Shadow Health-Focused Exam:
Abdominal Pain with complete solution
Asked review of systems for genitourinary - correct answerDenies....
-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 - correct answer-Reports abdominal pain
-Reports difficulty with bowel movements
Asked about orientation - correct answerOriented to...
-own person
-place
-situation
-time
Asked about the onset of pain - correct answerReports...
-discomfort for the past five days
- pain worsened intensely 2-3 days ago
Asked about location of the pain - correct answerReports...
- pain in lower abdomen
-pain is not localized
Denies...
-flank pain
Asked about pain rating on a scale - correct answerReports...
-current pain rating of 2/10
-lowest pain is 2/10
-worst pain is 8/10
Asked about characteristics of the pain - correct answerDescribes pain as...
-dull
-cramping
-constant
-fluctuating in severity
, Shadow Health-Focused Exam:
Abdominal Pain with complete solution
Asked about non-pharmacological relieving factors - correct answerReports...
-resting helps relieve pain
-drinking warm water to relieve pain was ineffective
Asked about pharmacological relieving factors - correct answerDenies...
-taking pain medication
-taking laxatives
Asked about aggravating factors - correct answerReports pain is aggravated by...
- eating
- physical activity
Asked about impact of pain on daily life - correct answerReports...
- recent difficulty participating in usual activities
- low energy
Followed up on constipation - correct answerReports...
- current constipation
- constipation all of last 5 days
Asked about diarrhea - correct answer- Reports recent diarrhea
Followed up on diarrhea - correct answerReports diarrhea...
- about 6 months ago
- had a sudden onset
- lasted one day
Asked about substance of stool - correct answerDenies...
- mucus in stool
- blood in stool
Asked about urination - correct answerReports...
- slight decrease in frequency of urination
- darker urine recently
- blood in urine
Asked about fluid intake - correct answerReports decreased...
- thirst
- fluid intake
- typical fluid intake, 1-2 glasses of water a day
- Denies drinking caffeinated drinks such as coffee or soda
Asked about substance use - correct answerDenies...
Abdominal Pain with complete solution
Asked review of systems for genitourinary - correct answerDenies....
-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 - correct answer-Reports abdominal pain
-Reports difficulty with bowel movements
Asked about orientation - correct answerOriented to...
-own person
-place
-situation
-time
Asked about the onset of pain - correct answerReports...
-discomfort for the past five days
- pain worsened intensely 2-3 days ago
Asked about location of the pain - correct answerReports...
- pain in lower abdomen
-pain is not localized
Denies...
-flank pain
Asked about pain rating on a scale - correct answerReports...
-current pain rating of 2/10
-lowest pain is 2/10
-worst pain is 8/10
Asked about characteristics of the pain - correct answerDescribes pain as...
-dull
-cramping
-constant
-fluctuating in severity
, Shadow Health-Focused Exam:
Abdominal Pain with complete solution
Asked about non-pharmacological relieving factors - correct answerReports...
-resting helps relieve pain
-drinking warm water to relieve pain was ineffective
Asked about pharmacological relieving factors - correct answerDenies...
-taking pain medication
-taking laxatives
Asked about aggravating factors - correct answerReports pain is aggravated by...
- eating
- physical activity
Asked about impact of pain on daily life - correct answerReports...
- recent difficulty participating in usual activities
- low energy
Followed up on constipation - correct answerReports...
- current constipation
- constipation all of last 5 days
Asked about diarrhea - correct answer- Reports recent diarrhea
Followed up on diarrhea - correct answerReports diarrhea...
- about 6 months ago
- had a sudden onset
- lasted one day
Asked about substance of stool - correct answerDenies...
- mucus in stool
- blood in stool
Asked about urination - correct answerReports...
- slight decrease in frequency of urination
- darker urine recently
- blood in urine
Asked about fluid intake - correct answerReports decreased...
- thirst
- fluid intake
- typical fluid intake, 1-2 glasses of water a day
- Denies drinking caffeinated drinks such as coffee or soda
Asked about substance use - correct answerDenies...
