ShadowHealth Abdominal Pain Esther Park with complete solution

ShadowHealth Abdominal Pain Esther Park with complete solution chief complaint - ✔️✔️-reports abdominal pain -reports difficulty with bowel movement asked about orientation - ✔️✔️-oriented to own person -oriented to place -oriented to situation -oriented to time asked about onset, frequency, and duration of pain - ✔️✔️-reports discomfort for the past 5 days -reports pain with gradual onset that worsened 2 -3 days ago asked about location of pain - ✔️✔️-reports pain in lower abdomen -reports pain is not localized asked about pain rating on scale - ✔️✔️-reports 6/10 pain asked about characteristics of pain - ✔️✔️-describes pain a dull and cramping -pain fluctuates in severity asked about non -pharmacological reliev ing factors - ✔️✔️-denies taking pain medication -denies taking laxatives asked about aggravating factors - ✔️✔️-reports pain is aggravated by eating -aggravated by physical activity asked about impact on daily life - ✔️✔️-recent difficulty participating i n usual activities -reports low energy followed up on constipation - ✔️✔️-constipation most of last 5 days -denies any attempt to treat constipation asked about diarrhea - ✔️✔️recent diarrhea followed up about diarrhea - ✔️✔️-about 6 months ago -sudden onset -lasted one day -loose and water asked about substances in stool - ✔️✔️-denies mucus and blood in stool asked about urination - ✔️✔️-recent, slight decrease in frequency of urination -darker urine recently -denies blood in urine asked about f luid intake - ✔️✔️-decreased thirst -decreased fluid intake for last few days -typical fluid intake is 1 -2 glasses water/day -denies drinking caffeine asked about contact with illnesses - ✔️✔️-denies recent travel and exposure to food poisoning asked about history of constipation - ✔️✔️denies history asked about typical bowel movements - ✔️✔️-typically has BM almost every day -stools usually brown, formed, soft asked about allergies - ✔️✔️-reports latex allergy -denies med allergies -denies food allergies asked about pre -existing health conditions - ✔️✔️-reports high BP -diagnosed at 54 asked about relevant history of surgery - ✔️✔️-c section at 40 -gall bladder removal at 42 -no post op complications asked about home meds - ✔️✔️-meds for high BP -10 mg accu pril daily at 8 am -no OTC meds asked about access to healthcare - ✔️✔️-annual checkup with HCP -last pap smear over 10 years -level of health and activity is good -denies STI testing -last colonoscopy over 10 years -denies finances as a barrier -denies transportation as a barrier