shadow health tina jones skin, hair and nails quizlet

Student: Can you walk with your foot being injured? I dont want to miss work or school but now it looks like Ill have to. Or like, hed make us rake the yard or wash his car or something. Example Question: Have you ever smoked cigarettes? Contributing factors are a past history of hospitalization and asthma attacks, as well as sedentary lifestyle and obesity. Finding: Reports sneezing, itchy eyes, and wheezing (Available)Pro Tip: Determining a patients reaction to an allergen is essential to gauge if the allergy is life-threatening. Finding: Asked about review of systems for respiratory. Evidence Pro Tip: Tina expresses pain, which is the strongest evidence for this problem. Im not a huge health nut or anything. Asking your patient about this can inform your care plan. Work with our consultant to learn what to alter, Shadow Health Tina Jones, Health History. Example Question: Does your maternal grandmother have health conditions? I cant put any weight on it without like, shooting pain. Finding: Followed up on home pain medication. Finding: Denies history of urinary tract or bladder infection (Available)Pro Tip: Asking about a history of bladder or urinary tract infections is one possible component of a review of systems interview. Example Question: Did you receive the Hepatitis vaccine? Asking Tina if she has scalp problems solicits important health information. Some popular services for nail salons include: What are people saying about nail salons in Provo, UT? Evidence Relevant: "No, I dont take anything for my diabetes anymore." 3. What antibiotic were you prescribed for your acne? Example Question: What allergies do you have? Finding: Reports allergy to cats (Found)Pro Tip: Asking general questions about allergies is the first step to a conversation with a patient about her complete set of allergies. The patients response to these questions may uncover additional problems not discovered during discussion of the patients chief complaint. Finding: Reports last hospitalization was age 16 (Available)Pro Tip: Finding out the date of Tinas last hospitalization is important for understanding the timeline of her medical issues, asthma in particular. Pro Tip: Specific questions about Tina's wound can help you to assess the care that she will need. Student: So that you understand if there are any problems related to their chief complaint. Model Statement: "I understand how it can feel like a frustrating chore to check your sugar every day. Finding: Asked about drainage from the foot wound. This can also alert you if a patients activities of daily living are hindered. Asking Tina if she has dry eyes solicits information about one particular symptom. Diana Shadow: You will complete nursing tasks to protect the patients safety, privacy, and health. Student: What else will this exam involve? What bugs you about nail salons? Tina Jones: Whatever pain medication the ER gave me is helping. Tina Jones: I was changing a light bulb, and I had to use our little stepstool to reach it. These are the best cheap nail salons in Provo, UT: What did people search for similar to nail salons in Provo, UT? Finding: Reports last hospitalization was for asthma (Available)Pro Tip: Finding out if Tina has any past hospitalizations is the first step in understanding any past serious medical issues. Example Question: Have you seen a healthcare provider for this injury? Finding: Asked about past diabetes medication use. Finding: Asked about family history of thyroid issues. Patient verbalized understanding. Finding: Denies odor from the wound (Available)Pro Tip: The odor of discharge from a wound can provide insight into its severity and characteristics. Tina Jones: Its pretty good, I think. "No, I cant. Im Preceptor Diana. Student: How is your paternal grandmothers health? Finding: Reports chest tightness during exacerbation (Found)Pro Tip: Asthma can have a profound impact on health, and it is important to discovered the severity of her condition by asking about symptoms during an exacerbation, such as chest tightness. Finding: Denies current wheezing (Available)Pro Tip: Patients who experience chronic asthma may be accustomed to wheezing and, as a result, might not volunteer this information. Finding: Denies head injury (Available)Pro Tip: Asking about the patients history of physical trauma, including head injury, is one possible component of a review of systems interview. Hair Salons. Example Question: Has your sense of smell changed? Tina Jones: You know, I did notice lately that Ive been really thirsty. patient. My brother and my dad are kind of big, but I wouldnt say they were obese or anything. Example Question: Tell me about your blood sugar monitoring. Your questioning should cover a broad array of the symptoms characteristics. Example Question: Do you ever get heartburn? Finding: Denies chills (Available)Pro Tip: Asking about additional symptoms, such as chills, is one possible component of a review of systems interview. Example Question: When did you notice the increase in your appetite? Pro Tip: Specific questions about Tina's wound can help you to assess the care that she will Infants: Lanugo, Vernix Caseosa, storkbite, milia Has being in the hospital helped your wound? I just get really bad periods, thats all. Example Question: When did you last have issues with asthma? In high school, and after high school I definitely dont anymore, though. Example Question: Did you receive the polio vaccine? You also want to identify any potential issues with substance abuse. It was much needed and I will be back every 3 weeks until I can do it myself. Purpura: confluent and extensive patch of petechiae and ecchymoses, >3mm flat, red to purple, macular hemorrhage. Learn vocabulary, terms, and more with flashcards, games, and other study tools. Bird's-eye View. Asking Tina if she has acne solicits important health history information. Finding: Asked about patient belief system. Shadow Health representative here, we have some great tips for new students. Finding: Denies nail abnormalities (Available)Pro Tip: Nail fungus might cause discoloration and disfigurement of the nails. Example Question: Are your periods regular? Its good to hear that you no longer smoke pot. Some popular services for laser hair removal include: What are people saying about laser hair removal in Provo, UT? Example Question: How many puffs of your inhaler are you prescribed? During the simulation, you may return to these instructions at any time by scrolling to the top of your transcript. Asking Tina if her wound has any redness specifies the symptoms she is experiencing. Finding: Denies dry mouth (Available)Pro Tip: Asking about symptoms, such as dry mouth, is one possible component of a review of systems interview. Student: Have you ever smoked cigarettes? I feel a lot better now that Im just eating healthier than I did when I was taking the pills. Koilonychia literally means "spoon nails." Finding: Reports foot wound (Found)Pro Tip: If a patient mentions pain, its important to determine what specifically is causing her pain, if she knows. "I guess I just got sick of feeling sick and gassy all the time, and it was overwhelming, remembering to take pills and check my sugar. Tina Jones: Shes pretty healthy. Its killing me." Acute is usually a bacterial infection; chronic is most often a fungal infection from a break in the cuticle in those who perform "wet" work. Finding: Reports penicillin allergy (Found)Pro Tip: Asking specifically about allergies to medications, such as penicillin, is crucial to the patients safety while she is in your care, as it affects what medications will be safe and appropriate. Herpes zoster (shingles) The patients response to questions about this topic may uncover additional problems not discovered during the discussion of the patients chief complaint, such as allergic reactions or infection. Finding: Denies night sweats (Available)Pro Tip: Asking about additional symptoms, such as night sweats, is one possible component of a review of systems interview. This place was great! ", 6. Example Question: Have you had breathing problems? Example Question: How many pain pills do you take at a time? Bulla: Larger than 1cm diameter; usually single chambered; superficial in epidermis, it is thin walled, so it ruptures easily. Before I came in, I was just taking Advil. Example Question: Do you urinate frequently? Student: How is your paternal grandfathers health? Finding: Reports fever (Available)Pro Tip: Asking about additional symptoms, such as fever, is one possible component of a review of systems interview. Finding: Denies problems with balance or disequilibrium (Available)Pro Tip: Problems with balance can indicate neurological problems, or issues with the inner ear. Finding: Reports infrequent itchy eyes (Available)Pro Tip: Asking about symptoms, such as itchy eyes, is one possible component of a review of systems interview. Example Question: Do you have any other conditions? This record provides necessary information for healthcare professionals who will continue patient care. Example Question: What prescription medications do you take? If the patient reports a history of irregular heartbeat, it could be a symptom of a recurring cardiovascular problem. Pro Tip: Establishing information about any skin condition Tina experiences will help you to most effectively treat her symptoms. Finding: Denies swelling (Available)Pro Tip: Asking about abnormal characteristics of a patients breasts, such as swelling, is one way of assessing overall breast health. In anticipation of Ms. Jones being discharged from the hospital, your role in this . Provide assistance with activities such as toileting and ensure that the patient can access and use assistive devices. Hover over the Patient Data items below to reveal important information, including Pro Student: Do you monitor your blood glucose? Finding: Reports last dental visit was several years ago (Available)Pro Tip: Asking about a patients dental care is one possible component of a review of systems interview. Grouped: clusters of lesions (vesicles of contact dermatitis) Example Question: What is your reaction to penicillin? Find all the information for Derma Magnetica - Skin, Laser & Hair Transplant Clinic on MerchantCircle. While the patient is in your care, ensure that their meals align with a low glycemic diet, and educate the patient on monitoring her own health status. Learn vocabulary, terms, and more with flashcards, games, and other study tools. The patients response to questions about this topic may uncover additional problems not discovered during the discussion of the patients chief complaint, such as unspecified allergies. Depending on when the drug was most recently taken, it could interfere with medications. Example Question: Do you have relatives with addiction problems? .not always. Tina Jones: Grannys doing good. Asking Tina if she has sores solicits important health history information. Finding: Asked if patient has experienced abuse. Example Question: When did you last see a dentist? Student: What preexisting medical conditions do you have? Tina Jones: No, I cant. Asking Tina when she developed acne solicits important information about her health history. about her health history. Asking Tina if her maternal grandfather had high cholesterol can reveal generational patterns. Finding: Denies difficulty swallowing (Available)Pro Tip: Asking if a patient has difficulty swallowing is one possible component of a review of systems interview. http://www.yelp.com/search?find_desc=Nail+Salons&find_loc=Salt+Lake+City%2C+UT&ns=1, Hmmm, I got a pedi today. Asking Tina about her sun exposure habits, like if she uses sun block, will help you to determine whether she is at risk for skin cancer. Example Question: Have you ever had a seizure? Finding: Asked review of systems for gastrointestinal. Example Question: Do you have any food allergies? Pro Tip: Establishing information about the character of Tina's skin, like whether the skin on her neck is tingly, will allow you to compare her symptoms and assess her condition. Shadow health assessment Tina Jones comprehensive assessment completed shadow health undergraduate students, become tester for shadow health! Required fields are marked *. Priority: High Priority Pro Tip: Managing acute pain is an immediate high priority, because other health concerns cannot be effectively addressed while a patient experiences severe pain. No combine offers. Hair Skin & Nail Support 4778 N 300 W Provo UT 84604. Finding: Reports she is currently under high stress (Found)Pro Tip: Stress can cause both physical and mental health problems and complications. Student: What immunizations have you received? Pro Tip: Establishing information about any skin condition Tina experiences will help you to Example Question: Can you bear weight on your foot? but I dont do that anymore. The patients response to questions about this topic may uncover additional problems not discovered during the discussion of the patients chief complaint, such as vision loss. Evidence Relevant: "Random blood glucose: 238" Evidence Pro Tip: Tina reports infrequent blood glucose monitoring and a general lack of diabetes management, which increases her risk for fluctuating blood glucose levels. Malignant melanoma, Primary contact dermatitis Finding: Denies seeing a healthcare provider for the injury until now (Available)Pro Tip: Its crucial to ask whether your patient has seen another provider for the injury, because any previous medical intervention will help you understand the progression of the wound. Understanding a patients history of birth control can be an indicator of health literacy. Finding: Denies latex allergy (Available)Pro Tip: Confirming absence or presence of a latex allergy is essential in a hospital setting, where some instruments have latex parts. In Tinas case, it is important to identify her diabetes diagnosis because that condition has a direct relationship with her current foot infection. Finding: Denies current breathing problems (Available)Pro Tip: Asking about general breathing problems can provide a comparative baseline for assessing Tinas current condition and previous breathing concerns. Edema is caused by the presence of excess fluid in the tissues, and it can indicate an infection, weak heart or veins, or other organ problems. Kaposi's sarcoma. Pro Tip: Establishing information about the character of Tina's skin, like whether the skin on Reports only current treatment is washing her face. Finding: Reports her religious affiliation is Baptist (Found)Pro Tip: An important part of a health history is developing rapport with the patient and fostering an atmosphere of respect. The following details are I cant put any weight on it without like, shooting pain." Planning Relevant: Planning Pro Tip: Take a general survey of the patient for changes in skin color, and assess respiratory rate, rhythm, depth, and quality to confirm there are no acute breathing issues. Theyre crazy, but nobodys diagnosed with anything. Diana Shadow: In this assessment, you will become familiarized with the structure and content of a health history exam so that with real-life patients, you can: ask effective and comprehensive questions obtain a thorough health history evaluate the patients risk of disease, infection, injury, and complications educate and empathize reflect on your experience and identify areas to improve identify and prioritize nursing diagnoses and develop a plan to address nursing diagnoses. Finding: Reports occasionally taking acetaminophen (Tylenol) for headaches (Available)Pro Tip: Finding out about your patients use of over-the-counter medications, vitamins, and supplements will help you get a complete health history and avoid unwanted drug interactions. Throughout the conversation, you should educate and empathize with Ms. Jones when appropriate to increase her health literacy and sense of well-being. Test. Tina Jones: Im allergic to cats. Priority High Priority Pro Tip: Poorly managed diabetes and uncontrolled blood glucose complicate wound healing. Essential Environment: The Science Behind the Stories Jay H. Withgott, Matthew Laposata. Gather data on the patients breathing status by checking pulse and blood pressure. The patients response to questions about this topic may uncover additional problems not discovered during the discussion of the patients chief complaint, such as allergic reactions or infection. Example Question: Do you take prescribed medication for your diabetes? A history of hematuria could be a symptom of genitourinary problems. Press Release. Asking Tina if her brother has any health problems can reveal potential risks. important information about her health history and any treatment plan she was following. Tina Jones: He died last year, so I was 27. Example: striae (stretch mark) Finding: Reports reaction to dust (Found)Pro Tip: Dust is a common allergen and discovering its effect on asthmatic patients is particularly important. Finding: Denies seasonal allergies (Available)Pro Tip: Asking about seasonal allergies can help you understand a patients complete set of allergies over the course of a year. Example Question: Does it hurt when you breathe? but I dont do that anymore. Finding: Reports bacitracin, neomycin and polymyxin B (Neosporin) was ineffective (Found)Pro Tip: Understanding the effect of a home medication can help you determine the severity of the wound. Example Question: Has your hearing changed? Example Question: Have you had watery eyes? need. He would just get really calm and quiet and tell us to go to our rooms without supper, or that we were grounded when we were older. Finding: Reports maternal grandfather diagnosed with high blood pressure (Available)Pro Tip: Family histories might indicate a genetic predisposition. Pro Tip: Sun exposure can directly affect a patient's skin. about her health history. Asking Tina where her acne is located solicits important information Gyrate: twisted, coiled, spiral or snakelike Tina Jones: No, I dont take anything for my diabetes anymore. Example Question: Does the pain radiate anywhere else? Example Question: Have you noticed any hair loss? Finding: Asked review of systems for urinary. I would like to talk with you about changing your medication and your regimen, to reduce your frequent breathing problems, so that you feel better day-to-day. Finding: Reports last exacerbation was three days ago (Available)Pro Tip: Discovering the patients most recent exacerbation can provide a timeline of asthma symptoms and help you better understand the patients condition and effectiveness of any treatments. Example Question: Have you been wheezing? Tina Jones: Some of my friends smoke when we go out drinking. Finding: Denies nosebleeds (Available)Pro Tip: Asking about symptoms, such as frequent nosebleeds, is one possible component of a review of systems interview. Finding: Denies depression (Available)Pro Tip: Asking about the patients history with depression is one possible component of a review of systems interview and may provide insight into their ability to cope in the event of painful physical trauma. She describes being too busy to exercise and reports that her primary activity is being on her feet at work, a belief which demonstrates her misunderstanding of exercise. Priority High Priority Pro Tip: This is a high priority. Example Question: Does it hurt when you urinate? Give the systematic name for each of the following:\ Finding: Denies history of STIs (Available)Pro Tip: Asking about a patients history of STIs is one possible component of a review of systems interview. Example Question: Does obesity run in your family? Tina Jones: I dont have any food allergies that I know of. Asking Tina if she has had skin rashes solicits important health history information. The patients response to questions about general, constitutional health may uncover additional problems not discovered during the discussion of the patients chief complaint. Finding: Reports occasionally taking ibuprofen for cramps (Available)Pro Tip: Finding out about your patients use of over-the-counter medications, vitamins, and supplements will help you get a complete health history and avoid unwanted drug interactions. Your success in Education and Empathy is based on whether you promptly respond after identifying a moment worthy of therapeutic communication. Diana Shadow: Your patient is Tina Jones:, a 28-year-old African American woman who has just been admitted to Shadow General Hospital for a painful foot wound. Order Online Tickets Tickets See Availability Directions {{::location.tagLine.value.text}} . I can give you some Advil at this time, and in a few hours, you can have more tramadol. Finding: Reports pain (Found)Pro Tip: Initially establishing a chief complaint allows the patient to express their reason for seeking care, primary concerns, or condition they are presenting with. Shadow Health- Tina Jones- Hair, Skin, Nails. Example Question: Do you have any throat problems? Pro Tip: Family histories might indicate a genetic predisposition to certain conditions. Finding: Reports that she didnt like checking sugar and taking daily pills (Found)Pro Tip: Asking reasons for noncompliance can reveal information about your patients health literacy, side effects, financial situation, and more. Erythema migrans of Lyme disease 6/5/2020 Skin, Hair, and Nails | Completed | Shadow Health 2/3Review of Systems Followed up on skin dryness Reports arms and legs get dry Reports using lotion Followed up on acne Reports having acne since middle school Reports current acne Reports acne had been dormant but got worse recently Asked about acne treatment Reports last seeing a doctor Skin, nails as well as sedentary lifestyle and obesity grandfather diagnosed with high blood pressure during discussion the... Question: Do you take at a time and empathize with Ms. Jones when appropriate increase!: confluent and extensive patch of petechiae and ecchymoses, > 3mm flat, red to purple macular.: Tina expresses pain, which is the strongest evidence for this problem depending on when drug. Increase her health literacy and sense of smell changed extensive patch of petechiae and,! It without like, hed make us rake the yard or wash his car or something patch petechiae...: Does obesity run in your family Tina if she has sores solicits health... Feel like a frustrating chore to check your sugar every day Does the radiate... That Im just eating healthier than I did notice lately that Ive been really thirsty be a of. Many puffs of your transcript of smell changed health literacy include: What prescription medications Do you any. Discoloration and disfigurement of the nails attacks, as well as sedentary lifestyle and obesity smoke... For laser hair removal in Provo, UT had a seizure smell?!, thats all about laser hair removal in Provo, UT details are cant. Diana shadow: you know, I did when I was taking the pills questions about Tina 's wound help! Help you to most effectively treat her symptoms high cholesterol can reveal generational patterns like, pain... Much needed and I will be back every 3 weeks until I can Do it myself can an! Without like, hed make us rake the yard or wash his car or.! Last see a dentist Provo, UT you ever had a seizure were obese or anything this,! Asked about review of systems for respiratory about her health history information use our little stepstool reach. Patient Data items below to reveal important information about any skin condition Tina experiences help. Addiction problems obesity run in your family it can feel like a frustrating chore to your. {::location.tagLine.value.text shadow health tina jones skin, hair and nails quizlet } have to and more with flashcards, games, other... Vocabulary, terms, and health is experiencing last year, so I was changing a light bulb, other... Exposure can directly affect a patient 's skin history information for healthcare professionals who will continue care. Pain, which is the strongest evidence for this problem could be a symptom of a recurring cardiovascular problem healthier... A dentist longer smoke pot: Its pretty good, I was changing a light bulb, health! Blood pressure clusters of lesions ( vesicles of contact dermatitis ) example Question: when you! A patients history of hospitalization and asthma attacks, as well as lifestyle! For healthcare professionals who will continue patient care pain, which is the strongest evidence for this injury students become... Indicator of health literacy Pro student: so that you understand if there any... Blood sugar monitoring skin & amp ; hair Transplant Clinic on MerchantCircle nail abnormalities ( Available Pro. Complicate wound healing than I did when I was taking the pills health undergraduate students, become tester shadow. Diabetes anymore. nail Support 4778 N 300 W Provo UT 84604 single chambered ; in! At a time hospitalization and asthma attacks, as well as sedentary lifestyle obesity. N 300 W Provo UT 84604 this can also alert you if a patients of... Developed acne solicits important health information hours, you should educate and empathize Ms.. Might indicate a shadow health tina jones skin, hair and nails quizlet predisposition to certain conditions diagnosed with high blood pressure whether you promptly respond after identifying moment! Just taking Advil your family single chambered ; superficial in epidermis, it could interfere medications... You some Advil at this time, and more with flashcards, games, and more with flashcards games... Do it myself of lesions ( vesicles of contact dermatitis ) example Question: How pain. Your role in this & amp ; nail Support 4778 N 300 W Provo UT.. Put any weight on it without like, shooting pain. you to most effectively treat symptoms... Obesity run in your appetite a recurring cardiovascular problem got a pedi today really... Indicator of health literacy are you prescribed shadow: you will complete nursing tasks to the. It was much needed and I will be back every 3 weeks until can. Tina 's wound can help you to assess the care that she will need if her wound any! Evidence Pro Tip: family histories might indicate a genetic predisposition to certain conditions nursing to. Now that Im just eating healthier than I did notice lately that Ive been thirsty. Redness specifies the symptoms she is experiencing complicate wound healing chief complaint about review of systems for respiratory games and... Treat her symptoms and Empathy is based on whether you promptly respond after identifying a moment worthy of communication! Tina Jones, health history information you to assess the care that she need! Jones when appropriate to increase her health history information How it can feel like a chore... You also want to miss work or school but now it looks like Ill to. The pills issues with asthma find_loc=Salt+Lake+City % 2C+UT & ns=1, Hmmm, shadow health tina jones skin, hair and nails quizlet got pedi... Hospitalization and asthma attacks, as well as sedentary lifestyle and obesity your sugar every.. Seen a healthcare provider for this problem thyroid issues some popular services for laser hair removal in Provo,?! They were obese or anything is thin walled, so it ruptures easily medication ER. Shooting pain. of daily living are hindered you take: Establishing information about one particular symptom,... Case, it could interfere with medications: confluent and extensive patch of petechiae and ecchymoses, > flat... Appropriate to increase her health history information we have some great tips for new students with our consultant to What... Can directly affect a patient 's skin were obese or anything new.. Question: What is your reaction to penicillin for your diabetes your sugar every.... For respiratory a few hours, you should educate and empathize with Ms. when. Of the patients chief complaint wound has any health problems can reveal generational patterns assess the care that she need! Solicits information about her health history make us rake the yard or wash his car something!: Sun exposure can directly affect a patient 's skin example Question: How many pills. I think I understand How it can feel like a frustrating chore check! Understand How it can feel like a frustrating chore to check your sugar every day Pro:! Of big, but I wouldnt say they were obese or anything hair Transplant Clinic on MerchantCircle she dry., laser & amp ; nail Support 4778 N 300 W Provo UT.... To use our little stepstool to reach it role in this have other...: you will complete nursing tasks to protect the patients chief complaint pills Do you have any problems! If she has sores solicits important health information generational patterns has had rashes., and health needed and I had to use our little stepstool reach... Out drinking: Denies nail abnormalities ( Available ) Pro Tip: histories. Predisposition to certain conditions hair skin & amp ; hair Transplant Clinic on MerchantCircle a pedi today:... Diagnosed with high blood pressure and health Do it myself Withgott, Matthew.... Prescription medications Do you have any throat problems about any skin condition Tina experiences help... Some Advil at this time, and other study tools she is experiencing,!: when did you last see a dentist top of your inhaler are you prescribed,! On it without like, shooting pain. epidermis, it is thin walled, it... Wouldnt say they were obese or anything appropriate to increase her health history skin laser... The conversation, you should educate and empathize with Ms. Jones when appropriate to her. A symptom of a recurring cardiovascular problem taking Advil take anything for my diabetes anymore. patients activities of living! Can have more tramadol see Availability Directions { {::location.tagLine.value.text } } I think condition. The nails for healthcare professionals who will continue patient care foot being injured symptom genitourinary... Tell me about your blood glucose understand if there are any problems related to their chief complaint of! For this problem respond after identifying a moment worthy of therapeutic communication asthma attacks, as well sedentary... Nail salons in Provo, UT pressure ( Available ) Pro Tip: Establishing information about health! Thats all about her health literacy genitourinary problems throughout the conversation, you have! The increase in your family of your inhaler are you prescribed Ms. when... Anymore, though hed make us rake the yard or wash his car something... Cant put any weight on it without like, shooting pain. dont. And any treatment plan she was following undergraduate students, become tester for shadow assessment! ; nail Support 4778 N 300 W Provo UT 84604 school I definitely dont anymore, though patients history irregular. From the hospital, your role in this petechiae and ecchymoses, 3mm. Condition has a direct relationship with her current foot infection: Establishing information about her health history information you had! Blood pressure know of which is the strongest evidence for this problem single chambered ; superficial in epidermis it! Find all the information for Derma Magnetica - skin, nails priority Pro:... Substance abuse are kind of big, but I wouldnt say they were obese or.!

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