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Gastrointestinal Transcript_.pdf

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5/29/2018 Gastrointestinal | Completed | Shadow Health




Gastrointestinal Results | Turned Ini i i i

Advanced i Health i Assessment i- iChamberlain, i NR509-April-2018
Return i to i Assignment




Your Results
i Lab iPass




Overview
Transcript
Transcript
Started: iMay i29, i2018 i| iPatient iExam iTime: i198 imin
Subjective iData iCollection
All i Lines i (227) Interview i Questions i (152) Statements i (17) Exam iActions i(58)
iObjective iData iCollection


Greet
iEducation i& iEmpathy Hello imy iname iis iSara ian iFNP istudent iand iwill ibe iinterviewing iyou
05/29/18 i 10:20 i AM
itoday
CDT
iDocumentation



Lifespan
Hey.
Review iQuestions

Question
iSelf-Reflection
will iyou istate iyour iname i(Clarified ito iwhat iis iyour iname.) 05/29/18 i 10:20 i AM
CDT



Tina iJones.


Question
what iis iyour idate iof ibirth 05/29/18 i 10:24 i AM
CDT



February i 17th.


Question
how iold iare iyou i? 05/29/18 i 10:26 i AM
CDT



I'm i28.


Question
what ibrought iyou iin ito ithe iclinic itoday? 05/29/18 i 10:35 i AM
CDT


I've ibeen ihaving ithis istomach ipain ifor iawhile. iIt ikeeps icoming iback,iand
iit ireally iis istarting ito ibother ime.




https://chamberlain.shadowhealth.com/assignment_attempts/3536206 1/28

,5/29/2018 Gastrointestinal | Completed | Shadow Health

Sorry iyou iare ifeeling iso ibad Empathize
05/29/18 i 10:38 i AM
CDT



Thanks ifor iunderstanding.


Question
when ido iyou inotice ithe ipain? i(Clarified ito iwhen idoes ithe ipain istart.) 05/29/18 i 10:41 i AM
CDT


It istarts ipretty iquickly iafter iI ifinish ieating. iLike iwithin iten ior ififteen
iminutes.




Question
when idid ithe ipain istart? 05/29/18 i 10:42 i AM
CDT


Probably i at i least i a i month i ago. i Maybe i longer. i It i started i out i really
iminor iso iit itook ime iawhile ito irealize iit iwas igetting ibad.




Question
Where iis ithe ipain ilocated? 05/29/18 i 10:43 i AM
CDT


It's ilike... imy iupper istomach. iLike iright ibelow imy ibreastbone, iin ithe
imiddle.




Question
describe ihow ithe ipain ifeels? 05/29/18 i 10:44 i AM
CDT


Um, iit ifeels ilike iheartburn. iBut isometimes, iif iit's ibad, iit's isharper
ithan ithat.




Question
Does ithe i pain iincrease? 05/29/18 i 11:00 i AM
CDT


Yeah, iit's igetting iworse iover itime. iI iget ithese istomach ipains ievery
iday.




Question
Is ithere ian iincrease iin ipain? i(Clarified ito iDid ithe ipain ichange?.) 05/29/18 i 11:00 i AM
CDT


Yeah, iit's igetting iworse iover itime. iI iget ithese istomach ipains ievery
iday.




How imany itimes ia iweek iare iyou igetting ithis iPAIN
i




https://chamberlain.shadowhealth.com/assignment_attempts/3536206 2/28

, 5/29/2018 Gastrointestinal | Completed | Shadow Health

Question
05/29/18 i 11:01 i AM
CDT


Every itime iI ieat iit ihurts ia ilittle, ibut i3 ior i4 itimes ia iweek, iit'll ibe ia ilot
iworse.




Question
do iyou ihave ithis ipain ievery iday? i(Clarified ito iDo iyou ihave
05/29/18 i 11:03 i AM
iabdominal ipain ievery iday.)
CDT


Yeah, iit's igetting iworse iover itime. iI iget ithese istomach ipains ievery
iday.




Question
when idoes iyour iabdominal ipain ibegin i(Clarified ito iWhen idid ithe
05/29/18 i 11:04 i AM
iabdominal idiscomfort ibegin?.)
CDT


Probably i at i least i a i month i ago. i Maybe i longer. i It i started i out i really
iminor iso iit itook ime iawhile ito irealize iit iwas igetting ibad.




Question
When idoes i the i pain i begin? 05/29/18 i 11:07 i AM
CDT


It istarts ipretty iquickly iafter iI ifinish ieating. iLike iwithin iten ior ififteen
iminutes.




Question
How ilong idoes ithe ipain ilast? 05/29/18 i 11:07 i AM
CDT



For ia ifew ihours iafter iI ieat.


Question
Will iyou irate iyour ipain ion ia iPain iScale i0 iout iof i10 05/29/18 i 11:08 i AM
CDT



Right inow, iit's ilike ia i1 ior i2. iBut iafter iI ieat, iit's ilike ia. i. i. i5?


Question
Rate iyour ipain iwhen ilying idown? 05/29/18 i 11:09 i AM
CDT


If iI've ieaten iand itry ito ilie idown, ithat's iwhen iit's ithe iworst. iLike ia i6 ior
i7.




Is ithe ipain icrushing? Question
05/29/18 i 11:09 i AM
CDT




https://chamberlain.shadowhealth.com/assignment_attempts/3536206 3/28
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