Focused Abdominal Pain Sub.pdf

10/27/2017 Abdominal Pain Focused Exam: Abdominal Pain | Completed | Shadow Health


Focused Exam: Abdominal Pain Results | Turned In
Virtual Learning Lab - Sept 2017 , VLL
Return to Assignment




Your Results Lab Pass




Overview
Subjective Data Collection: 32 of 32 (100.0%)
Transcript




m
er as
Subjective Data Collection Hover To Reveal... Indicates an item that you found.
Hover over the Patient Data items Indicates an item that is available to be




co
Objective Data Collection
below to reveal important information, found.




eH w
including Pro Tips and Example
Education & Empathy
Questions.




o.
Documentation

rs e
ou urc
Self-Reflection Category Scored Items Patient Data
Not Scored

Experts selected these topics as essential A combination of open and closed questions
o

components of a strong, thorough interview will yield better patient data. The following
with this patient. details are facts of the patient's case.
aC s
vi y re



Chief Complaint


Established chief complaint Reports abdominal pain
ed d




Reports difficulty "going to the bathroom"
ar stu




History of Present Illness
sh is




Asked about onset, frequency, and Reports a feeling of discomfort for the past
duration of pain five days
Th




Reports pain with gradual onset that
worsened 2-3 days ago




Asked about location of pain Reports pain in lower abdomen
Reports pain is not localized
Reports attempts to treat pain by drinking
small sips of warm water




Confirmed pain rating on a scale Reports pain rating of 6/10




Asked about character of pain Describes pain as dull and crampy
Reports pain is intermittent with
aggravating factors

This study source was downloaded by 100000869052700 from CourseHero.com on 07-17-2023 15:19:52 GMT -05:00
https://www.coursehero.com/file/26159961/Focused-Exam-Abdominal-Pain-Completed-Shadow-Healthpdf/

https://app.shadowhealth.com/assignment_attempts/2598176 1/5
https://www.coursehero.com/file/33903439/Focused-Abdominal-Pain-Subpdf/

, 10/27/2017 Focused Exam: Abdominal Pain | Completed | Shadow Health

Asked about treatment and relieving Reports that resting helps
factors Reports attempts to treat pain by drinking
small sips of warm water
Reports no pain medication for stomach




Asked about aggravating factors Reports pain is aggravated by eating
Reports pain is aggravated by physical
activity




Asked about activities of daily life Reports recent difficulty participating in
usual activities
Reports low energy level




Asked about constipation Reports current constipation
Reports no history of constipation




Followed up about constipation Reports constipation for 5 days




m
er as
Reports no attempt to treat constipation




co
eH w
Asked about diarrhea Reports recent diarrhea




o.
rs e Followed up about diarrhea Reports diarrhea 3 days ago
ou urc
Reports diarrhea had a sudden onset
Reports diarrhea lasted one day
Describes diarrhea as loose and watery
o
aC s


Asked about bowel movement patterns Reports last bowel movement 3 days ago
vi y re


Reports some discomfort during bowel
movement
Last bowel movement was diarrhea
Reports no mucus in stool
ed d




Reports no blood in stool
Reports typically having a bowel
ar stu




movement almost every day
Reports stools usually brown, formed, and
soft
sh is




Asked about urination Reports recent, slight decrease in
Th




frequency of urination
Reports darker urine recently
Reports no blood in urine




Medical History


Asked about medications Reports blood pressure medication
Reports Accupril
Accupril is 10 mg
Taken daily at 8 a.m.
Reports no OTC use




Asked about allergies Reports latex allergy
Reports no medication allergies
Reports no food allergies
This study source was downloaded by 100000869052700 from CourseHero.com on 07-17-2023 15:19:52 GMT -05:00
https://www.coursehero.com/file/26159961/Focused-Exam-Abdominal-Pain-Completed-Shadow-Healthpdf/

https://app.shadowhealth.com/assignment_attempts/2598176 2/5
https://www.coursehero.com/file/33903439/Focused-Abdominal-Pain-Subpdf/