Shadow Health-Focused Exam: Abdominal
Pain - Esther Park
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... 1 / 2
-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
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