🩺 Record Detail

Patient Info

Name: Unknown
Age: Unknown
Date: 2025-07-23 13:18:42

Transcript

<pre><b>Final Role-Tagged Transcript:</b><br><br><div><b>Doctor</b>: Hi, Omit! I see you've come in with some chest discomfort after your gym workouts. Can you describe what you're feeling?</div><div><b>Patient</b>: Hi, Doctor! It's a sharp pain on the left side that comes after intense cardio. It lasts about 5 to 10 minutes and goes away if I rest.</div><div><b>Doctor</b>: Any shortness of breath, nausea, or palpitations?</div><div><b>Patient</b>: Sometimes I feel a little out of breath, but I thought it was normal.</div><div><b>Doctor</b>: 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.</div><div><b>Patient</b>: Okay, I'll scale back a bit.</div><div><b>Doctor</b>: Good. We'll follow up after the test. It's always better to be safe, especially with chest symptoms.</div><div><b>Patient</b>: Thank you, Dr.. I appreciate it.</div></pre>

Clinical Notes

Subjective

  • Patient: Omit.

  • Primary Concern: Chest discomfort after intense cardio workouts on the left side, lasting 5 to 10 minutes and relieved by rest.

  • Symptoms:

    • Sharp pain on the left side.
    • Occurs after intense cardio.
    • Sometimes feels a little out of breath.

Objective

  • Physical Examination:

    • Not provided.
  • Tests:

    • ECG and treadmill stress test recommended to rule out cardiac issues.

Assessment

  1. Musculoskeletal Chest Pain: Likely related to intense workouts.
  2. Cardiac Concerns: Need to rule out cardiac causes due to chest discomfort and shortness of breath.

Plan

  1. Diagnostics:
    • Perform ECG and treadmill stress test to evaluate cardiac function.
  2. Activity Modification:
    • Avoid high-intensity intervals until test results are obtained.
  3. Follow-Up:
    • Schedule a follow-up appointment after the tests to review results and determine further management.
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