Shadow Health-Focused Exam: Abdominal Pain - Esther Park: Updated

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 chief 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