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Marcus Webb

Hulking Turtle

DOB 14/03/1968 58 yrs Phone +61491570101

Appointment Monday, 10 August 2026 at 10:00 AM

All Intakes

Tomorrow 10:00 AM Summary

Consult notes

AI-drafted from the intake

1. Chest tightness

3-week history of chest tightness on exertion.
Described as a heavy pressure, like a band across the chest.
Radiates to the left shoulder, but not the arm.
Severity rated 5 to 6 out of 10, noting it is more uncomfortable than painful.
Triggered by walking up hills and carrying shopping.
Eases off after stopping and resting for a couple of minutes.
Frequency is increasing; initially occurred only on hills, but happened twice this week on flat ground.
Reports being a bit puffed on the hill, but attributes it to walking.
Denies episodes at rest or lasting longer than 10 minutes.
Denies sweating, nausea, or light-headedness.
Wonders if it is his heart and wants to know if he should be doing anything differently before it gets worse.
Wife expressed concern that he should have gone to the hospital.

Background:
PMH: Hypertension Borderline hypercholesterolemia
Medications: Perindopril 5mg each morning
NKDA
FHx: Father had myocardial infarction at age 62
Smoking: Ex-smoker (quit 10 years ago, previously 1 pack/day for 20 years) EtOH: A couple of beers on the weekend

Sources (15)

[s0:1] Patient I've been getting a tightness in my chest when I walk up hills. It started about three weeks ago.

[s0:5] Patient More like a heavy pressure, like a band across my chest.

[s0:7] Patient Sometimes into my left shoulder. Not really the arm.

[s0:9] Patient Maybe a 5 or 6. It's more uncomfortable than painful.

[s0:11] Patient Walking up the big hill near home sets it off. It eases off after I stop and rest for a couple of minutes.

[s0:13] Patient At first only on that hill. This week it came on twice on flat ground carrying the shopping, so it's happening more often.

[s0:17] Patient A bit puffed on the hill, but I put that down to the walking.

[s0:15] Patient No, only when I'm exerting myself, and it always settles when I stop.

[s0:19] Patient No, none of that.

[s0:35] Patient I want to know whether this is my heart, and whether I should be doing anything differently before it gets worse. My wife thought I should have gone to hospital over it.

[s0:21] Patient High blood pressure, and my cholesterol was borderline when it was checked last year. No surgeries.

[s0:23] Patient Perindopril 5mg each morning. Nothing else.

[s0:27] Patient My dad had a heart attack.

[s0:31] Patient Not now. I gave up about ten years ago — before that it was around a pack a day for twenty years.

[s0:33] Patient A couple of beers on the weekend, that's about it.

Conversation transcript 37 turns · click to expand

Audri turn 0

Hello, I'm Audri, your intake assistant. What brings you in for your upcoming appointment?

19 hours ago

Patient turn 1

I've been getting a tightness in my chest when I walk up hills. It started about three weeks ago.

19 hours ago

Audri turn 2

Thank you for sharing that. Can you tell me your sex assigned at birth?

19 hours ago

Patient turn 3

Male.

19 hours ago

Audri turn 4

Thank you. Can you describe the tightness? Is it a pressure, an ache, a sharp pain, or something else?

19 hours ago

Patient turn 5

More like a heavy pressure, like a band across my chest.

19 hours ago

Audri turn 6

Thank you. Does the tightness spread anywhere, such as to your arm, jaw, neck or back?

19 hours ago

Patient turn 7

Sometimes into my left shoulder. Not really the arm.

19 hours ago

Audri turn 8

How severe would you rate it at its worst, on a scale of 0 to 10, with 0 being none at all and 10 being the worst imaginable?

19 hours ago

Patient turn 9

Maybe a 5 or 6. It's more uncomfortable than painful.

19 hours ago

Audri turn 10

Thank you. What brings the tightness on, and what makes it settle?

19 hours ago

Patient turn 11

Walking up the big hill near home sets it off. It eases off after I stop and rest for a couple of minutes.

19 hours ago

Audri turn 12

Thank you. How often has it been happening, and has that changed over the three weeks?

19 hours ago

Patient turn 13

At first only on that hill. This week it came on twice on flat ground carrying the shopping, so it's happening more often.

19 hours ago

Audri turn 14

Have you had any episodes while you were at rest, or any that lasted longer than 10 minutes?

19 hours ago

Patient turn 15

No, only when I'm exerting myself, and it always settles when I stop.

19 hours ago

Audri turn 16

Thank you. Have you had any shortness of breath with these episodes?

19 hours ago

Patient turn 17

A bit puffed on the hill, but I put that down to the walking.

19 hours ago

Audri turn 18

Have you had any sweating, nausea, or light-headedness with them?

19 hours ago

Patient turn 19

No, none of that.

19 hours ago

Audri turn 20

Thank you. As this is your first Audri intake, I have a few extra questions to get your background history. Do you have any ongoing medical conditions or past surgeries?

19 hours ago

Patient turn 21

High blood pressure, and my cholesterol was borderline when it was checked last year. No surgeries.

19 hours ago

Audri turn 22

Thank you. Are you currently taking any medications or supplements?

19 hours ago

Patient turn 23

Perindopril 5mg each morning. Nothing else.

19 hours ago

Audri turn 24

Do you have any allergies to medications, foods, or anything else?

19 hours ago

Patient turn 25

None that I know of.

19 hours ago

Audri turn 26

Thank you. In your immediate family, do you have any history of heart disease, stroke, abnormal blood pressure or cholesterol, diabetes, or cancer?

19 hours ago

Patient turn 27

My dad had a heart attack.

19 hours ago

Audri turn 28

Could you please tell me what age your father was when he had the heart attack?

19 hours ago

Patient turn 29

He was 62.

19 hours ago

Audri turn 30

Thank you. Do you smoke or vape?

19 hours ago

Patient turn 31

Not now. I gave up about ten years ago — before that it was around a pack a day for twenty years.

19 hours ago

Audri turn 32

Thank you. Do you consume alcohol, and if so, how often and how much?

19 hours ago

Patient turn 33

A couple of beers on the weekend, that's about it.

19 hours ago

Audri turn 34

Thank you for that information. Is there anything else you would like to add or feel is important for the medical team to know?

19 hours ago

Patient turn 35

I want to know whether this is my heart, and whether I should be doing anything differently before it gets worse. My wife thought I should have gone to hospital over it.

19 hours ago

Audri turn 36

Thank you. The intake is now complete, and the information will be reviewed by the medical team. Thank you for speaking with me today.

19 hours ago