Sophia Haddad pediatric GAS pharyngitis shadow health transcript

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Sophia Haddad pediatric GAS pharyngitis shadow health transcript

Transcript

Started: Mar 10, 2020 | Total Time:60 min 

	Hi, Sophia. My name is Danielle and I will be your provider today.	Greet 03/10/20 1:45 AM CDT
	Hi there.
	Hi Omar, My name is Danielle, and I will be your provider today	Question 03/10/20 1:46 AM CDT
	Hello.
	What brings you and Sophia in today? (Clarified to What brings you to the office today?.)  Sophia Haddad Pediatric GAS Pharyngitis Shadow Health Transcript	Question 03/10/20 1:46 AM CDT
	My daughter’s sick. High fever and a sore throat. (Clarified to what brings me to the office.)
	What brings you in to the office	Question 03/10/20 1:48 AM CDT
	I’m here because they sent me home from school because I was cold and tired and the teacher sent me to the nurse, and when I told her my throat had been hurting all morning she called my Baba. He’s the guy over there.
	I am sorry you are not feeling well, I hope I can help	Empathize 03/10/20 1:49 AM CDT
	Thank you.
	Where is the pain?	Question 03/10/20 1:50 AM CDT
	It hurts in the back of my throat. AND my head hurts.
	Other symptoms?	Question 03/10/20 1:51 AM CDT
	I’m all cold and tired.
	When did you notice the pain?	Question 03/10/20 1:51 AM CDT
	I was eating breakfast this morning and it hurt to swallow and I realized my throat hurt all the time.
	When did your fever start?	Question 03/10/20 1:52 AM CDT
	I started feeling all chilly and achy at school, during science class.
	How bad does your throat hurt?	Question 03/10/20 1:52 AM CDT
	Uh. Bad. It hurts kinda bad.
	Do you have problems talking?	Question 03/10/20 1:53 AM CDT
	My throat hurts worse when I talk.
	Are you able to swallow?	Question 03/10/20 1:53 AM CDT
	I can swallow, but it hurts my throat really bad.
	Do you drink water?	Question 03/10/20 1:53 AM CDT
	I like drinking water. I had some already today.
	Do you take any medications?	Question 03/10/20 1:54 AM CDT
	Only when Baba makes me. Medicine tastes so bad.
	I’m sorry you feel that way	Empathize 03/10/20 1:55 AM CDT
	OK. Thanks.
	Medicines can help us feel better	Educate 03/10/20 1:55 AM CDT
	Hmm . . . OK.
	How long has Sophia been sick?	Question 03/10/20 1:56 AM CDT
	The school called me about 2 hours ago saying Sophia had a fever of 102 and a sore throat.
	What was your daughter’s fever at school?	Question 03/10/20 1:57 AM CDT
	The school said her fever was 102. I feel so bad she has that on top of a sore throat.
	Did she have a fever at home? (Clarified to When did your daughter’s fever start?.)	Question 03/10/20 1:57 AM CDT
	I’m not sure, to be honest. I didn’t realize she had a fever this morning, but I do know her temperature was 102 this morning at the school clinic. (Clarified to when my daughter’s fever started.)
	When did the pain start?	Question 03/10/20 1:58 AM CDT
	I didn’t notice the sore throat or the fever this morning. I feel pretty bad for missing it.
	It’s okay	Empathize 03/10/20 1:58 AM CDT
	OK, thanks.
	Are your daughter’s classmates sick? (No matching questions found.)	Question 03/10/20 1:59 AM CDT
	Are your daughter’s classmates sick?	Question 03/10/20 1:59 AM CDT
	The school nurse said that strep throat is going around at her school. I think a few of her classmates are out sick right now.
	Is anyone sick in your family?  Sophia Haddad Pediatric GAS Pharyngitis Shadow Health Transcript	Question 03/10/20 1:59 AM CDT
	No one at home has had strep. My wife and I are both healthy.
	What have you done for your daughter’s throat?	Question 03/10/20 2:00 AM CDT
	I gave Sophia some ibuprofen for her fever. She also drank a little bit of cold water, which I think helped her throat.
	Did you give your daughter medication recently?	Question 03/10/20 2:01 AM CDT
	I gave her the ibuprofen on our way here, as we were leaving school.
	Does Sophia take any home medications?	Question 03/10/20 2:01 AM CDT
	Sophia doesn’t take any regular medications, thankfully. She really doesn’t handle it well.
	How much ibuprofen did Sophia receive?	Question 03/10/20 2:02 AM CDT
	I gave her children’s ibuprofen, the liquid kind. The strength was . . . 100 mg per 5 mL.
	how does your daughter handle taking medications?	Question 03/10/20 2:03 AM CDT
	Sophia doesn’t handle taking medicine well. She’s been pretty stubborn about it for a long time.
	How does your daughter handle swallowing pills? (No matching questions found.)	Question 03/10/20 2:04 AM CDT
	How does your daughter swallow pills? (No matching questions found.)	Question 03/10/20 2:04 AM CDT
	What happened when you tried to give Sophia the medication?	Question 03/10/20 2:05 AM CDT
	When I try to give Sophia medication . . . well, life isn’t great. It’s hard to convince her to do it, and when Sophia doesn’t want to do something, she’s really headstrong about it. For example, before we got here, I gave Sophia some ibuprofen. Sophia took the medicine eventually, but she started crying when I told her that she needed to take it. She used to spit medication out, but she doesn’t do that much anymore.
	Is your daughter up to date on vaccines?	Question 03/10/20 2:06 AM CDT
	Yes, Sophia’s up to date on her vaccinations.
	Has Sophia had any surgeries in the past	Question 03/10/20 2:07 AM CDT
	Sophia had ear tubes put in when she was two, but no surgeries other than that.
	did your daughter have a tonsillectomy? (No matching questions found.)	Question 03/10/20 2:07 AM CDT
	did your daughter have a tonsillectomy?	Question 03/10/20 2:07 AM CDT
	No, Sophia never had her tonsils removed.
	When is the last time your daughter had a sore throat?	Question 03/10/20 2:08 AM CDT
	I don’t know the last time Sophia had a sore throat . . . she’s never had strep before.
	When was your daughter’s last ear infection?	Question 03/10/20 2:08 AM CDT
	It’s been a long time. A few years. They stopped shortly after she got her ear tubes put in when she was two.
	What medication is your daughter allergic to?	Question 03/10/20 2:09 AM CDT
	Sophia isn’t allergic to any medications.
	Does your head hurt?	Question 03/10/20 2:10 AM CDT
	Yes. I have a headache right now. It feels kind of achy and heavy.
	Does your chest feel tight?	Question 03/10/20 2:10 AM CDT
	No, my chest doesn’t feel tight.
	Have you been coughing a lot?	Question 03/10/20 2:10 AM CDT
	No, I haven’t been coughing at all.
	Are you vomiting?	Question 03/10/20 2:11 AM CDT
	I haven’t thrown up.
	Do you have any lumps or bumps on your skin?	Question 03/10/20 2:11 AM CDT
	Yes, I have these red bumps on my chest.
	Does your daughter have a runny nose? (No matching questions found.)	Question 03/10/20 2:12 AM CDT
	Does your daughter have a runny nose?	Question 03/10/20 2:12 AM CDT
	Sophia’s nose hasn’t been runny.
	Does your daughter have a cough?	Question 03/10/20 2:12 AM CDT
	Sophia doesn’t have a cough.
	When did you notice your daughter’s rash  Sophia Haddad Pediatric GAS Pharyngitis Shadow Health Transcript	Question 03/10/20 2:13 AM CDT
	The school nurse told me about the rash when I picked Sophia up from school a few hours ago. I didn’t notice it before that.
	Can I take a look at Sophia’s throat and rash?	Question 03/10/20 2:14 AM CDT
	Yes, I suppose. Go ahead.
	can I look at the rash?	Question 03/10/20 2:14 AM CDT
	OK, you can look at my rash . . . but I’m warning you, it’s NOT pretty.
	Can I please look at your throat? (Clarified to Can I look at your throat?.)	Question 03/10/20 2:14 AM CDT
	Yeah, you can look at my throat. (Clarified to if I can look at your throat.)
	Sophia’s test came back positive.	Question 03/10/20 2:17 AM CDT
	Alright. Thank you.
	Follow the instructions on the medication	Question 03/10/20 2:17 AM CDT
	I’ll be sure to do that.
	Keep the medication in a safe place, out of children’s reach	Question 03/10/20 2:18 AM CDT
	Good call. I don’t think she’d pour it out or something, but oh, you mean she might drink it. Right, that too.
	Check to be sure the dose is correct	Question 03/10/20 2:18 AM CDT
	I bet it’s really dangerous to give a kid too much medicine. Better be careful.
	Symptoms should improve in a couple of days	Question 03/10/20 2:19 AM CDT
	That’s really good to hear. I hate to see her like this.
	Sophia will be able to return to school in 3 days	Question 03/10/20 2:19 AM CDT
	Yeah, I can do that. Make sure Sophia takes all of her medicine. No matter how much she doesn’t want to. Make her do the thing she doesn’t want to do. I got it.
	Looks for thrush in her mouth	Question 03/10/20 2:19 AM CDT
	Oh, thrush is terrible. I’ll let you know right away if I see any signs of it.
	Stop the medication if you see any signs of an allergic reaction, like difficulty breathing	Question 03/10/20 2:20 AM CDT
	Sophia already has some of those things because of the strep. How do I know if she’s also having a reaction to the amoxicillin?
	Hives and if your daughter can’t breathe	Question 03/10/20 2:21 AM CDT
	Understood.
	change the toothbrush	Question 03/10/20 2:21 AM CDT
	She’s pretty attached to her butterfly toothbrush, but I’m sure we can find another one . . . probably . . .
	she can return to school in 3 days	Question 03/10/20 2:21 AM CDT
	That’s good to know. Thanks.
	She can drink plenty of water	Question 03/10/20 2:22 AM CDT
	Sophia’s pretty good about drinking water. Normally I’d go for tea, but I don’t think I need a caffeinated Sophia stuck at home from school. Bad times for everybody.
	Have a good day	Question 03/10/20 2:22 AM CDT
	Ok. See you later.

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Frequently Asked Questions (FAQs)

1. What is the best treatment for GAS pharyngitis?

Penicillin or amoxicillin is the first-line therapy for GAS pharyngitis, and other options include a first-generation cephalosporin, clindamycin, clarithromycin, and azithromycin.

2. What is pediatric GAS pharyngitis?

GAS is the most prevalent bacterial cause of acute pharyngitis in children, accounting for 15 percent to 30 percent of cases. Other bacteria, such as group C and G beta-hemolytic streptococci and Corynebacterium diphtheriae, may cause acute pharyngitis.

3. What are the complications of GAS pharyngitis?

Tonsillopharyngeal cellulitis or abscess, otitis media, sinusitis, necrotizing fasciitis, bacteremia, meningitis, brain abscess, and jugular vein septic thrombophlebitis.

Sophia Haddad Pediatric GAS Pharyngitis Shadow Health Transcript