Focused Exam: Abdominal Pain Results | Turned In
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Subjective Data Collection Document: Vitals Document: Provider Notes
Objective Data Collection
Document: Provider Notes
Education & Empathy
Documentation Student Documentation Model Documentation
Program Competency Progress
Student Survey
Ms. Park reports that she is <having pain in her belly.= She h
had a bowel movement in about ûve days; she has not had a
diarrhea since a food poisoning incident six months ago. Sh
Subjective reports that she has been feeling some abdominal discomfo
close to a week, but the pain has increased in the past 2-3 d
She now rates her pain at 6 out of 10, and describes it as du
crampy. She reports her pain level at the onset at 3 out of 10
is also experiencing bloating. She did not feel her symptoms
warranted a trip to the clinic but her daughter insisted she co
She describes her symptoms primarily as generalized discom
in the abdomen, and states that her lower abdomen is the lo
of the pain. She denies nausea and vomiting, blood or mucu
stool, rectal pain or bleeding, or recent fever. She denies vag
bleeding or discharge. Reports no history of inüammatory bo
disease or GERD. Denies family history of GI disorders. Her
appetite has decreased over the last few days and she is tak
small amounts of water and üuids. Previously she reports reg
brown soft stools every day to every other day.
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