WITH CHRONIC ABDOMINAL PAIN AT AN OUTPATIENT
GASTROENTEROLOGY CLINIC UTILIZING SYSTEMATIC HISTORY DRIVEN
DIAGNOSTIC REASONING, DIFFERENTIAL FORMULATION, AND EVIDENCE
BASED MANAGEMENT IN A SIMULATED CLINICAL EDUCATIONAL SETTING
,PATIENT INFORMATION
• Age: 45 years
• Sex: Female
• Height: 5′4″ (163 cm)
• Weight: 172 lb (78 kg)
• Location: Outpatient gastroenterology clinic
• Reason for Encounter: Abdominal pain
Explanation: Karen Floyd is a 45-year-old female presenting to an outpatient gastroenterology
clinic with ongoing abdominal pain requiring diagnostic evaluation and management.
, REASON FOR ENCOUNTER
Component Details
Encounter Type Specialty outpatient consultation
Chief Complaint Abdominal pain
Duration 3 months
Frequency Intermittent, several times weekly
Associated Symptoms Bloating, alternating constipation and diarrhea
Aggravating Factors Stress, certain foods (dairy, fatty meals)
Relieving Factors Bowel movement, heat application
Systemic Symptoms Denies fever, weight loss, night sweats
Patient Goals Determine cause of pain and obtain symptom relief