FOCUSED EXAM CHEST PAIN DIFFERENTIAL
DIAGNOSIS AND CLINICAL MANAGEMENT
BREAKDOWN 2026
◉ Short term goal. Answer: To induce a bowel movement that
relieves the patient's constipation, resulting in patient reporting
relief and diminished pain, within an emergency department visit.
◉ Interventions. Answer: 1) Administer a mineral oil based enema
with physicians order
2) Assess and fulfill patient needs for ambulating to the bathroom
3) Have patient ambulate the length of the hallway with patient care
tech assistance
4) Provide patient with 500 ML of fluid and advise to drink over the
next two hours
5) Tell patient to leave any outputs unflushed for examination
◉ Data Collections. Answer: - Ask about pain rating, abdominal
cramping, nausea, and dizziness
- ask about patient outputs, presence of stool, and sense of
constipation
- evaluate any store for amount and qualities
- evaluate for physical signs of pain and or cramping
, - perform dehydration tests. Skin turgor, dry mouth, urine hat
collection, and follow up as necessary
◉ chief complaint. Answer: -reports abdominal pain
-reports difficulty with bowel movement
◉ asked about orientation. Answer: -oriented to own person
-oriented to place
-oriented to situation
-oriented to time
◉ asked about onset, frequency, and duration of pain. Answer: -
reports discomfort for the past 5 days
-reports pain with gradual onset that worsened 2-3 days ago
◉ asked about location of pain. Answer: -reports pain in lower
abdomen
-reports pain is not localized
◉ asked about pain rating on scale. Answer: -reports 6/10 pain
◉ asked about characteristics of pain. Answer: -describes pain a dull
and cramping
DIAGNOSIS AND CLINICAL MANAGEMENT
BREAKDOWN 2026
◉ Short term goal. Answer: To induce a bowel movement that
relieves the patient's constipation, resulting in patient reporting
relief and diminished pain, within an emergency department visit.
◉ Interventions. Answer: 1) Administer a mineral oil based enema
with physicians order
2) Assess and fulfill patient needs for ambulating to the bathroom
3) Have patient ambulate the length of the hallway with patient care
tech assistance
4) Provide patient with 500 ML of fluid and advise to drink over the
next two hours
5) Tell patient to leave any outputs unflushed for examination
◉ Data Collections. Answer: - Ask about pain rating, abdominal
cramping, nausea, and dizziness
- ask about patient outputs, presence of stool, and sense of
constipation
- evaluate any store for amount and qualities
- evaluate for physical signs of pain and or cramping
, - perform dehydration tests. Skin turgor, dry mouth, urine hat
collection, and follow up as necessary
◉ chief complaint. Answer: -reports abdominal pain
-reports difficulty with bowel movement
◉ asked about orientation. Answer: -oriented to own person
-oriented to place
-oriented to situation
-oriented to time
◉ asked about onset, frequency, and duration of pain. Answer: -
reports discomfort for the past 5 days
-reports pain with gradual onset that worsened 2-3 days ago
◉ asked about location of pain. Answer: -reports pain in lower
abdomen
-reports pain is not localized
◉ asked about pain rating on scale. Answer: -reports 6/10 pain
◉ asked about characteristics of pain. Answer: -describes pain a dull
and cramping
