Answers Graded A+
chief complaint - ANSWER --reports
abdominal pain
-reports difficulty with bowel movement asked about impact on daily life -
ANSWER --recent difficulty participating in
usual activities
asked about orientation - ANSWER -- -reports low energy
oriented to own person
-oriented to place
-oriented to situation followed up on constipation - ANSWER --
-oriented to time constipation most of last 5 days
-denies any attempt to treat constipation
asked about onset, frequency, and duration of
pain - ANSWER --reports discomfort for the asked about diarrhea - ANSWER -recent
past 5 days diarrhea
-reports pain with gradual onset that worsened 2-
3 days ago
followed up about diarrhea - ANSWER --
about 6 months ago
asked about location of pain - ANSWER -- -sudden onset
reports pain in lower abdomen -lasted one day
-reports pain is not localized -loose and water
asked about pain rating on scale - asked about substances in stool -
ANSWER --reports 6/10 pain ANSWER --denies mucus and blood in
stool
asked about characteristics of pain -
ANSWER --describes pain a dull and asked about urination - ANSWER --recent,
cramping slight decrease in frequency of urination
-pain fluctuates in severity -darker urine recently
-denies blood in urine
asked about non-pharmacological relieving
factors - ANSWER --denies taking pain asked about fluid intake - ANSWER --
medication decreased thirst
-denies taking laxatives -decreased fluid intake for last few days
-typical fluid intake is 1-2 glasses water/day
-denies drinking caffeine
asked about aggravating factors -
ANSWER --reports pain is aggravated by
eating asked about contact with illnesses -
-aggravated by physical activity ANSWER --denies recent travel and
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