🩺 Record Detail
Patient Info
Name: Unknown
Age: Unknown
Date: 2025-05-15 08:14:40
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
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Patient: Amit.
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Primary Concern: Sharp pain on the left side after intense cardio lasting 5 to 10 minutes, relieved by rest.
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Symptoms:
- Sometimes feels a little out of breath during episodes.
Objective
- Medical History: Experiences chest discomfort after intense cardio workouts.
Assessment
- Musculoskeletal Pain: Likely due to intense cardio workouts.
- Cardiac Evaluation: Needed to rule out cardiac issues due to chest pain.
Plan
- Diagnostics:
- Order an ECG and a treadmill stress test to evaluate cardiac function.
- Activity Modification:
- Advise avoiding high-intensity intervals until test results are available.
- Follow-Up:
- Schedule a follow-up appointment after the tests to review the results and determine further management.