NR511 Faculty Tip Sheet – Week 5 Gastrointestinal _ Study Guide and Key Concepts 1 of 8 2026-03-24
NR511 Faculty Tip Sheet –
Week 5 Gastrointestinal |
Study Guide and Key
Concepts
Page 1 of 8Guidehttps://www.stuvia.com/dashboard!@_)#*)(@$)($@*($@)($@*_Page 1 NR511 Faculty Tip Sheet – Week 5 Gastrointestinal _ Study Guide and Key Concepts.pdf
, NR511 Faculty Tip Sheet Week 5-Gastrointestinal 2 of 8 2026-03-24
NR511 Faculty Tip Sheet: Week 5-Gastrointestinal
Instructions: this tip sheet accompanies the notes designed for this case located in i-
Human. Use the tip sheet to guide you in scoring the grading rubric and for coaching
your students when they have questions and need guidance for improvement.
Brief Case Summary: Deborah Arnaudin: Small Bowel Obstruction
Active, progressive abdominal pain for two days, periumbilical discomfort with
diffuse tenderness to palpation
Key Findings Students Must Identify in the Case:
The medical problem list or list of potential findings the student compiled should
include everything that is out of the ordinary about the client, even when it is not
a problem
Acute, progressive abdominal pain for 2 days, periumbilical discomfort with
diffuse tenderness to palpation.
Remind students to keep focused on the MSAP for easier identification of other
case findings that may be related to the MSAP. This will help guide further
history-taking and help students to arrive at the most important differential
diagnoses
Bilious emesis (related to MSAP)
High cholesterol (related to MSAP)
Prior abdominal surgeries 1+ year ago (related to MSAP)
Heavy alcohol use (related to MSAP)
Tachycardia (related to MSAP)
Lack of fever (relatd to MSAP)
Absent bowel sounds, bowel movement, flatus (related to MSAP)
Abdominal distention and tympany (unknown if related to MSAP)
Because the patient does not have a prior chart:
o Additional PMH
o Additonanl SH
o Medications/Allergies
o ROS
o Communication
Coaching students if they have questions about the key findings:
Remember that key findings should include everything that is out of the ordinary
about this client, even when it does not appear to be a “problem”.
For this client, the Most Significant Active Problem (MSAP) is acute, progressive
abdominal pain for 2 days with periumbilical discomfort with diffuse tenderness to
palpation- this is the reason the client presented to the office
©2020. Chamberlain University, LLC. All rights reserved.
1
Page 2 of 8 Page 2 NR511 Faculty Tip Sheet Week 5-Gastrointestinal.pdf
NR511 Faculty Tip Sheet –
Week 5 Gastrointestinal |
Study Guide and Key
Concepts
Page 1 of 8Guidehttps://www.stuvia.com/dashboard!@_)#*)(@$)($@*($@)($@*_Page 1 NR511 Faculty Tip Sheet – Week 5 Gastrointestinal _ Study Guide and Key Concepts.pdf
, NR511 Faculty Tip Sheet Week 5-Gastrointestinal 2 of 8 2026-03-24
NR511 Faculty Tip Sheet: Week 5-Gastrointestinal
Instructions: this tip sheet accompanies the notes designed for this case located in i-
Human. Use the tip sheet to guide you in scoring the grading rubric and for coaching
your students when they have questions and need guidance for improvement.
Brief Case Summary: Deborah Arnaudin: Small Bowel Obstruction
Active, progressive abdominal pain for two days, periumbilical discomfort with
diffuse tenderness to palpation
Key Findings Students Must Identify in the Case:
The medical problem list or list of potential findings the student compiled should
include everything that is out of the ordinary about the client, even when it is not
a problem
Acute, progressive abdominal pain for 2 days, periumbilical discomfort with
diffuse tenderness to palpation.
Remind students to keep focused on the MSAP for easier identification of other
case findings that may be related to the MSAP. This will help guide further
history-taking and help students to arrive at the most important differential
diagnoses
Bilious emesis (related to MSAP)
High cholesterol (related to MSAP)
Prior abdominal surgeries 1+ year ago (related to MSAP)
Heavy alcohol use (related to MSAP)
Tachycardia (related to MSAP)
Lack of fever (relatd to MSAP)
Absent bowel sounds, bowel movement, flatus (related to MSAP)
Abdominal distention and tympany (unknown if related to MSAP)
Because the patient does not have a prior chart:
o Additional PMH
o Additonanl SH
o Medications/Allergies
o ROS
o Communication
Coaching students if they have questions about the key findings:
Remember that key findings should include everything that is out of the ordinary
about this client, even when it does not appear to be a “problem”.
For this client, the Most Significant Active Problem (MSAP) is acute, progressive
abdominal pain for 2 days with periumbilical discomfort with diffuse tenderness to
palpation- this is the reason the client presented to the office
©2020. Chamberlain University, LLC. All rights reserved.
1
Page 2 of 8 Page 2 NR511 Faculty Tip Sheet Week 5-Gastrointestinal.pdf
