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James Baker

09847-001 | Female | 29Y

Appointments > Patient > Note > Edit Note
16 Apr, 2024 - 01:33 PM 🔔

Edit SOAP Note

CHIEF COMPLAINT ✓ 🗑️

I've been experiencing shortness of breath and dizziness for about a week now. The symptoms seem to get worse when I engage in any physical activity, particularly when I try to climb stairs. In the past two days, I've had two episodes of feeling lightheaded, which was quite unsettling. Additionally, I've noticed a tingling sensation in my shoulder that adds to my discomfort.

GENDER

Female

AGE

24 Years

PAST MEDICAL HISTORY

Ventolin Inhaler, Glucophage, Metoprolol (to be discontinued)

ROS

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Transcript

Clinical Entities →

Audio Consent ✓
ekg echocardiogram vegan diabetic diet stress lightheadedness weight loss medication
Clinician 00:06
I heard you having some shortness of breath
Patient 00:08
Yeah, you know, it's just the last week or so I found coming up and down the stairs in the house...
Patient 00:22
But then when I woke up in the morning, I kind of tripped a little bit because I was so short of breath and yeah, the dizziness came back.
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3:57 / 10:35
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