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Damien Brooks traumatic brain injury shadow health

Damien Brooks traumatic brain injury shadow health

Damien Brooks traumatic brain injury shadow health Transcript

Started: Feb 11, 2021 | Total Time: 123 min

All Lines (213)Interview Questions (108)Statements (21)Exam Actions (84)

Hello, I am xxx. I will be interviewing you today and later perform a physical examination

Greet
02/05/21 10:42 PM PST

Hey.

What is your name?

Question
02/05/21 10:43 PM PST

Damien Brooks and my birthday is July 25th, if you want to get me anything. [AUDIO COMING SOON] Damien Brooks traumatic brain injury shadow health

Okay

Empathize
02/05/21 10:43 PM PST

Thanks, Nurse.

What brought you into the hospital?

Question
02/05/21 10:43 PM PST

I banged my head up pretty bad and got this big bump. Tim took me to the ER after I threw up. I know puking is a bad sign. Can confirm it’s also a bad time.

Sorry about the bump and the pain

ORDER A PLAGIARISM-FREE PAPER OR SHADOW HEALTH HELP HERE

Empathize
02/05/21 10:44 PM PST

Thanks.

How did you sustain the bump? (No matching questions found.) Damien Brooks traumatic brain injury shadow health

Question
02/05/21 10:44 PM PST

What happened?

Question
02/05/21 10:44 PM PST

I’m not really sure, to be honest.

I understand

Empathize
02/05/21 10:44 PM PST

Cool, I appreciate that.

Di you fall? (Clarified to Did you fall?.)

Question
02/05/21 10:45 PM PST

Yeah, I took a dive. I don’t remember it really at all though, but I can tell I hit my head. No idea how it happened, usually I shred. (Clarified to if I fell.)

Do you have a headache?

Question
02/05/21 10:45 PM PST

Yeah, I definitely have a headache. It hurts to look at light, even. [AUDIO COMING SOON]

Damien Brooks traumatic brain injury shadow health

ORDER A PLAGIARISM-FREE PAPER OR SHADOW HEALTH HELP HERE

Damien Brooks traumatic brain injury shadow health

Damien Brooks traumatic brain injury shadow health

Do you normally wear sport safety gear? (Clarified to Do you usually wear a helmet?.)

Question
02/05/21 11:03 PM PST

Not usually, but we’ll practice with them on sometimes. (Clarified to if I usually wear a helmet.)

why do you not wear helmet?

Question
02/05/21 11:03 PM PST

No one does, really. It looks goofy. Especially on film. I dunno . . . I just kind of got out of the habit.

It is always safe to wear sports safety gear such as helmet
Damien Brooks traumatic brain injury shadow health

Educate
02/05/21 11:04 PM PST

Ok, I’ll keep it in mind.

Do you take alcohol?

Question
02/05/21 11:04 PM PST

No, officer.

Do you take illegal drugs?

Question
02/05/21 11:04 PM PST

Nah. Not into it.

Do you smoke tobacco?

Question
02/05/21 11:05 PM PST

That doesn’t really fit with my brand.

That is good. Smoking, alcohol and drugs are bad for your health

Educate
02/05/21 11:05 PM PST

Sure, yeah.

Do you have changes in vision? (Clarified to Has your vision changed since the accident?.)

Question
02/05/21 11:08 PM PST

I can see just fine, my eyes just feel a little light sensitive. (Clarified to if my vision has changed since the accident.) Damien Brooks traumatic brain injury shadow health

Do you have difficulties moving your extremities? (Clarified to Are you having any issues moving your legs?.)

Question
02/05/21 11:08 PM PST

I’m not feeling awesome right now, but I can move around okay. (Clarified to if I have difficulty moving my legs.)

Do you have any tingling?

Question
02/05/21 11:09 PM PST

No, no tingling or anything.

Do you have ear problem? (Clarified to Do you have ringing in your ears?.)

Question
02/05/21 11:09 PM PST

No, I don’t have any ringing in my ears. [AUDIO COMING SOON] (Clarified to if I have ringing in my ears.)

Do you have memory problems?

Question
02/05/21 11:10 PM PST

Yeah, the whole wipe out is a blur. Kinda messed up not being able to remember stuff.

Do you have neck pain?

Question
02/05/21 11:10 PM PST

My neck is fine.

do you have muscle weakness? Damien Brooks traumatic brain injury shadow health

Question
02/05/21 11:10 PM PST

I’d say I’m pretty strong.

Do you have muscle spasms?

Question
02/05/21 11:11 PM PST

Haven’t had any muscle spasms.

Do you have gait or balance problem?

Question
02/05/21 11:11 PM PST

I can walk pretty OK, it’s my head that’s bothering me.

What is your relationship with the patient?

Question
02/05/21 11:12 PM PST

I’m his stepfather.

What happened to your step-son? (Clarified to Talk to me about what had happened to your son?.)

Question
02/05/21 11:14 PM PST

He was at the skatepark after school, like he usually is, and he fell off his board while doing a grind. He didn’t have a helmet on, which we’re going to have to chat about later . . . (Clarified to to tell you what happened to my son.)

Yeah, it is good to have a helmet

Educate
02/05/21 11:14 PM PST

Thanks, yeah, I’ll remember that.

Did you notice any headache for your son? (No matching questions found.)

Question
02/05/21 11:17 PM PST

Does he have a headache?

Question
02/05/21 11:17 PM PST

Yes, Damien’s had a headache since he got home.

Does he have dizziness? (No matching questions found.)

Question
02/05/21 11:17 PM PST

Did he have dizziness?

Question
02/05/21 11:17 PM PST

I didn’t give him anything at home, but they gave him some medication when we got here — acetaminophen, I think.

Did he have confusion? (No matching questions found.)

Question
02/05/21 11:18 PM PST

Did your son have scalp hematoma? (No matching questions found.)

Question
02/05/21 11:19 PM PST

Did he have scalp hematoma? (No matching questions found.)

Question
02/05/21 11:19 PM PST

Did you notice any blood

Question
02/05/21 11:19 PM PST

I didn’t notice any bleeding. [AUDIO COMING SOON]

Is your son son complaining of light sensitivity? (No matching questions found.)

Question
02/05/21 11:20 PM PST

Is your son complaining of light sensitivity? (Clarified to Has your son been sensitive to light?.)

Question
02/05/21 11:20 PM PST

Yes, definitely. (Clarified to if my son has been sensitive to light.)

Did he report vomiting? (No matching questions found.)

Question
02/05/21 11:21 PM PST

Did he have any vomiting? (Clarified to Has your son vomited?.) Damien Brooks traumatic brain injury shadow health

Question
02/05/21 11:21 PM PST

It was after Damien came home and told me he had fallen. He was feeling dizzy and had a headache. He threw up pretty soon after that, and that’s when I decided to drive him over here. (Clarified to if my son has vomited.)

Did you notice any other additional symptoms? (Clarified to Have you noticed any other injuries on your son?.)

Question
02/05/21 11:23 PM PST

I haven’t noticed any other injuries on Damien other than the welt on his head. (Clarified to if I have noticed any other injuries on my son.)

Describe the onset of the symptoms? (No matching questions found.)

Question
02/05/21 11:26 PM PST

Describe the onset of the head injury (No matching questions found.)

Question
02/05/21 11:26 PM PST

what is the duration of the pain? (No matching questions found.)

Question
02/05/21 11:27 PM PST

How frequent is the headache? (No matching questions found.)

Question
02/05/21 11:28 PM PST

Describe the frequency of the pain (No matching questions found.)

Question
02/05/21 11:28 PM PST

did you notice confusion? (Clarified to When did you notice your son’s symptoms?.)

Question
02/05/21 11:29 PM PST

He’s been dizzy and confused at least since he got home. Kyle said he was complaining about both on the walk back from the skatepark. (Clarified to when I noticed my sons symptoms.)

Did you notice dizziness? (Clarified to Did you see blood?.)

Question
02/05/21 11:29 PM PST

I didn’t notice any bleeding. [AUDIO COMING SOON] (Clarified to if I saw blood.)

When did the fall occur?

Question
02/05/21 11:30 PM PST

Damien fell about two hours ago.

Describe the mechanism of the injury? (No matching questions found.)

Question
02/05/21 11:30 PM PST

how did your son fall?

Question
02/05/21 11:30 PM PST

He was balancing on a rail and just lost his balance. His friend Kyle was recording it, so I watched the video. A hard thing to see.

did he lose consciousness?

Question
02/05/21 11:34 PM PST

Yeah, the fall knocked Damien unconscious.

What are relieving factors for the pain?

Question
02/05/21 11:52 PM PST

I gave him an ice pack and laid him down on the couch. I tried dimming the lights too. But once he threw up, I decided I was out of my depth and drove him here.

What makes the pain worse? Damien Brooks traumatic brain injury shadow health

Question
02/05/21 11:52 PM PST

I’m not sure what all can make his pain worse right now. I know he’s said that light hurts his eyes. [AUDIO COMING SOON]

Okay. i understand

Empathize
02/05/21 11:53 PM PST

Well, that’s kind of you to say.

Has your son received all vaccinations? (No matching questions found.)

Question
02/05/21 11:53 PM PST

Has he had all vaccinations? (Clarified to Does your son have all his vaccines?.)

Question
02/05/21 11:54 PM PST

Yes, he’s got all his shots. (Clarified to if my son is vaccinated.)

That is great. Vaccinations are very important for good health

Educate
02/05/21 11:54 PM PST

I gotcha, loud and clear. Damien Brooks traumatic brain injury shadow health

Has he ever been hospitalized?

Question
02/05/21 11:55 PM PST

Damien’s never been to the hospital before. We’re very lucky, especially if he hasn’t been wearing his helmet like this time. He’s definitely fallen in the past.

Has he ever had head injury? (Clarified to What previous head injuries has your son had?.)

Question
02/05/21 11:56 PM PST

Damien doesn’t have any previous head injuries. (Clarified to what my sons past head injuries are.)

Has your son had any surgery?

Question
02/05/21 11:56 PM PST

Damien’s never had surgery.

What home medication does your son use? (No matching questions found.)

Question
02/05/21 11:56 PM PST

Any home medications? (No matching questions found.)

Question
02/05/21 11:57 PM PST

what medications is your son using?

Question
02/05/21 11:57 PM PST

Really just acetaminophen when he has a fever and the like. He almost never takes any medication at all.

Is your son having dizziness? (No matching questions found.)

Question
02/05/21 11:58 PM PST

Any eye problem for your son? (No matching questions found.) Damien Brooks traumatic brain injury shadow health

Question
02/05/21 11:58 PM PST

Any eye problem? (No matching questions found.)

Question
02/05/21 11:59 PM PST

Does your son have eye problem? (No matching questions found.)

Question
02/05/21 11:59 PM PST

Does your son have headache?

Question
02/05/21 11:59 PM PST

Yes, Damien’s had a headache since he got home.

Does he have vision issues?

Question
02/06/21 12:00 AM PST

Damien’s only mentioned the light sensitivity. [AUDIO COMING SOON]

Any ear problem? (No matching questions found.)

Question
02/06/21 12:00 AM PST

Does Damien have ear issues? (No matching questions found.)

Question
02/06/21 12:00 AM PST

Any issues with the ears (No matching questions found.)

Question
02/06/21 12:00 AM PST

Has your son’s speech changed? (No matching questions found.)

Question
02/06/21 12:01 AM PST

Is he able to follow instructions?

Question
02/06/21 12:01 AM PST

He’s been walking fine. [AUDIO COMING SOON]

Does he have confusion? (No matching questions found.)

Question
02/06/21 12:02 AM PST

Has your son had confusion?

Question
02/06/21 12:02 AM PST

I didn’t give him anything at home, but they gave him some medication when we got here — acetaminophen, I think.

Does your son have movement problem? (No matching questions found.)

Question
02/06/21 12:02 AM PST

Does your son have issue with movement? (Clarified to Does your son have any balance or gait issues?.)

Question
02/06/21 12:03 AM PST

Nope, he’s been getting around just fine. (Clarified to if my son has any balance or gait issues.)

ORDER A PLAGIARISM-FREE PAPER OR SHADOW HEALTH HELP HERE

Damien Brooks traumatic brain injury shadow health

Exam Action
02/06/21 12:12 AM PST

 Inspected head front: No abnormal findings

Exam Action
02/06/21 12:12 AM PST

 Inspected left eye

Exam Action
02/06/21 12:12 AM PST

 Inspected right eye

Exam Action
02/06/21 12:12 AM PST

 Inspected left eye
Damien Brooks traumatic brain injury shadow health

Exam Action
02/06/21 12:13 AM PST

 Inspected right eye

Exam Action
02/06/21 12:13 AM PST

 Inspect e o m

Exam Action
02/06/21 12:13 AM PST

 Inspect shoulders

Exam Action
02/06/21 12:14 AM PST

 Inspected left shoulder

Exam Action
02/06/21 12:14 AM PST

 Inspected upper back

Exam Action
02/06/21 12:14 AM PST

 Inspected right shoulder

Exam Action
02/06/21 12:14 AM PST

 Inspected shoulders from the front

Exam Action
02/06/21 12:14 AM PST

 Inspected right shoulder

Exam Action
02/06/21 12:14 AM PST

 Inspected upper back

Exam Action
02/06/21 12:14 AM PST

 Inspected left shoulder

Exam Action
02/06/21 12:14 AM PST

 Inspected shoulders from the front

Exam Action
02/06/21 12:14 AM PST

 Inspect arms

Exam Action
02/06/21 12:15 AM PST

 Inspect elbows

Exam Action
02/06/21 12:15 AM PST

Damien Brooks traumatic brain injury shadow health  Inspected left wrist

Exam Action
02/06/21 12:16 AM PST

 Inspected right wrist

Exam Action
02/06/21 12:16 AM PST

 Inspected both hands

Exam Action
02/06/21 12:17 AM PST

 Inspect hips

Exam Action
02/06/21 12:17 AM PST

 Inspect thighs

Exam Action
02/06/21 12:18 AM PST

 Inspect thighs

Exam Action
02/06/21 12:19 AM PST

 Inspect knees

Exam Action
02/06/21 12:43 AM PST

Damien Brooks traumatic brain injury shadow health  Inspect lower legs

Exam Action
02/06/21 12:44 AM PST

 Inspect ankles

Exam Action
02/06/21 12:44 AM PST

 Inspect feet

Exam Action
02/06/21 12:44 AM PST

 Checked ID band

Exam Action
02/06/21 12:46 AM PST

 Auscultated breath sounds

Exam Action
02/06/21 12:46 AM PST

 Auscultated heart sounds

Exam Action
02/06/21 12:46 AM PST

 Auscultated breath sounds

Exam Action
02/06/21 12:47 AM PST

 Palp cardio pulses radial

Exam Action
02/06/21 12:47 AM PST

 Confirmed orientation

Exam Action
02/06/21 12:48 AM PST

What is your name and date of birth?

Question
02/06/21 12:48 AM PST

I’m Damien Brooks. It’s . . . [Mr. Brooks reports his correct date of birth.]

What building are you now?

Question
02/06/21 12:48 AM PST

We’re at Dr. Pulaski’s office, right?

what is the date and year

Question
02/06/21 12:49 AM PST

Today? It’s . . .[Mr. Brooks reports the correct date.]

Do you know what’s going on?

Question
02/06/21 12:50 AM PST

Wiped out on my board and knocked my head, which ended me up here. It’s pretty messed up.

 Assessed cognition

Exam Action
02/06/21 12:50 AM PST

repeat and remember burger, tulip, nose and tea

Question
02/06/21 12:51 AM PST

Burger, tulip, nose, tea. Damien Brooks traumatic brain injury shadow health

how did you celebrate your birthday?

Question
02/06/21 12:51 AM PST

My birthday? Oh, this year it was actually pretty sick. The squad threw a surprise party for me. They like ambushed me the morning of, had a cake and candles and everything for me right there in bed. The day just went from there. It was a good start to 15, yeah.

repeat the four words from before

Question
02/06/21 12:52 AM PST

Burger . . . nose? Tea?

 Vocabulary

Exam Action
02/06/21 12:52 AM PST

 Assessed speech

Exam Action
02/06/21 12:53 AM PST

 Assessed speech

Exam Action
02/06/21 12:53 AM PST

close your eyes and touch your fingers to your nose

Question
02/06/21 12:54 AM PST

I can do that.

 Observed left index finger to nose smooth and accurate Damien Brooks traumatic brain injury shadow health

Exam Action
02/06/21 12:54 AM PST

 Observed right index finger to nose smooth and accurate

Exam Action
02/06/21 12:54 AM PST

run your right foot down your shin

Question
02/06/21 12:54 AM PST

Sure.

 Observed right heel moving to shin smooth and accurate

Exam Action
02/06/21 12:54 AM PST

run your left foot down your right shin

Question
02/06/21 12:55 AM PST

Ok.

 Observed left heel moving to shin smooth and accurate

Exam Action
02/06/21 12:55 AM PST

place your hands on your knees and turn them over

Question
02/06/21 12:55 AM PST

Sounds good

 Observed rapid alternating hand movements

Exam Action
02/06/21 12:55 AM PST

 Eye Opening Response measured as “spontaneously ”

Exam Action
02/06/21 12:56 AM PST

 Measured Damien’s best verbal response

Exam Action
02/06/21 12:56 AM PST

 Measured Damien’s best motor response

Exam Action
02/06/21 12:56 AM PST

 Determined Damien’s Glasgow Coma Score

Exam Action
02/06/21 12:57 AM PST

 Tested ROM of elbows – supination and pronation

Exam Action
02/06/21 12:57 AM PST

 Tested ROM of elbows – flexion and extension

Exam Action
02/06/21 12:57 AM PST

 Tested ROM of wrists – flexion

Exam Action
02/06/21 12:58 AM PST

 Tested ROM of wrists – extension

Exam Action
02/06/21 12:58 AM PST

 Tested ROM of wrists – ulnar and radial deviation

Exam Action
02/06/21 12:58 AM PST

 Tested ROM of hips – flexion

Exam Action
02/06/21 12:59 AM PST

 Tested ROM of hips – extension

Exam Action
02/06/21 12:59 AM PST

 Tested ROM of hips – abduction Damien Brooks traumatic brain injury shadow health

Exam Action
02/06/21 12:59 AM PST

 Tested ROM of hips – adduction

Exam Action
02/06/21 12:59 AM PST

 Tested ROM of knees – flexion

Exam Action
02/06/21 1:00 AM PST

 Tested ROM of knees – extension

Exam Action
02/06/21 1:00 AM PST

 Tested ROM of ankles – inversion and eversion

Exam Action
02/06/21 1:00 AM PST

 Tested ROM of ankles – dorsiflexion and plantar flexion

Exam Action
02/06/21 1:00 AM PST

 Tested right and left hand strength with grip test: 5/5

Exam Action
02/06/21 1:01 AM PST

 Strength test feet

Exam Action
02/06/21 1:02 AM PST

 Tested left arm distal sensation

Exam Action
02/06/21 1:03 AM PST

 Tested left arm proximal sensation

Exam Action
02/06/21 1:03 AM PST

Yeah.

Yeah.

 Tested right arm proximal sensation

Exam Action
02/06/21 1:03 AM PST

Yeah.

 Tested right arm distal sensation Damien Brooks traumatic brain injury shadow health

Exam Action
02/06/21 1:03 AM PST

Yeah.

Yeah.

 Tested left leg distal sensation

Exam Action
02/06/21 1:04 AM PST

Yeah.

 Tested left leg proximal sensation

Exam Action
02/06/21 1:04 AM PST

Yeah.

 Tested right leg proximal sensation

Exam Action
02/06/21 1:04 AM PST

Yeah.

 Tested right leg distal sensation

Exam Action
02/06/21 1:04 AM PST

Yeah.

 Tested sensation of left foot

Exam Action
02/06/21 1:05 AM PST

Yeah.

 Tested sensation of right foot

Exam Action
02/06/21 1:05 AM PST

 Palpated cap refill

Exam Action
02/06/21 1:06 AM PST

 Reflex hammer patellar mode

Exam Action
02/06/21 1:06 AM PST

 Reflex hammer brachioradialis mode
Damien Brooks traumatic brain injury shadow health

Exam Action
02/06/21 1:06 AM PST

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