Zachary LaFontaine Infant Well Visit Shadow health transcript

Zachary LaFontaine Infant Well Visit Shadow health transcript

Transcript

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Hi, I am Anthony, I will interview and examine you

Greet
05/28/22 1:43 AM EDT

Daanis LaFontaine.
Hi.
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what is your relationship with the patient?

Question
05/28/22 1:43 AM EDT

Daanis LaFontaine.
Yes, Zachary is my son.
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Why are you here today? Zachary LaFontaine Infant Well Visit Shadow health transcript

Question
05/28/22 1:44 AM EDT

Daanis LaFontaine.
We’re here for Zachary’s wellness visit. It was hard to work it into our schedule, but I know it’s important.
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Do you breastfeed your son?

Question
05/28/22 1:44 AM EDT

Daanis LaFontaine.
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.
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Do you give him both breasts? Zachary LaFontaine Infant Well Visit Shadow health transcript

Question
05/28/22 1:45 AM EDT

Daanis LaFontaine.
I feed Zachary about 10 minutes on each side. So that’s 20 minutes.
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Do you supplement with formula?

Question
05/28/22 1:46 AM EDT

Daanis LaFontaine.
Zachary only gets breastmilk, no formula at all.
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Daanis LaFontaine.
This is one area where Zachary and I do great. Feeding is never painful and he latches well.
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Do you prefer breastfeeding to formula?

Question
05/28/22 1:48 AM EDT

Daanis LaFontaine.
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.
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How do you feel about your family life?

Question
05/28/22 1:49 AM EDT

Daanis LaFontaine.
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.
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Do you have enough time to breastfeed?

Question
05/28/22 1:50 AM EDT

Daanis LaFontaine.
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.
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Am sorry about that

Empathize
05/28/22 1:50 AM EDT

Daanis LaFontaine.
That’s nice of you.
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What is your son’s feeding schedule?

Question
05/28/22 1:51 AM EDT

Daanis LaFontaine.
I try for 2-3 hours during the day and 3-4 at night. We don’t always manage it, though.
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Do you feed your son the same time every day?

Question
05/28/22 1:53 AM EDT

nspected head circumference growth chart

Exam Action
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.

Exam Action
05/28/22 2:26 AM EDT

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 Inspected skin

Exam Action
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

Exam Action
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.

Exam Action
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.

Exam Action
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.

Exam Action
05/28/22 2:35 AM EDT

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 Infant response with sucking motion. Tongue protrudes past lips.

Exam Action
05/28/22 2:35 AM EDT

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 Assessed neurological stepping/walking reflex

Exam Action
05/28/22 2:36 AM EDT

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 Palpated abdomen

Exam Action
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.

Exam Action
05/28/22 2:38 AM EDT

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

Exam Action
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 .

Exam Action
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.

Exam Action
05/28/22 2:40 AM EDT

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

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05/28/22 2:40 AM EDT

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

Exam Action
05/28/22 2:40 AM EDT

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 Auscultated Upper Upper Right Chest

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05/28/22 2:40 AM EDT

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 Auscultated Upper Upper Left Chest

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05/28/22 2:40 AM EDT

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 Auscultated Upper Right Chest

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05/28/22 2:40 AM EDT

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 Auscultated Upper Left Chest

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05/28/22 2:40 AM EDT

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 Auscultated Lower Right Chest

Exam Action
05/28/22 2:41 AM EDT

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 Auscultated Lower Left Chest

Exam Action
05/28/22 2:41 AM EDT

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 Auscultated Upper Upper Left Back

Exam Action
05/28/22 2:41 AM EDT

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 Auscultated Upper Upper Right Back

Exam Action
05/28/22 2:41 AM EDT Zachary LaFontaine Infant Well Visit Shadow health transcript

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