Samantha Monroe shadow health: Adolescent Sports Evaluation
Adolescent Sports Evaluation Samantha Monroe Shadow Health
Transcript
Started: Mar 05, 2022 | Total Time: 306 min
Greet
03/05/22 5:41 AM EST
Samantha Monroe: Hello.
Your Avatar: What is your relationship with the patient?
Question
03/05/22 5:42 AM EST
Samantha Monroe: Oh, this is my mom.
Jackie Monroe: Hey, I’m Jackie Monroe. This is my daughter, Samantha.
Your Avatar: Why are you here today?
Question
03/05/22 5:42 AM EST
Samantha Monroe: I’m here for a sports physical. I’m gonna play on my school soccer team. We’re called the Nightingales, which is pretty cool.
Your Avatar: Any medical issue?
Question
03/05/22 5:43 AM EST
Samantha Monroe: Uh, nope. No health issues.
Your Avatar: Any history of surgery?
Question
03/05/22 5:43 AM EST
Samantha Monroe: I had my tonsils removed when I was like 9, but that’s it.
Jackie Monroe: Yeah, that was Samantha’s only surgery.
Your Avatar: Any missing organ?
Question
03/05/22 5:45 AM EST
Your Avatar: Does your daughter have any missing organ?
Question
03/05/22 5:46 AM EST
Your Avatar: Have you had any of your organs removed?
Question
03/05/22 5:46 AM EST
Samantha Monroe: Uh . . . no. All my organs are 100% present.
Your Avatar: Any allergies?
Question
03/05/22 5:49 AM EST
Samantha Monroe: No, I’ve never had any allergies before.
Your Avatar: Are your vaccinations current?
Question
03/05/22 5:50 AM EST
Samantha Monroe: Yeah, I’ve had all my vaccines.
Jackie Monroe: I always made sure she was up to date on her vaccinations.
Your Avatar: Are you using any medications?
Question
03/05/22 5:50 AM EST
Samantha Monroe: No, I don’t take anything.
Education & Empathy : 4 of 4 (100.0%)
1 Fitting in
Followed Up
Description: Samantha feels like she doesn’t fit in with her peers.
Model Statement: “At age 13, there are a lot of social pressures, coming from your friends at school, teammates at soccer, and influencers on social media. It’s important to be a part of a community that accepts and supports you. If you don’t feel accepted or supported, then you should feel comfortable discussing these issues with people you do trust, because that environment might not be healthy for you. It’s also possible that you’re being hard on yourself. I know it’s tempting to compare yourself to others, but don’t let that damage your self-worth.”
2 Body Image
Followed Up
Description: Samantha has insecurities about her body image.
Model Statement: “Samantha, you’ve mentioned wanting to lose baby fat and look athletic. I’m really sorry you’re having a hard time with the way people see you and the way you see yourself, but there’s nothing wrong with how you look, and you’re in good health. I know it’s easy for me to say this here in the clinic and hard for you when you’re getting compared to other people, but there’s nothing you need to change about yourself.”
3 Menstruation
Followed Up
Description: Samantha has concerns that she should have had her first period already.
Model Statement: “Knowing that your classmates are having their periods when you haven’t had one yet can be frustrating, but you don’t have anything to worry about. It’s typical for someone your age to not have started menstruating yet, and we can expect it to happen before you are 15. Everyone’s experience is a little bit different—sometimes I have patients who are concerned at how early they started. You’re prepared for your first period when it happens, and you’re comfortable talking about it here. That’s the maturity that matters, so do your best not to worry about where your peers are.”
4 Skipping Meals
Followed Up
Description: Samantha says that she skips lunch once or twice a week to reduce her caloric intake.
Model Statement: “It’s very important to eat lunch, along with the rest of your regular meals. You’re still growing, and that takes a lot of food and energy. You’re also a soccer player, and athletes need plenty of calories and nutrients to play well and stay healthy. You definitely don’t need to feel bad about eating lunch. On top of that, skipping meals can feel pretty bad. When I miss lunch, I get a headache and feel cranky. Please go easy on yourself and your body and try not to skip lunch anymore.”
Objective Data Collection: 23 of 23 (100%)
Correct Partially correct Incorrect Missed
Growth Chart: Height & Weight
1 of 1 point
Weight Percentile (1/4 point)
Below 5th percentile
Growth curve maintained
Height Percentile (1/4 point)
Between 5th and 95th percentile
Height Growth Curve (1/4 point)
Growth curve maintained
Inspected Skin
1 of 1 point
Lesions (1/5 point)
No visible lesions
Documentation / Electronic Health Record
My Provider Notes
Subjective
Ms. Monroe is a 13-year-old female presenting for a preparticipation evaluation so she can play soccer this year. Past Medical History: No current medical problems. Tonsillectomy as a child. Medications: No prescription medications. Takes a multivitamin.
Treatment Plan: 21 of 21 (100.00%)
Problem Selection
8 out of 8
Primary Diagnosis
Diagnosis: Pre-Participation Sports Physical
Identified as primary
Evidences: Samantha reports the reason for her visit is a sports physical.
Subjective Data Collection: 26 of 27 (96.3%)
Samantha Monroe: Nope. My head’s fine.
Your Avatar: Have you had a concussion?
Question
03/05/22 6:03 AM EST
Samantha Monroe: I’ve never had a concussion, but I did see my friend wipeout at the skatepark once. It was crazy. He was skating, then boom. I was filming, so it was, you know, pretty scarring.
Your Avatar: Any numbness or tingling?
Question
03/05/22 6:04 AM EST
Samantha Monroe: No numbness or tingling. That sounds weird.
Your Avatar: Any weakness in your limbs?
Question
03/05/22 6:09 AM EST
Samantha Monroe: Nope, no weakness.
Your Avatar: Do you exercise in the heat?
Question
03/05/22 6:14 AM EST
Samantha Monroe: Sure. We do gym outside sometimes. When soccer season starts, practice and games are outside.
Your Avatar: Any eye problems?
Question
03/05/22 6:16 AM EST
Samantha Monroe: My eyes are fine.
Your Avatar: Have you started your periods?
Question
03/05
Question
03/06/22 9:00 AM EST
Your Avatar.
Goodbye
