ShadowHealth Abdominal Pain Esther Park 2024

ShadowHealth Abdominal Pain Esther
Park 2024
chief complaint - -reports abdominal pain
-reports difficulty with bowel movement

asked about orientation - -oriented to own person
-oriented to place
-oriented to situation
-oriented to time

asked about onset, frequency, and duration of pain - -reports discomfort for the past 5
days
-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

asked about pain rating on scale - -reports 6/10 pain

asked about characteristics of pain - -describes pain a dull and cramping
-pain fluctuates in severity

asked about non-pharmacological relieving factors - -denies taking pain medication
-denies taking laxatives

asked about aggravating factors - -reports pain is aggravated by eating
-aggravated by physical activity

asked about impact on daily life - -recent difficulty participating in usual activities
-reports low energy

followed up on constipation - -constipation most of last 5 days
-denies any attempt to treat constipation

asked about diarrhea - recent diarrhea

followed up about diarrhea - -about 6 months ago
-sudden onset
-lasted one day
-loose and water