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Exam (elaborations)

SHADOWHEALTH ABDOMINAL PAIN ESTHER PARK

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SHADOWHEALTH ABDOMINAL PAIN ESTHER PARK

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SHADOWHEALTH ABDOMINAL PAIN ESTHER PARK

chief complaint - Answers --reports abdominal pain
-reports difficulty with bowel movement

asked about orientation - Answers --oriented to own person
-oriented to place
-oriented to situation
-oriented to time

asked about onset, frequency, and duration of pain - Answers --reports discomfort for
the past 5 days
-reports pain with gradual onset that worsened 2-3 days ago

asked about location of pain - Answers --reports pain in lower abdomen
-reports pain is not localized

asked about pain rating on scale - Answers --reports 6/10 pain

asked about characteristics of pain - Answers --describes pain a dull and cramping
-pain fluctuates in severity

asked about non-pharmacological relieving factors - Answers --denies taking pain
medication
-denies taking laxatives

asked about aggravating factors - Answers --reports pain is aggravated by eating
-aggravated by physical activity

asked about impact on daily life - Answers --recent difficulty participating in usual
activities
-reports low energy

followed up on constipation - Answers --constipation most of last 5 days
-denies any attempt to treat constipation

asked about diarrhea - Answers -recent diarrhea

followed up about diarrhea - Answers --about 6 months ago
-sudden onset
-lasted one day
-loose and water

asked about substances in stool - Answers --denies mucus and blood in stool

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