🩺 Record Detail

Patient Info

Name: Unknown
Age: Unknown
Date: 2025-05-30 17:13:07

Transcript

[00:00 → 00:06] Consultation 3, Amit, Chest Pain After Exercise Dr. Mechra, Hi, Amit.
[00:06 → 00:11] I see you've come in with some chest discomfort after your gym workouts.
[00:11 → 00:13] Can you describe what you're feeling?
[00:13 → 00:15] Amit, Hi, Doctor.
[00:15 → 00:20] It's a sharp pain on the left side that comes after intense cardio.
[00:20 → 00:24] It lasts about 5 to 10 minutes and goes away if I rest.
[00:24 → 00:29] Dr. Mechra, Any shortness of breath, nausea, or palpitations?
[00:29 → 00:34] Amit, Sometimes I feel a little out of breath, but I thought it was normal.
[00:34 → 00:40] Dr. Mechra, It could be musculoskeletal, but I want to rule out anything cardiac.
[00:40 → 00:44] We'll start with an ECG and a treadmill stress test.
[00:44 → 00:49] Also, try avoiding high intensity intervals until we get the results.
[00:49 → 00:53] Amit, Okay, I'll scale back a bit.
[00:53 → 00:55] Dr. Mechra, Good.
[00:55 → 00:57] We'll follow up after the test.
[00:57 → 01:01] It's always better to be safe, especially with chest symptoms.
[01:01 → 01:04] Amit, Thank you, Doctor.
[01:04 → 01:05] I appreciate it.

Clinical Notes

Subjective

  • Patient: Amit.

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

  • Symptoms:

  • Pain comes after intense cardio.
  • Sometimes feels a little out of breath.

Objective

  • Medical History: Chest discomfort after intense workouts.

Assessment

  1. Chest Pain:
  2. Differential diagnosis between musculoskeletal and cardiac causes.

Plan

  1. Diagnostics:

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

  3. Activity Modification:

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

  5. Follow-Up:

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