Gastrointestinal Results | Turned In
Advanced Health Assessment - Summer 2025
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Overview
Subjective Data Collection: 31 of 31 (100.0%)
Transcript
Subjective Data Collection
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Objective Data Collection you found.
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Education & Empathy below to reveal important
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information, including Pro Tips and
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Category Scored Items Patient Data
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Experts selected these topics as essential A combination of open and closed questions
components of a strong, thorough interview with yield better patient data. The following details
this patient. are facts of the patient's case.
Chief Complaint
Established chief complaint Reports frequently occurring stomach pain
History of Present Illness
Asked about onset of pain Reports noticing pain for "at least a month"
Reports that pain increased gradually
Asked about frequency of pain Reports pain occurs every day
Reports 3 to 4 episodes a week that are
more severe
Asked about duration of pain Pain begins right after finishing a meal
Each episode lasts "a few hours"
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Asked about severity of pain on a scale Rates present pain as 1 or 2
Rates worst pain after eating
Rates pain when supine as a
Asked about character of the pain Describes the pain as similar
Denies crushing pain
Denies gnawing pain
Denies cramping pain
Denies that abdomen is tende
Asked location of the pain Pain is in center of upper stom
Pain does not radiate
Denies shoulder pain
Denies back pain
Denies arm pain
Denies flank pain
Denies pain on right side of a
Asked about aggravating factors Pain occurs after eating
Pain worsens with larger mea
Reports that spicy foods incre
Denies high-fat foods as an a
Pain worsens when supine
Pain worsens when bending o
Asked about relieving factors Pain improves between meal
Pain improves when upright
Asked about effects of pain on diet and appetite Reports decreased appetite
Describes not wanting to eat
Reports eating smaller meals
Reports avoiding spicy foods
Asked about increased burping Reports burping
Burping occurs after eating
Asked about changes in weight Denies recent weight loss
Medical History
Confirmed use of medications Confirms medications (no new
Reports occasional antacid u
Denies frequent Advil (ibuprof
Followed up on use of antacids and relieving factors Antacid brand is Tums
Takes antacids every few day
Takes between 2 and 4 antac
This study source was downloaded by 100000900851705 from CourseHero.com on 09-20-2025 08:59:16 GMT -05:00
https://app.shadowhealth.com/assignment_attempts/19384479 2/5
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