Nurs Week Seven-Karen Floyd Reason: Abdominal pain 45 y/o 5’4”
(163 cm)
141 lb (64.1 kg)
Thanks for seeing me today. I hope you can get to the bottom of my problems Observations:
skin warm and dry
Good Questions 93%
1. How can I help you?
2. Do you have any other symptoms or concerns we should discuss?
3. Is your pain affected by what? When or how much you eat?
4. Do you now or have you ever smoked or chewed tobacco?
5. Are you taking any over-the counter or herbal medications?
6. Are you taking any prescriptions medications?
7. Do you have any allergies?
8. Have you ever been hospitalized?
9. Any previous medical, surgical, or dental procedures?
10. Can you tell me about any current or past medical problems you have had?
11. Doyouhavediarrhea?
12. Is there any blood in your stools or with your bowel movement?
13. Do you have any problem with constipation?
14. Have you been having fevers?
15. How often does this abdominal pain occur?
pg. 1
, 16. How severe (1-10) is your abdominal pain?
17. Doesthepaininyourabdomenradiatesomeplaceelse?Where?
18. Where more precisely is your abdominal pain?
19. What does the pain discomfort in your abdomen feel like? (cramping, burning,
stabbing, aching, tingling, squeezing)?
20. Does anything make the pain in your abdomen better or worse?
21. Whendidyourabdominalpainstart?
22. How long does the pain in your abdomen last?
23. Does the symptoms occur after eating rye, wheat, or barley?
24. What are the events surrounding the start of your abdominal pain?
25. Have you had any family member had a history of inflammatory bowel disease?
26. Are you now or have you ever been anemic?
27. Do you avoid eating because you are worries about the pain?
28. Do you have any skin problems?
29. Do you have a history of bowel obstruction?
30. Have you or any family member had a history of colon polyps or colon cancer?
31. Do you have tar like or foul-smelling stools?
32. Haveyoulostweight?
33. Do you have heart disease and/or have you ever had a heart attack?
34. Have you had the pain in your abdomen before?
35. Do you have arthritis?
Extra Questions
1. Do you have night sweats?
pg. 2
, 2. Have you had any significant traumatic injuries or accidents?
3. Have you had a recent endoscopy, colonoscopy, or biopsy?
4. What was the results of your last mammogram?
5. Are your immunizations UTD
6. Tell me about your work?
7. Tell me about the health of your parents?
8. Where do you live?
9. Alcohol use
10. Do you eat raw or undercooked meat?
11. Have you been vomiting anything that looks like blood or coffee grounds?
12. What treatments have you had for your abdominal pain?
13. Does the pain awaken you from sleep?
14. Do you have a problem swallowing?
15. Do you have nausea or vomiting?
16. Do you presently have heartburn, a food or acid taste in your mouth?
17. Do you have difficulty breathing?
18. Do you feel dizzy, faint, or lightheaded?
19. Have you been feeling sad, depressed, or hopeless?
20. Do you have any tingling and/or numbness anywhere?
21.Do you have any difficulty urinating?
22.What childhood illnesses have you had?
23.What laxatives, enemas, or suppositories do you use?
24.Any changes in your abdominal pain since it began?
pg. 3
(163 cm)
141 lb (64.1 kg)
Thanks for seeing me today. I hope you can get to the bottom of my problems Observations:
skin warm and dry
Good Questions 93%
1. How can I help you?
2. Do you have any other symptoms or concerns we should discuss?
3. Is your pain affected by what? When or how much you eat?
4. Do you now or have you ever smoked or chewed tobacco?
5. Are you taking any over-the counter or herbal medications?
6. Are you taking any prescriptions medications?
7. Do you have any allergies?
8. Have you ever been hospitalized?
9. Any previous medical, surgical, or dental procedures?
10. Can you tell me about any current or past medical problems you have had?
11. Doyouhavediarrhea?
12. Is there any blood in your stools or with your bowel movement?
13. Do you have any problem with constipation?
14. Have you been having fevers?
15. How often does this abdominal pain occur?
pg. 1
, 16. How severe (1-10) is your abdominal pain?
17. Doesthepaininyourabdomenradiatesomeplaceelse?Where?
18. Where more precisely is your abdominal pain?
19. What does the pain discomfort in your abdomen feel like? (cramping, burning,
stabbing, aching, tingling, squeezing)?
20. Does anything make the pain in your abdomen better or worse?
21. Whendidyourabdominalpainstart?
22. How long does the pain in your abdomen last?
23. Does the symptoms occur after eating rye, wheat, or barley?
24. What are the events surrounding the start of your abdominal pain?
25. Have you had any family member had a history of inflammatory bowel disease?
26. Are you now or have you ever been anemic?
27. Do you avoid eating because you are worries about the pain?
28. Do you have any skin problems?
29. Do you have a history of bowel obstruction?
30. Have you or any family member had a history of colon polyps or colon cancer?
31. Do you have tar like or foul-smelling stools?
32. Haveyoulostweight?
33. Do you have heart disease and/or have you ever had a heart attack?
34. Have you had the pain in your abdomen before?
35. Do you have arthritis?
Extra Questions
1. Do you have night sweats?
pg. 2
, 2. Have you had any significant traumatic injuries or accidents?
3. Have you had a recent endoscopy, colonoscopy, or biopsy?
4. What was the results of your last mammogram?
5. Are your immunizations UTD
6. Tell me about your work?
7. Tell me about the health of your parents?
8. Where do you live?
9. Alcohol use
10. Do you eat raw or undercooked meat?
11. Have you been vomiting anything that looks like blood or coffee grounds?
12. What treatments have you had for your abdominal pain?
13. Does the pain awaken you from sleep?
14. Do you have a problem swallowing?
15. Do you have nausea or vomiting?
16. Do you presently have heartburn, a food or acid taste in your mouth?
17. Do you have difficulty breathing?
18. Do you feel dizzy, faint, or lightheaded?
19. Have you been feeling sad, depressed, or hopeless?
20. Do you have any tingling and/or numbness anywhere?
21.Do you have any difficulty urinating?
22.What childhood illnesses have you had?
23.What laxatives, enemas, or suppositories do you use?
24.Any changes in your abdominal pain since it began?
pg. 3
