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Below is the Audio I translated as I was unable to upload the audio. Please use the template I provided to create History & physical report. I have also attached answer hint key. Thanks 🙂 ” She complained of abdominal pain. This patient has a four-year history of AIDS. She contracted it from her husband who had hemophilia. She has had the symptom Mycobacterium avium complex symptom. She also had previous experience with pneumocystis carinii, pneumonitis, and oral thrush. She also has a history of asthma. She presents with sort of a history of abdominal pain, vomiting, and now some diarrhea with some fever. For the past several weeks, her fevers have been relatively under control. She has been known for the last six months to have an abdominal mass. The etiology has not been determined as the patient is not elected to have further studies, further diagnostic studies. She has a medical history. She was admitted to this hospital several times for complications of her disease. She’s on triple therapy with Cruxivan, Xeratine, and another antiviral medication. She’s also on Zitromax and Dactrim. Asthma, medical history is mentioned above. Family history is positive for hypertension and asthma. The review systems, good hearing and vision, cardiorespiratory, nervous, cough, or shortness of breath. GI, no constipation. She does have diarrhea. She does have some vomiting and abdominal pain. Appetite is good. GU, no dysuria. GYN, no complaints. Neurologic, she has peripheral neuropathy. She’s responded to a great extent to Elevil and B12. This time reveals a pleasant white female with a temperature of 103. Pulse 80, respiration 16. Blood pressure 110 over 80. AT&T exam shows no oral thrush or other lesions. Heart rate at a rhythm, lungs clear. Abdomen, there’s a soft mass. Infra-umbilically, slightly tender. Externally shows no edema. There’s no rash. Impression is AIDS. With Mycobacterium avium complex and pneumocystic pneumonia, possible secondary lymphoma. Final care, CT scan, infectious disease consultation.” Please use template and delete the heading which are not required PATIENT NAME: MR #: PHYSICIAN: DATE: CHIEF COMPLAINT HISTORY OF PRESENT ILLNESS PAST MEDICAL HISTORY SURGICAL HISTORY SOCIAL HISTORY FAMILY HISTORY ALLERGIES CURRENT MEDICATIONS REVIEW OF SYSTEMS GENERAL: SKIN: HEAD: EYES: EARS: NOSE, SINUSES: MOUTH AND THROAT: NECK: BREASTS: RESPIRATORY: CARDIAC: GASTROINTESTINAL: GENITOURINARY: GYNECOLOGIC: MUSCULOSKELETAL: PERIPHERAL VASCULAR: NEUROLOGIC: HEMATOLOGIC: ENDOCRINE: PSYCHIATRIC: PHYSICAL EXAMINATION GENERAL: VITAL SIGNS: SKIN: HEENT: NECK: LYMPH NODES: THORAX AND LUNGS: CARDIOVASCULAR: BREASTS: ABDOMEN: PELVIS: ANO-RECTAL: PERIPHERAL VASCULAR: MUSCULOSKELETAL: EXTREMITIES: NEUROLOGIC: MENTAL STATUS: DIAGNOSTIC STUDIES LABORATORY DATA IMPRESSION PLAN ______________________________ , MD / D: T: Below is answer key hint : Instructions for Transcribed Reports Final Assessment – PART 3 Use the history and physical template. The patient is Irene Beardy, MR # is 22333. Use your name as the doctor, with MD as your title. Use today, April 25, 2025, as the date for the visit, date of dictation, & date of transcription. In the Impression section, the physician dictates MAC and PCP. These are transcribed as Mycobacterium avium complex and pneumocystic pneumonia. The following heading differences are noted. Dictated Transcribed History History of Present Illness NA Eyes NA Ears Cardiorespiratory Respiratory GI Gastrointestinal GU Genitourinary GYN Gynecologic Lungs Thorax and Lungs Heart Cardiovascular Working Diagnosis Impression Plan of Care Plan Delete any headings that are left blank. Apply all formatting rules you’ve learned throughout the course.

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