Shadow Health-Focused Exam: Abdominal Pain Latest 2023 Rated A+

Shadow Health-Focused Exam: Abdominal Pain Latest 2023 Rated A+ Asked review of systems for genitourinary Denies.... -hx of bladder problems -painful urination -burning with urination -urinary incontinence -hx of UTIs -holding urine unneccessarily -gynecological problems -vaginal bleeding -vaginal discharge -hx of kidney problems Reports.... -onset of menopause, was age 54 Establish cheif complaint -Reports abdominal pain -Reports difficulty with bowel movements Asked about orientation Oriented to... -own person -place -situation -time Asked about the onset of pain Reports... -discomfort for the past five days - pain worsened intensely 2-3 days ago Asked about location of the pain Reports... - pain in lower abdomen -pain is not localized Denies... -flank pain Asked about pain rating on a scale Reports... -current pain rating of 2/10 -lowest pain is 2/10 -worst pain is 8/10 Asked about characteristics of the pain Describes pain as... -dull -cramping -constant -fluctuating in severity Asked about non-pharmacological relieving factors Reports... -resting helps relieve pain -drinking warm water to relieve pain was ineffective Asked about pharmacological relieving factors Denies... -taking pain medication -taking laxatives Asked about aggravating factors Reports pain is aggravated by... - eating - physical activity Asked about impact of pain on daily life Reports... - recent difficulty participating in usual activities - low energy Followed up on constipation Reports... - current constipation - constipation all of last 5 days Asked about diarrhea - Reports recent diarrhea Followed up on diarrhea Reports diarrhea... - about 6 months ago - had a sudden onset - lasted one day Asked about substance of stool Denies... - mucus in stool - blood in stool Asked about urination Reports... - slight decrease in frequency of urination - darker urine recently - blood in urine Asked about fluid intake Reports decreased... - thirst - fluid intake - typical fluid intake, 1-2 glasses of water a day - Denies drinking caffeinated drinks such as coffee or soda Asked about substance use Denies... -illicit drug use -cigarette smoking Reports... -low alcohol consumption Followed-up on alcohol consumption Reports... -drinking 1 night a week -1 drink per siting -typical drink is white wine Asked about psychological hx Reports... -living with her daughter -strong familial support system Denies... -recent travel Asked about experience of abuse Denies being... -physically abused -emotionally abused -financially abused -verbally abused Asked about constitutional health Denies... -recent wt changes -recent fever -chills -night sweats -swelling -sleep issues Reports... -short-term feeling of exhaustion Asked about hx of gastrointestinal disorders Denies hx of... - GERD or ulcer - appendicitis - stomach cancer - liver disease Asked about cardiovascular health Denies... -palpitations -chest discomfort -racing heartbeat Asked about throat irritation -Denies sore throat Asked about respiratory health Denies... - coughing - difficulty swallowing - difficulty breathing Asked additional review of systems for gastrointestinal Reports... - bloating - slight increase in gas - loss of appetite in the past few days Denies... - nausea - vomiting - food poisoning Asked about hx of constipation Denies hx of constipation Asked about typical bowel movements Reports typical... - bowel movement every day - stools are brown - stools are formed - stools are soft Asked about allergies - Reports latex allergy Denies... - medication allergies - food allergies Asked about health maintenance Reports... - annual check-ups - last pap smear was over 10 years ago - Reports belief that her level of health and activity is very good for her age - colonoscopy 10 years ago Asked about sexually transmitted infections Denies... - ever getting STI testing - STI symptoms Asked about current sexual activity Reports current sexually active Asked about pre-existing health conditions Reports high blood pressure Asked about hx of surgery Reports... - c-section @ 40 - cholecystectomy @ 42 Denies... - post-operative complications Asked about typical medications Reports high blood pressure medication Followed up on high blood pressure medication Reports... - name is: quinapril (Accupril) - dose: 10mg - frequency: daily at 8am Denies... - typically taking any OTC medications Asked about ADLs Denies difficulty... - toileting alone - dressing - feeding self - walking - bathing - transferring in and out of chairs Asked about diet Reports... - last meal was toast (@ bf) - typically eating 3 meals - typical breakfast is tost - typical lunch is soup - typical dinner is chicken or fish with rice Denies... - eating snacks Ask about fiber intake Denies... - fiber supplements - efforts to incorporate fiber in her diet Reports... - eating veg every 1-2 days - eating fruit every 3-4 days Asked about typical activity level Reports typically... - high level of mobility and independence - moderate activity level