Zachary LaFontaine Infant Well Visit Shadow health transcript

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Zachary LaFontaine Infant Well Visit Shadow health transcript

	Hi, I am Anthony, I will interview and examine you	Greet 05/28/22 1:43 AM EDT
	Hi.
	what is your relationship with the patient?	Question 05/28/22 1:43 AM EDT
	Yes, Zachary is my son.
	Why are you here today? Zachary LaFontaine Infant Well Visit Shadow health transcript	Question 05/28/22 1:44 AM EDT
	We’re here for Zachary’s wellness visit. It was hard to work it into our schedule, but I know it’s important.
	Do you breastfeed your son?	Question 05/28/22 1:44 AM EDT
	I breastfeed Zachary. It’s important to me that I do. It’s been challenging–my mother helps me out with a lot of advice, but she never breastfed so it’s new for both of us.
	Do you give him both breasts? Zachary LaFontaine Infant Well Visit Shadow health transcript	Question 05/28/22 1:45 AM EDT
	I feed Zachary about 10 minutes on each side. So that’s 20 minutes.
	Do you supplement with formula?	Question 05/28/22 1:46 AM EDT
	Zachary only gets breastmilk, no formula at all.



	This is one area where Zachary and I do great. Feeding is never painful and he latches well.
	Do you prefer breastfeeding to formula?	Question 05/28/22 1:48 AM EDT
	I want to only breastfeed Zachary. I know formula is an option, but that would be a last resort Zachary LaFontaine Infant Well Visit Shadow health transcript . I want to focus on giving my baby breast milk.
	How do you feel about your family life?	Question 05/28/22 1:49 AM EDT
	I’m glad I live at home. It helps to be with my mom and dad. I do my best to take care of myself, but my focus is Zachary.
	Do you have enough time to breastfeed?	Question 05/28/22 1:50 AM EDT
	I just don’t have enough time to breastfeed. I want to, but I work and go to school. I’m so busy, and it’s just overwhelming to fit everything in, plus breastfeeding.
	Am sorry about that	Empathize 05/28/22 1:50 AM EDT
	That’s nice of you.
	What is your son’s feeding schedule?	Question 05/28/22 1:51 AM EDT
	I try for 2-3 hours during the day and 3-4 at night. We don’t always manage it, though.
	Do you feed your son the same time every day?	Question 05/28/22 1:53 AM EDT

nspected head circumference growth chart

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05/28/22 2:24 AM EDT

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Inspected weight and length growth chart

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05/28/22 2:24 AM EDT

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Inspected nose

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05/28/22 2:26 AM EDT

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Inspected ears

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05/28/22 2:26 AM EDT

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Frenulum attached middle of mouth floor Zachary LaFontaine Infant Well Visit Shadow health transcript . Appropriate length and movements. Appears thin. Palate meets at the midline completely. Tongue appears smooth and uvula located at midline.

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05/28/22 2:26 AM EDT

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Inspected skin

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05/28/22 2:27 AM EDT

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Inspected skin: diaper area

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05/28/22 2:27 AM EDT

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Inspected genitalia

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05/28/22 2:27 AM EDT

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Assessed Musculoskeletal Barlow and Ortolani

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05/28/22 2:27 AM EDT

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Assessed eyes: pupils

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05/28/22 2:28 AM EDT

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Assessed Eye Tracking

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05/28/22 2:30 AM EDT

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Assessed extremities

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05/28/22 2:31 AM EDT

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Assessed grasp: Able to lift shoulders off table with expected head lag.

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05/28/22 2:34 AM EDT

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Assessed Moro Reflex: Infant briskly abducts arms and legs symmetrically, then brings legs up against trunk.

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05/28/22 2:34 AM EDT

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Assessed Tonic Reflex and neck range of motion.

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05/28/22 2:34 AM EDT

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Assessed pulse

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05/28/22 2:34 AM EDT

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Assessed Rooting Reflex: Infant turns head in direction of stimulus and opens mouth.

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05/28/22 2:35 AM EDT

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Infant response with sucking motion. Tongue protrudes past lips.

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05/28/22 2:35 AM EDT

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Assessed neurological stepping/walking reflex

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05/28/22 2:36 AM EDT

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Palpated abdomen

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05/28/22 2:38 AM EDT

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Anterior fontanelle palpated is diamond-shaped, soft, flat, approximately 2-3 cm in width and 3-4 cm in length. Posterior fontanelle is triangle shaped 0.5-1 cm in size, soft, and flat.

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05/28/22 2:38 AM EDT

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Auscultated Upper Right Abdomen: Abdomen rounded, appropriate for age.

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05/28/22 2:39 AM EDT

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Auscultated Upper Left Abdomen: Abdomen rounded, appropriate for age Zachary LaFontaine Infant Well Visit Shadow health transcript .

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05/28/22 2:39 AM EDT

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Auscultated Lower Right Abdomen: Abdomen rounded, appropriate for age.

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05/28/22 2:39 AM EDT

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Auscultated Lower Left Abdomen: Abdomen rounded, appropriate for age.

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05/28/22 2:39 AM EDT

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Auscultated Top Right Chest: Apical pulse palpated reveals rate steady and regular intervals.

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05/28/22 2:39 AM EDT

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Auscultated Top Left Chest: Apical pulse palpated reveals rate steady and regular intervals.

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05/28/22 2:39 AM EDT

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Auscultated Lower Left Chest: Apical pulse palpated reveals rate steady and regular intervals.