10/26/22, 10:12 AM
Focused Exam: Abdominal Pain Results | Turned In
Your Results
Overview
Subjective Data Collection: 33 of 34 (97.1%)
Transcript
Subjective Data Collection
Hover To Reveal... Indicates an item that you
Objective Data Collection found.
Hover over the Patient Data items Indicates an item that is
Education & Empathy below to reveal important available to be found.
information, including Pro Tips and
Documentation
Example Questions.
Program Competency Progress
Student Survey
Category Scored Items Patient Data
Not Scored
Experts selected these topics as essential components A combination of open and closed questions will y
of a strong, thorough interview with this patient. better patient data. The following details are facts
the patient's case.
Chief Complaint
Established chief complaint Reports abdominal pain
Reports difficulty with bowel movements
Orientation
Asked about orientation Oriented to own person
Oriented to place
Oriented to situation
Oriented to time
History of Presenting Illness
Asked about onset, frequency, and duration of Reports discomfort for the past ûve days
pain 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
1/5
, 10/26/22, 10:12 AM
Asked about pain rating on a scale Reports pain rating of 6/10
Asked about characteristics of the pain Describes pain as dull and cramping
Describes pain as üuctuating in severity
Asked about non-pharmacological relieving Reports that resting helps relieve pain
factors Reports drinking warm water to relieve pain wa
ineffective
Asked about pharmacological relieving factors Denies taking pain medication
Denies taking laxatives
Asked about aggravating factors Reports pain is aggravated by eating
Reports pain is aggravated by physical activity
Asked about impact of pain on daily life Reports recent difficulty participating in usual
activities
Reports low energy
Followed up on constipation Reports constipation most of last 5 days
Denies any attempt to treat constipation
Asked about diarrhea Reports recent diarrhea
Followed up about diarrhea Reports diarrhea about six months ago
Reports diarrhea had a sudden onset
Reports diarrhea lasted one day
Describes diarrhea as loose and watery
Asked about substances in stool Denies mucus in stool
Denies blood in stool
Asked about urination Reports recent, slight decrease in frequency of
urination
Reports darker urine recently
Denies blood in urine
Asked about üuid intake Reports decreased thirst
Reports decreased üuid intake for the last few
days
Reports typical üuid intake is 1-2 glasses of
water a day
Denies drinking caffeinated liquids
Asked about contact with illnesses Denies recent travel
Denies exposure to food poisoning
Past Medical History
Asked about history of constipation Denies history of constipation
2/5
Focused Exam: Abdominal Pain Results | Turned In
Your Results
Overview
Subjective Data Collection: 33 of 34 (97.1%)
Transcript
Subjective Data Collection
Hover To Reveal... Indicates an item that you
Objective Data Collection found.
Hover over the Patient Data items Indicates an item that is
Education & Empathy below to reveal important available to be found.
information, including Pro Tips and
Documentation
Example Questions.
Program Competency Progress
Student Survey
Category Scored Items Patient Data
Not Scored
Experts selected these topics as essential components A combination of open and closed questions will y
of a strong, thorough interview with this patient. better patient data. The following details are facts
the patient's case.
Chief Complaint
Established chief complaint Reports abdominal pain
Reports difficulty with bowel movements
Orientation
Asked about orientation Oriented to own person
Oriented to place
Oriented to situation
Oriented to time
History of Presenting Illness
Asked about onset, frequency, and duration of Reports discomfort for the past ûve days
pain 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
1/5
, 10/26/22, 10:12 AM
Asked about pain rating on a scale Reports pain rating of 6/10
Asked about characteristics of the pain Describes pain as dull and cramping
Describes pain as üuctuating in severity
Asked about non-pharmacological relieving Reports that resting helps relieve pain
factors Reports drinking warm water to relieve pain wa
ineffective
Asked about pharmacological relieving factors Denies taking pain medication
Denies taking laxatives
Asked about aggravating factors Reports pain is aggravated by eating
Reports pain is aggravated by physical activity
Asked about impact of pain on daily life Reports recent difficulty participating in usual
activities
Reports low energy
Followed up on constipation Reports constipation most of last 5 days
Denies any attempt to treat constipation
Asked about diarrhea Reports recent diarrhea
Followed up about diarrhea Reports diarrhea about six months ago
Reports diarrhea had a sudden onset
Reports diarrhea lasted one day
Describes diarrhea as loose and watery
Asked about substances in stool Denies mucus in stool
Denies blood in stool
Asked about urination Reports recent, slight decrease in frequency of
urination
Reports darker urine recently
Denies blood in urine
Asked about üuid intake Reports decreased thirst
Reports decreased üuid intake for the last few
days
Reports typical üuid intake is 1-2 glasses of
water a day
Denies drinking caffeinated liquids
Asked about contact with illnesses Denies recent travel
Denies exposure to food poisoning
Past Medical History
Asked about history of constipation Denies history of constipation
2/5
