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Scenario: Medical Office

P: Hello!
M: Good morning! I am Samantha Rodriguez. Sit down please!
P: Thank you!
M: For routine, I will start asking some questions to know you better and be
able to get better the medical monitoring of you. Do you agree?
P: Sure, I have no problem
M: PERFECT Could you start telling me your full name please?
P: It's Regina Sanchez Gastelum
M: What is her date of birth?
P: April 29, 1984
M: Are you married, single or divorced?
P: I'm married, doctor
M: How many children do you have?
P: Only 2
M: Now I will take your body measures and her weight
*Moment in which they stop to take patient measures*
M: We see that you are a little above the ideal weight, but nothing that with a
good diet cannot fix.
M: Are you a housewife or do you have a job?
P: I own a marketing company
M: Are you allergic to something?
P: No
M: Now tell me. What discomfort do you have?
P: When I walk a long time at work, I feel chest pain. Sometimes it gives me
an attack of pain here and sometimes my heart accelerates
M: Describe the pain, how is it?
P: It is not very strong, but it is an unpleasant feeling and sometimes I even
lack air.
M: Let's see. Is it only after physical effort, during an effort or also when
you’re still?
P: usually after an effort. When I am sitting or lying down, the pain usually
leaves.
M: What frequency has these pain attacks had?
P: I don't know. Once a week, more or less, I suppose. Normally on weekends
when I have many things to do.
M: Do you have problems at home?
P: Not at home, but at work lately it has been quite intense.
M: Do you feel tired?
P: Yes, sometimes a lot.
M: And how do you sleep?
P: It depends. Sometimes I have a hard time falling asleep, but other times I
sleep quite well.
M: You say that your heart accelerates.
P: Yes, when I have an attack of pain.
M: And at the same time you have nausea?
P: Yes, sometimes.
M: Since when do you have these symptoms?
P: For about two months.
M: And before that you had not noticed anything like that?
P: No.
M: Have you had any virus lately?
P: Yes, in spring I was sick a couple of days. My throat hurt and I had a cold
and cough.
M: And fever?
P: I did not take the temperature, but it may have had some fever.
M: Has there been heart disease in your family? Any infarction, brain attack,
high tension?
P: My mother had high tension and my grandfather died of heart attack.
M: Well. Now we are going to take blood pressure, I will hear your heart to
make sure everything is fine and make an electrocardiogram. Okay?
M: I heard that your heartbeats were accelerated, your pressure is 140/90 and
here the electrocardiogram has small changes. I think you should visit the
cardiologist. I am going to write a prescription and you have to make an
appointment at the reception. I will also give the prescription for medicine.
P: Thank you very much! I hope that next time I see me better.
M: See you later!
P: See you later!

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