Shadow Health Abdominal Pain Esther Park with complete solution

Chief complaint Ans- -reports abdominal pain

-reports difficulty with bowel movement



Asked about orientation Ans- -oriented to own person

-oriented to place

-oriented to situation

-oriented to time



Asked about onset, frequency, and duration of pain Ans- -reports discomfort for the past 5 days

-reports pain with gradual onset that worsened 2-3 days ago



Asked about location of pain Ans- -reports pain in lower abdomen

-reports pain is not localized



Asked about pain rating on scale Ans- -reports 6/10 pain



Asked about characteristics of pain Ans- -describes pain a dull and cramping

-pain fluctuates in severity



Asked about non-pharmacological relieving factors Ans- -denies taking pain medication

-denies taking laxatives



Asked about aggravating factors Ans- -reports pain is aggravated by eating

-aggravated by physical activity



Asked about impact on daily life Ans- -recent difficulty participating in usual activities

, -reports low energy



Followed up on constipation Ans- -constipation most of last 5 days

-denies any attempt to treat constipation



Asked about diarrhea Ans- recent diarrhea



Followed up about diarrhea Ans- -about 6 months ago

-sudden onset

-lasted one day

-loose and water



Asked about substances in stool Ans- -denies mucus and blood in stool



Asked about urination Ans- -recent, slight decrease in frequency of urination

-darker urine recently

-denies blood in urine



Asked about fluid intake Ans- -decreased thirst

-decreased fluid intake for last few days

-typical fluid intake is 1-2 glasses water/day

-denies drinking caffeine



Asked about contact with illnesses Ans- -denies recent travel and exposure to food poisoning



Asked about history of constipation Ans- denies history



Asked about typical bowel movements Ans- -typically has BM almost every day

-stools usually brown, formed, soft