SHADOW HEALTH-FOCUSED EXAM: ABDOMINAL PAIN

SHADOW HEALTH-FOCUSED EXAM:
ABDOMINAL PAIN

, Asked review of systems for genitourinary - ANSWERDenies....
-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 - ANSWER-Reports abdominal pain
-Reports difficulty with bowel movements

Asked about orientation - ANSWEROriented to...
-own person
-place
-situation
-time

Asked about the onset of pain - ANSWERReports...
-discomfort for the past five days
- pain worsened intensely 2-3 days ago

Asked about location of the pain - ANSWERReports...
- pain in lower abdomen
-pain is not localized
Denies...
-flank pain

Asked about pain rating on a scale - ANSWERReports...
-current pain rating of 2/10
-lowest pain is 2/10
-worst pain is 8/10

Asked about characteristics of the pain - ANSWERDescribes pain as...
-dull
-cramping
-constant
-fluctuating in severity