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Exam (elaborations)

Shadow 2 Abdominal examination

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Shadow 2 Abdominal examination Subjective data of Tina Jones' Abdominal examination

Institution
Advanced Health Assessment
Course
Advanced health assessment











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Written for

Institution
Advanced health assessment
Course
Advanced health assessment

Document information

Uploaded on
October 11, 2023
Number of pages
66
Written in
2023/2024
Type
Exam (elaborations)
Contains
Questions & answers

Subjects

Content preview

10/11/23, 9:12 AM Shadow 2 Abdominal examination




Scored Items
Description: Tina describes the
symptoms that have been bothering her.
Question
What is reason for your visit 01:40 AM
PST




I've been having this stomach pain for
awhile. It keeps coming back, and it really is
starting to bother me.




Empathize
caI am so sorry to hear that 01:40 AM
PST




Thanks for saying that.




Question
pian level 0-10 12:52 PM
PST




Right now, it's like a 1 or 2. But after I eat,
it's like a. . . 5?

about:blank 1/66

,10/11/23, 9:12 AM Shadow 2 Abdominal examination




Right now, it's like a 1 or 2. But after I eat,
it's like a. . . 5?




Question
any bloating 12:53 PM
PST




No, I don't feel bloated.




Educate
Spicy food can enhance indigestion 12:53 PM
PST




That makes sense.


about:blank 2/66

,10/11/23, 9:12 AM Shadow 2 Abdominal examination




That makes sense.




Question
Any chest pain 12:53 PM
PST




No, I'm not having chest pain. The pain I'm
feeling is lower, like right in the middle of
my torso. . . above my stomach, but below
my ribs.




Question
any history of GERD 12:53 PM
PST




I'm not really sure what GERD is. I've never
been diagnosed with it, or anything. [AUDIO
COMING SOON]

about:blank 3/66

, 10/11/23, 9:12 AM Shadow 2 Abdominal examination




I'm not really sure what GERD is. I've never
been diagnosed with it, or anything. [AUDIO
COMING SOON]




Educate
In females cardiac problems can be easily 12:54 PM
confused with GI Issue
PST




Alright, thanks for letting me know.




Model Statement: "I’m sorry to hear you’re
having stomach pain. I’m glad you came in
to see me. Stomach pain can be caused by
several different things, so I will ask you
questions and we’ll see if we can determine
what’s causing yours."

2Medi
cat
ions
Fol
lowedUp


Description: Tina describes her medication
regimen, including antacids for her stomach pain.




Question
Are you taking medication for diabetes 06:47 AM
PST




about:blank 4/66

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