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Advanced Health Assessment – iHuman Patients Kaplan Case: Virginia Lee – Small Bowel Obstruction Assessment and Emergency Management

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Advanced Health Assessment – iHuman Patients Kaplan Case: Virginia Lee – Small Bowel Obstruction Assessment and Emergency Management advanced health assessment iHuman Patients Kaplan case study Virginia Lee small bowel obstruction SBO adhesive bowel obstruction abdominal pain periumbilical pain nausea and vomiting abdominal distention early satiety bowel obstruction gastrointestinal emergency clinical reasoning differential diagnosis abdominal assessment CT abdomen pelvis bowel ischemia intestinal strangulation nasogastric decompression fluid resuscitation electrolyte management surgical consultation postoperative complications abdominal surgery history emergency medicine patient assessment evidence based practice nurse practitioner education

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Institution
NR 511
Course
NR 511

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Performance Overview for_______on case Virginia Lee
The following table summarizes your performance on each section of the case, whether you
completed that section or not.
Time spent: 4hr 54min 7sec
Status: Submitted

Your Time
Case Section Status Performance Details
Score spent
Total Score 95%

History Done 100% 2hr 21min 64 questions asked, 15 correct, 0 missed relative to the
8sec case's list

Physical Done 89% 1hr 6min 53 exams performed, 20 correct, 1 partially correct, 1
exams 50sec missed relative to the case's list, 0 harmful to patient

Key findings Done 9min 19 findings listed; 14 listed by the case
organization 38sec

Problem Done 1min 65 words long; the case's was 87 words
Statement 43sec

Differentials Done 100% 2min 4 items in the DDx, 4 correct, 0 missed relative to the case's
29sec list

Differentials Done 100% 1min 2sec
ranking (lead/alt
score)
100%
(must
not
miss
score)

Tests Done 80% 3min 4 tests ordered, 4 correct, 0 partially correct, 0 harmful to
38sec patient, 1 missed relative to the case's list

Diagnosis Done 100% 6sec

Management Done 30sec 287 words long; the case's was 122 words
Plan

Exercises Done 100% 2min 9sec 1 of 1 correct (of scored items only)
(of
scored
items
only)

Attempt: 3776523 Report generated on 2/8/2026, 9:51:49 AM America/Denver

, History Notecard by_______on case Virginia Lee


Use this worksheet to organize your thoughts before developing a differential diagnosis list.

1. Indicate key symptoms (Sx) you have identified from the history. Start with the patient's reason(s) for the
encounter and add additional symptoms obtained from further questioning.
2. Characterize the attributes of each symptom using "OLDCARTS". Capture the details in the appropriate
column and row.
3. Review your findings and consider possible diagnoses that may correlate with these symptoms.
(Remember to consider the patient's age and risk factors.) Use your ideas to help guide your physical
examination in the next section of the case.

Sx Sx Sx Sx
HPI Sx = Sx =
= = = =
Onset abd pain 2 days nausea/vomitting
x 1day
Location mid. abd.,peri-umbilical area
Duration intermitent lasting several
minutes
Characteristics intense wave-like, squeezing
from the inside
Aggravating eating eating
Relieving relief after vomitting
Timing / no treatments tried
Treatments
Severity

Attempt: 3776523 Report generated on 2/8/2026, 9:51:49 AM America/Denver

Written for

Institution
NR 511
Course
NR 511

Document information

Uploaded on
June 23, 2026
Number of pages
8
Written in
2025/2026
Type
CASE
Professor(s)
N/a
Grade
A+

Subjects

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