PRESENTING WITH ABDOMINAL PAIN AT OUTPATIENT
CLINIC WITH LABORATORY AND IMAGING CAPABILITIES
,PATIENT INFORMATION
Name: Not provided
Age: 15 years
Sex: Male
Height: 5′8″ (173 cm)
Weight: 148.0 lb (67.3 kg)
Location: Outpatient clinic with laboratory and imaging services
Reason for Encounter: Abdominal pain
The patient is a 15-year-old male presenting with acute abdominal pain of unspecified onset and
location, prompting comprehensive evaluation and management.
, REASON FOR ENCOUNTER
The patient presents with abdominal pain, the most distressing symptom, and seeks care to
characterize the nature, severity, location, and associated features of the pain. The clinical
evaluation aims to differentiate between common causes of abdominal pain in adolescents, identify
any red flags, and initiate appropriate management.
Component Description
Encounter type Outpatient clinic visit
Chief complaint Abdominal pain
Onset Recent, acute
Duration Persistent, worsening
Location Abdomen (unspecified)
Characteristics Pain described by the patient; further characterization obtained on interview
Aggravating factors Movements, meals, unclear
Relieving factors Rest or none prior to visit
Associated symptoms To be explored (e.g., nausea, vomiting, bowel changes)
Systemic concerns No fever reported prior to visit
Patient goals Determine cause, relieve pain, receive diagnosis