NUR 400 > Focused Exam: Abdominal Pain | Esther Park shadow health assignment | Complete Solution - Already Scored A.

Focused Exam: Abdominal Pain Esther Park is a 78 year old Korean American woman who presents to the Emergency Department with persistent, generalized abdominal pain she rates at a 6/10. The reports that the pain started almost one week ago, and has gotten progressively worse. The describes the pain as dull andcrampy. Pertinent Positives on Interview: Decrease in appetite over the last week, an episode of mild diarrhea, then a lack of regular bowel movements since the diarrheal episode. Low fiber diet. History of abdominal surgery: c section at 40 years old and a cholecystectomy at 42 years old. Pertinent Positives on Assessment:Asymmetrical appearance on the abdomen due to distention in the left lower quadrant, abdominal tenderness, scattered dullness upon percussion, upon palpation, a rope like mass consistent with fecal matter in the left lower quadrant. Bowel sounds are normoactive in all quadrants. Below are example Focused Exam: Abdominal questions What brings you to the hospital today? I have pain in my belly. . . and I'm having some difficulty with going to the bathroom. My daughter was concerned. What do you mean when you say you've had some difficulty going to the bathroom? I haven't. . . moved my bowels in several days, other than a digestive upset a few days ago.When was your last bowel movement? That was a few days ago. When I had a digestive upset. Diarrhea. When did you have the diarrhea? That must have been two. . . no, three days ago. It lasted for a day.How long did the diarrhea last?It came on all of a sudden and only lasted a day--a few bouts of it over the course of a day.How many days did you have the diarrhea?A few times, just for that one day. Three or four times. Something like that. Have you ever been constipated? I don't usually have problems with this, but other than my. . . digestive upset. . . a few days ago, I haven't. . . moved my bowels at all in five days