Poi-Train-O-U-Disiffelments-Kwan-Vou-Respirisis
[01:02 → 01:05] Avé-Vou-Ressent-Hes-Anne-Apression-Don-La-Poi-Train-O-U-Disiffelments-Kwan-Vou-Respiris
[01:05 → 01:07] Unbraunco-Dilettiter?
[01:07 → 01:09] Alice Brown
[01:09 → 01:12] We, J. A. Encore-Anne-Anne-Sianne-In-Holotur-Blue
[01:12 → 01:15] Més-Aiele-Me-Solage-Domones-Anne-Mones
[01:15 → 01:17] Dr. Amit Kohli
[01:17 → 01:19] J. E. Vois
[01:19 → 01:23] Less symptoms-indiquent-Uncrist-E-As-Mi Mal-Control-E
[01:23 → 01:24] Avé-Vou-Ressent-Hes-Apression-Don-La-Poi-Train-O-U-Disiffelments-Cherent-Respirisis
[01:24 → 01:26] Avé-Vou-Ressent-Hes-Anne-Alice Brown
[01:26 → 01:33] Avé-Vou-Ressent-Hes-Apression-Don-La-Poi-Train-O-U-Disiffelments-Kwan-Vou-Ressent-Hes-Anne-Apression-Don-La-Poi-Train-O-U-Disiffeltham
[01:33 → 01:38] J. Unchatt, ITI J. Ossi Fade and Gran Neto-Ijlesa Mane Dernier, Okuda Poussiere.
[01:38 → 01:41] Dr. Amit Kohli
[01:41 → 01:43] Salah Put Etra Undeclenchir
[01:43 → 01:49] J. Hevace Vupraschrayaran Nouveau Tratement, uninhalator defond, cordicoids, a utilizer two
[01:49 → 01:53] less shores, and plus done inhalator desicorpore less crises.
[01:53 → 01:57] ETIL FADRA Evider less allergens oughtn't K possible.
[01:57 → 01:59] Alice Brown
[01:59 → 02:05] S.C.E.K. Sequelchos de Grave, Dr. Amit Kohli
[02:05 → 02:08] Soné Paggraves-I-Onlook Control-Bien
[02:08 → 02:13] Mase-I-L-N-E-Faux-Pog-Norreless Symptoms, Sir Tutla-Nut
[02:13 → 02:21] J.E. Vu-Recommand-Ossi-De-Fare-Un-Test-De-La-Function-Respertoir, Spirometry, Pory-Value-Vatry-Capocyc-Pulmonaryr
[02:21 → 02:22] Alice Brown
[02:22 → 02:24] Très-Bien
[02:24 → 02:28] S.C.E.K.J.E. Per-Continuer-Affair-Do-Sport
[02:28 → 02:30] Dr. Amit Kohli
[02:30 → 02:34] We, Mase-De-Faken-Matery-Poor-Linstant
[02:34 → 02:38] ETIL Sir Tut, Utilize-Vatry-In-Holator-Avant-Elle-Efford
[02:38 → 02:42] On-N-Reparlera-Apré-Less-Result-Hats-D-Tests
[02:42 → 02:44] Alice Brown
[02:44 → 02:47] Merci-Boku, Dr.
[02:47 → 02:50] J.E.N-E-Sens-Dasia-Unpu-Rasher-E
[02:50 → 02:52] Dr. Amit Kohli
[02:52 → 02:54] S.C.E.N-Normal
[02:54 → 02:58] Prénès-Soyne-De-Vouetia-Pilas-Wa-Sai-Vou-Ave-En-Nouvelle-Crise
[02:58 → 03:00] Alice Brown
[03:00 → 03:02] Dacord
[03:02 → 03:04] Merci-En-Core-E-Tibon-Journey

Clinical Notes

Subjective

  • Patient: Alice Brown

  • Primary Concern: Difficulty breathing, especially at night. Recent episodes of wheezing and chest tightness, particularly at night.

  • Symptoms:

  • Shortness of breath and wheezing, more pronounced at night.
  • Feeling relief after using inhaler.
  • Reports experiencing chest tightness and difficulty breathing when exposed to dust or strong scents.

Objective

  • Medical History:
  • History of severe asthma exacerbation last year.
  • Currently using inhaler with corticosteroids for control and another inhaler for acute episodes.

Assessment

  1. Asthma: Poor symptom control indicated by recent wheezing and chest tightness episodes, especially at night.

  2. Allergies: Possible triggers like dust and strong scents leading to breathing difficulties.

Plan

  1. Treatment:
  2. Prescribe a new inhaler for better control, including corticosteroids and a reliever inhaler.
  3. Advise on using inhaler regularly to prevent exacerbations.

  4. Recommend avoiding allergens where possible.

  5. Further Testing:

  6. Suggest spirometry to assess lung function and determine the need for additional medications.

  7. Lifestyle Recommendations:

  8. Encourage regular physical activity to improve respiratory health.

  9. Follow-Up:

  10. Schedule a follow-up after the test results to adjust treatment accordingly.
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