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Shadow Health Assessment

Tina Jones — Respiratory

Complete Shadow Health Respiratory assessment from STU NUR504. Asthma exacerbation following cat exposure. Expiratory wheeze on auscultation, Albuterol less effective, wheezing 6/10, shortness of breath 8/10. Full respiratory examination with peak flow and auscultation documented. Diagnosis: Asthma mild persistent, inadequately controlled.

ProficientCat TriggerWheeze DocumentedSTU NUR504
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Shadow Health Assessment

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Clinical Overview

Tina Jones — Respiratory

Tina Jones presents following a near-asthma attack after exposure to a cat at a family gathering. She rates wheezing at 6/10 and shortness of breath at 8/10. She has had ten subsequent episodes every 4 hours. Albuterol is becoming less effective at relieving symptoms.

The respiratory assessment covers the complete respiratory history including asthma triggers, medication use, previous attacks, and functional impact. Physical examination documents mild expiratory wheeze on auscultation, respiratory rate, oxygen saturation, and peak flow measurement.

Expiratory wheeze on auscultation · O2 sat documented · Albuterol PRN less effective. Diagnosis: Asthma mild persistent, inadequately controlled — requiring step-up therapy.

Primary Diagnosis: Asthma mild persistent — inadequately controlled
What is included in each document?
  • Full respiratory interview transcript
  • Asthma history — triggers, frequency, severity
  • Auscultation — expiratory wheeze documented
  • Peak flow measurement
  • Oxygen saturation monitoring
  • Medication use and effectiveness review
  • Education & Empathy — asthma management
  • EHR Provider Notes — student and model