Damien Brooks traumatic brain injury shadow health

Damien Brooks traumatic brain injury shadow health Transcript Started: Feb 11, 2021 | Total Time: 123 min All Lines (213)Interview Questions (108)Statements (21)Exam Actions (84) Hello, I am xxx. I will be interviewing you today and later perform a physical examination Greet 02/05/21 10:42 PM PST Hey. What is your name? Question 02/05/21 10:43 PM PST Damien Brooks and my birthday is July 25th, if you want to get me anything. [AUDIO COMING SOON] Damien Brooks traumatic brain injury shadow health Okay Empathize 02/05/21 10:43 PM PST Thanks, Nurse. What brought you into the hospital? Question 02/05/21 10:43 PM PST I banged my head up pretty bad and got this big bump. Tim took me to the ER after I threw up. I know puking is a bad sign. Can confirm it?s also a bad time. Sorry about the bump and the pain ORDER A PLAGIARISM-FREE PAPER OR SHADOW HEALTH HELP HERE Empathize 02/05/21 10:44 PM PST Thanks. How did you sustain the bump? (No matching questions found.) Damien Brooks traumatic brain injury shadow health Question 02/05/21 10:44 PM PST What happened? Question 02/05/21 10:44 PM PST I?m not really sure, to be honest. I understand Empathize 02/05/21 10:44 PM PST Cool, I appreciate that. Di you fall? (Clarified to Did you fall?.) Question 02/05/21 10:45 PM PST Yeah, I took a dive. I don?t remember it really at all though, but I can tell I hit my head. No idea how it happened, usually I shred. (Clarified to if I fell.) Do you have a headache? Question 02/05/21 10:45 PM PST Yeah, I definitely have a headache. It hurts to look at light, even. [AUDIO COMING SOON] Damien Brooks traumatic brain injury shadow health ORDER A PLAGIARISM-FREE PAPER OR SHADOW HEALTH HELP HERE Damien Brooks traumatic brain injury shadow health Damien Brooks traumatic brain injury shadow health Do you normally wear sport safety gear? (Clarified to Do you usually wear a helmet?.) Question 02/05/21 11:03 PM PST Not usually, but we?ll practice with them on sometimes. (Clarified to if I usually wear a helmet.) why do you not wear helmet? Question 02/05/21 11:03 PM PST No one does, really. It looks goofy. Especially on film. I dunno . . . I just kind of got out of the habit. It is always safe to wear sports safety gear such as helmet Damien Brooks traumatic brain injury shadow health Educate 02/05/21 11:04 PM PST Ok, I?ll keep it in mind. Do you take alcohol? Question 02/05/21 11:04 PM PST No, officer. Do you take illegal drugs? Question 02/05/21 11:04 PM PST Nah. Not into it. Do you smoke tobacco? Question 02/05/21 11:05 PM PST That doesn?t really fit with my brand. That is good. Smoking, alcohol and drugs are bad for your health Educate 02/05/21 11:05 PM PST Sure, yeah. Do you have changes in vision? (Clarified to Has your vision changed since the accident?.) Question 02/05/21 11:08 PM PST I can see just fine, my eyes just feel a little light sensitive. (Clarified to if my vision has changed since the accident.) Damien Brooks traumatic brain injury shadow health Do you have difficulties moving your extremities? (Clarified to Are you having any issues moving your legs?.) Question 02/05/21 11:08 PM PST I?m not feeling awesome right now, but I can move around okay. (Clarified to if I have difficulty moving my legs.) Do you have any tingling? Question 02/05/21 11:09 PM PST No, no tingling or anything. Do you have ear problem? (Clarified to Do you have ringing in your ears?.) Question 02/05/21 11:09 PM PST No, I don?t have any ringing in my ears. [AUDIO COMING SOON] (Clarified to if I have ringing in my ears.) Do you have memory problems? Question 02/05/21 11:10 PM PST Yeah, the whole wipe out is a blur. Kinda messed up not being able to remember stuff. Do you have neck pain? Question 02/05/21 11:10 PM PST My neck is fine. do you have muscle weakness? Damien Brooks traumatic brain injury shadow health Question 02/05/21 11:10 PM PST I?d say I?m pretty strong. Do you have muscle spasms? Question 02/05/21 11:11 PM PST Haven?t had any muscle spasms. Do you have gait or balance problem? Question 02/05/21 11:11 PM PST I can walk pretty OK, it?s my head that?s bothering me. What is your relationship with the patient? Question 02/05/21 11:12 PM PST I?m his stepfather. What happened to your step-son? (Clarified to Talk to me about what had happened to your son?.) Question 02/05/21 11:14 PM PST He was at the skatepark after school, like he usually is, and he fell off his board while doing a grind. He didn?t have a helmet on, which we?re going to have to chat about later . . . (Clarified to to tell you what happened to my son.) Yeah, it is good to have a helmet Educate 02/05/21 11:14 PM PST Thanks, yeah, I?ll remember that. Did you notice any headache for your son? (No matching questions found.) Question 02/05/21 11:17 PM PST Does he have a headache? Question 02/05/21 11:17 PM PST Yes, Damien?s had a headache since he got home. Does he have dizziness? (No matching questions found.) Question 02/05/21 11:17 PM PST Did he have dizziness? Question 02/05/21 11:17 PM PST I didn?t give him anything at home, but they gave him some medication when we got here ? acetaminophen, I think. Did he have confusion? (No matching questions found.) Question 02/05/21 11:18 PM PST Did your son have scalp hematoma? (No matching questions found.) Question 02/05/21 11:19 PM PST Did he have scalp hematoma? (No matching questions found.) Question 02/05/21 11:19 PM PST Did you notice any blood Question 02/05/21 11:19 PM PST I didn?t notice any bleeding. [AUDIO COMING SOON] Is your son son complaining of light sensitivity? (No matching questions found.) Question 02/05/21 11:20 PM PST Is your son complaining of light sensitivity? (Clarified to Has your son been sensitive to light?.) Question 02/05/21 11:20 PM PST Yes, definitely. (Clarified to if my son has been sensitive to light.) Did he report vomiting? (No matching questions found.) Question 02/05/21 11:21 PM PST Did he have any vomiting? (Clarified to Has your son vomited?.) Damien Brooks traumatic brain injury shadow health Question 02/05/21 11:21 PM PST It was after Damien came home and told me he had fallen. He was feeling dizzy and had a headache. He threw up pretty soon after that, and that?s when I decided to drive him over here. (Clarified to if my son has vomited.) Did you notice any other additional symptoms? (Clarified to Have you noticed any other injuries on your son?.) Question 02/05/21 11:23 PM PST I haven?t noticed any other injuries on Damien other than the welt on his head. (Clarified to if I have noticed any other injuries on my son.) Describe the onset of the symptoms? (No matching questions found.) Question 02/05/21 11:26 PM PST Describe the onset of the head injury (No matching questions found.) Question 02/05/21 11:26 PM PST what is the duration of the pain? (No matching questions found.) Question 02/05/21 11:27 PM PST How frequent is the headache? (No matching questions found.) Question 02/05/21 11:28 PM PST Describe the frequency of the pain (No matching questions found.) Question 02/05/21 11:28 PM PST did you notice confusion? (Clarified to When did you notice your son?s symptoms?.) Question 02/05/21 11:29 PM PST He?s been dizzy and confused at least since he got home. Kyle said he was complaining about both on the walk back from the skatepark. (Clarified to when I noticed my sons symptoms.) Did you notice dizziness? (Clarified to Did you see blood?.) Question 02/05/21 11:29 PM PST I didn?t notice any bleeding. [AUDIO COMING SOON] (Clarified to if I saw blood.) When did the fall occur? Question 02/05/21 11:30 PM PST Damien fell about two hours ago. Describe the mechanism of the injury? (No matching questions found.) Question 02/05/21 11:30 PM PST how did your son fall? Question 02/05/21 11:30 PM PST He was balancing on a rail and just lost his balance. His friend Kyle was recording it, so I watched the video. A hard thing to see. did he lose consciousness? Question 02/05/21 11:34 PM PST Yeah, the fall knocked Damien unconscious. What are relieving factors for the pain? Question 02/05/21 11:52 PM PST I gave him an ice pack and laid him down on the couch. I tried dimming the lights too. But once he threw up, I decided I was out of my depth and drove him here. What makes the pain worse? Damien Brooks traumatic brain injury shadow health Question 02/05/21 11:52 PM PST I?m not sure what all can make his pain worse right now. I know he?s said that light hurts his eyes. [AUDIO COMING SOON] Okay. i understand Empathize 02/05/21 11:53 PM PST Well, that?s kind of you to say. Has your son received all vaccinations? (No matching questions found.) Question 02/05/21 11:53 PM PST Has he had all vaccinations? (Clarified to Does your son have all his vaccines?.) Question 02/05/21 11:54 PM PST Yes, he?s got all his shots. (Clarified to if my son is vaccinated.) That is great. Vaccinations are very important for good health Educate 02/05/21 11:54 PM PST I gotcha, loud and clear. Damien Brooks traumatic brain injury shadow health Has he ever been hospitalized? Question 02/05/21 11:55 PM PST Damien?s never been to the hospital before. We?re very lucky, especially if he hasn?t been wearing his helmet like this time. He?s definitely fallen in the past. Has he ever had head injury? (Clarified to What previous head injuries has your son had?.) Question 02/05/21 11:56 PM PST Damien doesn?t have any previous head injuries. (Clarified to what my sons past head injuries are.) Has your son had any surgery? Question 02/05/21 11:56 PM PST Damien?s never had surgery. What home medication does your son use? (No matching questions found.) Question 02/05/21 11:56 PM PST Any home medications? (No matching questions found.) Question 02/05/21 11:57 PM PST what medications is your son using? Question 02/05/21 11:57 PM PST Really just acetaminophen when he has a fever and the like. He almost never takes any medication at all. Is your son having dizziness? (No matching questions found.) Question 02/05/21 11:58 PM PST Any eye problem for your son? (No matching questions found.) Damien Brooks traumatic brain injury shadow health Question 02/05/21 11:58 PM PST Any eye problem? (No matching questions found.) Question 02/05/21 11:59 PM PST Does your son have eye problem? (No matching questions found.) Question 02/05/21 11:59 PM PST Does your son have headache? Question 02/05/21 11:59 PM PST Yes, Damien?s had a headache since he got home. Does he have vision issues? Question 02/06/21 12:00 AM PST Damien?s only mentioned the light sensitivity. [AUDIO COMING SOON] Any ear problem? (No matching questions found.) Question 02/06/21 12:00 AM PST Does Damien have ear issues? (No matching questions found.) Question 02/06/21 12:00 AM PST Any issues with the ears (No matching questions found.) Question 02/06/21 12:00 AM PST Has your son?s speech changed? (No matching questions found.) Question 02/06/21 12:01 AM PST Is he able to follow instructions? Question 02/06/21 12:01 AM PST He?s been walking fine. [AUDIO COMING SOON] Does he have confusion? (No matching questions found.) Question 02/06/21 12:02 AM PST Has your son had confusion? Question 02/06/21 12:02 AM PST I didn?t give him anything at home, but they gave him some medication when we got here ? acetaminophen, I think. Does your son have movement problem? (No matching questions found.) Question 02/06/21 12:02 AM PST Does your son have issue with movement? (Clarified to Does your son have any balance or gait issues?.) Question 02/06/21 12:03 AM PST Nope, he?s been getting around just fine. (Clarified to if my son has any balance or gait issues.) ORDER A PLAGIARISM-FREE PAPER OR SHADOW HEALTH HELP HERE Damien Brooks traumatic brain injury shadow health Exam Action 02/06/21 12:12 AM PST ?Inspected head front: No abnormal findings Exam Action 02/06/21 12:12 AM PST ?Inspected left eye Exam Action 02/06/21 12:12 AM PST ?Inspected right eye Exam Action 02/06/21 12:12 AM PST ?Inspected left eye Damien Brooks traumatic brain injury shadow health Exam Action 02/06/21 12:13 AM PST ?Inspected right eye Exam Action 02/06/21 12:13 AM PST ?Inspect e o m Exam Action 02/06/21 12:13 AM PST ?Inspect shoulders Exam Action 02/06/21 12:14 AM PST ?Inspected left shoulder Exam Action 02/06/21 12:14 AM PST ?Inspected upper back Exam Action 02/06/21 12:14 AM PST ?Inspected right shoulder Exam Action 02/06/21 12:14 AM PST ?Inspected shoulders from the front Exam Action 02/06/21 12:14 AM PST ?Inspected right shoulder Exam Action 02/06/21 12:14 AM PST ?Inspected upper back Exam Action 02/06/21 12:14 AM PST ?Inspected left shoulder Exam Action 02/06/21 12:14 AM PST ?Inspected shoulders from the front Exam Action 02/06/21 12:14 AM PST ?Inspect arms Exam Action 02/06/21 12:15 AM PST ?Inspect elbows Exam Action 02/06/21 12:15 AM PST Damien Brooks traumatic brain injury shadow health ?Inspected left wrist Exam Action 02/06/21 12:16 AM PST ?Inspected right wrist Exam Action 02/06/21 12:16 AM PST ?Inspected both hands Exam Action 02/06/21 12:17 AM PST ?Inspect hips Exam Action 02/06/21 12:17 AM PST ?Inspect thighs Exam Action 02/06/21 12:18 AM PST ?Inspect thighs Exam Action 02/06/21 12:19 AM PST ?Inspect knees Exam Action 02/06/21 12:43 AM PST Damien Brooks traumatic brain injury shadow health ?Inspect lower legs Exam Action 02/06/21 12:44 AM PST ?Inspect ankles Exam Action 02/06/21 12:44 AM PST ?Inspect feet Exam Action 02/06/21 12:44 AM PST ?Checked ID band Exam Action 02/06/21 12:46 AM PST ?Auscultated breath sounds Exam Action 02/06/21 12:46 AM PST ?Auscultated heart sounds Exam Action 02/06/21 12:46 AM PST ?Auscultated breath sounds Exam Action 02/06/21 12:47 AM PST ?Palp cardio pulses radial Exam Action 02/06/21 12:47 AM PST ?Confirmed orientation Exam Action 02/06/21 12:48 AM PST What is your name and date of birth? Question 02/06/21 12:48 AM PST I?m Damien Brooks. It?s . . . [Mr. Brooks reports his correct date of birth.] What building are you now? Question 02/06/21 12:48 AM PST We?re at Dr. Pulaski?s office, right? what is the date and year Question 02/06/21 12:49 AM PST Today? It?s . . .[Mr. Brooks reports the correct date.] Do you know what?s going on? Question 02/06/21 12:50 AM PST Wiped out on my board and knocked my head, which ended me up here. It?s pretty messed up. ?Assessed cognition Exam Action 02/06/21 12:50 AM PST repeat and remember burger, tulip, nose and tea Question 02/06/21 12:51 AM PST Burger, tulip, nose, tea. Damien Brooks traumatic brain injury shadow health how did you celebrate your birthday? Question 02/06/21 12:51 AM PST My birthday? Oh, this year it was actually pretty sick. The squad threw a surprise party for me. They like ambushed me the morning of, had a cake and candles and everything for me right there in bed. The day just went from there. It was a good start to 15, yeah. repeat the four words from before Question 02/06/21 12:52 AM PST Burger . . . nose? Tea? ?Vocabulary Exam Action 02/06/21 12:52 AM PST ?Assessed speech Exam Action 02/06/21 12:53 AM PST ?Assessed speech Exam Action 02/06/21 12:53 AM PST close your eyes and touch your fingers to your nose Question 02/06/21 12:54 AM PST I can do that. ?Observed left index finger to nose smooth and accurate Damien Brooks traumatic brain injury shadow health Exam Action 02/06/21 12:54 AM PST ?Observed right index finger to nose smooth and accurate Exam Action 02/06/21 12:54 AM PST run your right foot down your shin Question 02/06/21 12:54 AM PST Sure. ?Observed right heel moving to shin smooth and accurate Exam Action 02/06/21 12:54 AM PST run your left foot down your right shin Question 02/06/21 12:55 AM PST Ok. ?Observed left heel moving to shin smooth and accurate Exam Action 02/06/21 12:55 AM PST place your hands on your knees and turn them over Question 02/06/21 12:55 AM PST Sounds good ?Observed rapid alternating hand movements Exam Action 02/06/21 12:55 AM PST ?Eye Opening Response measured as ?spontaneously ? Exam Action 02/06/21 12:56 AM PST ?Measured Damien?s best verbal response Exam Action 02/06/21 12:56 AM PST ?Measured Damien?s best motor response Exam Action 02/06/21 12:56 AM PST ?Determined Damien?s Glasgow Coma Score Exam Action 02/06/21 12:57 AM PST ?Tested ROM of elbows ? supination and pronation Exam Action 02/06/21 12:57 AM PST ?Tested ROM of elbows ? flexion and extension Exam Action 02/06/21 12:57 AM PST ?Tested ROM of wrists ? flexion Exam Action 02/06/21 12:58 AM PST ?Tested ROM of wrists ? extension Exam Action 02/06/21 12:58 AM PST ?Tested ROM of wrists ? ulnar and radial deviation Exam Action 02/06/21 12:58 AM PST ?Tested ROM of hips ? flexion Exam Action 02/06/21 12:59 AM PST ?Tested ROM of hips ? extension Exam Action 02/06/21 12:59 AM PST ?Tested ROM of hips ? abduction Damien Brooks traumatic brain injury shadow health Exam Action 02/06/21 12:59 AM PST ?Tested ROM of hips ? adduction Exam Action 02/06/21 12:59 AM PST ?Tested ROM of knees ? flexion Exam Action 02/06/21 1:00 AM PST ?Tested ROM of knees ? extension Exam Action 02/06/21 1:00 AM PST ?Tested ROM of ankles ? inversion and eversion Exam Action 02/06/21 1:00 AM PST ?Tested ROM of ankles ? dorsiflexion and plantar flexion Exam Action 02/06/21 1:00 AM PST ?Tested right and left hand strength with grip test: 5/5 Exam Action 02/06/21 1:01 AM PST ?Strength test feet Exam Action 02/06/21 1:02 AM PST ?Tested left arm distal sensation Exam Action 02/06/21 1:03 AM PST ?Tested left arm proximal sensation Exam Action 02/06/21 1:03 AM PST Yeah. Yeah. ?Tested right arm proximal sensation Exam Action 02/06/21 1:03 AM PST Yeah. ?Tested right arm distal sensation Damien Brooks traumatic brain injury shadow health Exam Action 02/06/21 1:03 AM PST Yeah. Yeah. ?Tested left leg distal sensation Exam Action 02/06/21 1:04 AM PST Yeah. ?Tested left leg proximal sensation Exam Action 02/06/21 1:04 AM PST Yeah. ?Tested right leg proximal sensation Exam Action 02/06/21 1:04 AM PST Yeah. ?Tested right leg distal sensation Exam Action 02/06/21 1:04 AM PST Yeah. ?Tested sensation of left foot Exam Action 02/06/21 1:05 AM PST Yeah. ?Tested sensation of right foot Exam Action 02/06/21 1:05 AM PST ?Palpated cap refill Exam Action 02/06/21 1:06 AM PST ?Reflex hammer patellar mode Exam Action 02/06/21 1:06 AM PST ?Reflex hammer brachioradialis mode Damien Brooks traumatic brain injury shadow health Exam Action 02/06/21 1:06 AM PST

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