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[31] P: Good Morning
L: Good Morning. Please sit down. Can i see your ID card? How can i help you Agatha? P: I’m sufferring from sore lymph nodes on my neck and i have a rash on my whole body. Also i had stuffy nose and smarting and aching in my mouth. L: Did you have any other symptoms? P: I was having fever and not feelling well. L:Could you tell when it started? P: 3 days ago L: Would you mind telling me something more about your rash? P: Of course. At the beginning the rash was on my face and my whole body. The rash was made of plenty small pink papulas. After few hours it got worse and starerd iching. After 3 days my skin starred peeling. L: Is there something that worsened your symptoms? P: no. L: did you take any medicaments? P: no L: Are you suffering from Any chronic diseases? P:no L: Could you tell me if you are pregnant Or have children? P: I’ am not pregnant, but i have two children. I am on my maternity leave. L: Could you tell me their age… and are they vaccined? P: they are 8 months and 2 years… but they are not vaccined. L: Do you have any allergies or past operations. P:no L: let me palpate your lymph nodes. They are enlarged. Now please lay down on the coach and roll up your t-shirt. Let me palpate your stomach. You have enlarged spleen. You can sit back. Let me check your mouth. You have mucositis. Let me measure your temperature. It is 39 degrees.
You have german measles (rubella). I will prescribe you some meds. You should stay in bed. If you will have a fever, Take an antypyretic. Becouse your family is not vacinned you all have to live in isolation for 3 weeks. If Any of your family member will have any symptoms your isolation will be extender.
P: Good morning doctor!
L: Good morning! Please have a seat. And now, please show me your identification P: Of course, here is my ID card. L: Thank you, everything is okay. What is the reason for your visit today, Christine? P: I'm experiencing a persistent dry cough accompanied by shortness of breath. L: Besides the dry cough and shortness of breath, are you experiencing any other symptoms? P: Yes, doc. My cough worsens in cold air, and I hear wheezing in my chest with minimal exertion. L: Thank you! Could you tell me when your symptoms began? P: At the beginning, my symptoms happened in the morning every few days. However, for the past three weeks, the symptoms have become more intense, and they happen three times a week, waking me up in the early morning. L: Do the symptoms affect your daily life? P: Yes, I'm not getting enough sleep, and it's difficult for me to handle my work with children. L:. What is your lifestyle? P: I'm a beginner primary school teacher. I enjoy taking long walks, especially in the mountains. L: Could you tell me your past medical history? P: Recently, Four months ago, I had bronchitis, and since then, I've been having a problem with coughing. As a child, I had allergies, which manifested as itchy rashes and hives. L: Did you take any medications? P: Yes, I tried taking over-the-counter cough tablets, but they didn't help L: Do you follow any special diet? P: Yes, I follow a dairy-free diet until the age of 15. L: Would you mind telling me if you have any addiction? P: No, I haven't. L: And your family, Do you know about diseases in your close family? P: Yes, my mother have asthma and sister have allergy for cat fur. L: We will now proceed with the physical examination. Please undress your blouse. Okay, during the chest auscultation, I did not detect any abnormalities. Your throat and airways appear clear, without any changes. P: That's good to hear. Is there anything else you need to check or discuss? L: You can put your blouse back on now. I suspect that you may have asthma. I recommend that you seek a consultation with a pulmonologist and have a chest X-ray and spirometry performed. I will provide you with a referral for these tests. P: But doctor i don’t know what spirometry is. L: Spirometry is a common diagnostic test used to assess lung function and evaluate respiratory conditions. It measures the amount of air you can inhale and exhale, as well as the speed and volume of your breath. During the test, you will be asked to take a deep breath and then exhale forcefully into a device called a spirometer. P: Okay, thank you doc! L: Thank you
