Shadow Health-Focused Exam_ Abdominal Pain A+Level Solutions

Shadow Health-Focused Exam: Abdominal
Pain A+Level Solutions

Asked review of systems for genitourinary - ANS-Denies....
-hx of bladder problems
-painful urination
-burning with urination
-urinary incontinence
-hx of UTIs
-holding urine unneccessarily
-gynecological problems
-vaginal bleeding
-vaginal discharge
-hx of kidney problems
Reports....
-onset of menopause, was age 54

Establish cheif complaint - ANS--Reports abdominal pain
-Reports difficulty with bowel movements

Asked about orientation - ANS-Oriented to...
-own person
-place
-situation
-time

Asked about the onset of pain - ANS-Reports...
-discomfort for the past five days
- pain worsened intensely 2-3 days ago

Asked about location of the pain - ANS-Reports...
- pain in lower abdomen
-pain is not localized
Denies...
-flank pain

, Asked about pain rating on a scale - ANS-Reports...
-current pain rating of 2/10
-lowest pain is 2/10
-worst pain is 8/10

Asked about characteristics of the pain - ANS-Describes pain as...
-dull
-cramping
-constant
-fluctuating in severity

Asked about non-pharmacological relieving factors - ANS-Reports...
-resting helps relieve pain
-drinking warm water to relieve pain was ineffective

Asked about pharmacological relieving factors - ANS-Denies...
-taking pain medication
-taking laxatives

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

Asked about impact of pain on daily life - ANS-Reports...
- recent difficulty participating in usual activities
- low energy

Followed up on constipation - ANS-Reports...
- current constipation
- constipation all of last 5 days

Asked about diarrhea - ANS-- Reports recent diarrhea

Followed up on diarrhea - ANS-Reports diarrhea...
- about 6 months ago
- had a sudden onset
- lasted one day