Focused Exam: Abdominal Pain | Completed | Shadow Health 3/25/20, 8:32 PM
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Focused
... [Show More] Exam: Abdominal Pain Results | Turned In
Advanced Health Assessment - January 2020, nur634
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Transcript
Started: Feb 18, 2020 | Total Time: 128 min
Greet
02/18/20 1:28 PM MST
Question
02/18/20 2:22 PM MST
Empathize
02/18/20 2:22 PM MST
Question
02/18/20 2:28 PM MST
Empathize
02/18/20 2:29 PM MST
Your Results Reopen (/assignment_attempts/6153043/reopen)
Lab Pass (/assignment_attempts/6153043/lab_pass.pdf)
Overview
Transcript
Subjective Data Collection
Objective Data Collection
Education & Empathy
Documentation
Interview Questions (60) Statements (9) Exam Actions (82)
Good morning Esther. My name is Rachell. I am your provider today.
Hello.
Can you tell me what brought you today to the clinic? (Clarified to What brings you in today?.)
I have pain in my belly. . . and I'm having some difficulty with going to the bathroom. My
daughter was concerned. (Clarified to why I came in.)
I am so sorry about. I am here to help you.
Thank you.
How long have you had stomach pain?
The pain started as a general discomfort, about five days ago, when I started having the. . .
difficulties going to the bathroom.
I am so sorry. We are going to find out what's causing your abdominal pain.
Thank you.
All Lines (151)
Focused Exam: Abdominal Pain | Completed | Shadow Health
Focused Exam: Abdominal Pain | Completed | Shadow Health 3/25/20, 8:32 PM
https://app.shadowhealth.com/assignment_attempts/6153043 Page 2 of 13
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02/18/20 2:43 PM MST
What part of your abdomen do you feel the pain?
Nowhere except down there, in my belly.
Has the stomach pain changed?
Well, the type of pain never changes. And it's always in the same place. But it did get worse two
or three days ago.
Have you any diarrhea?
Yes, I did have a bout of diarrhea pretty recently. [AUDIO COMING SOON]
Can you describe the type of pain you're feeling?
I'd say it's crampy and. . . a dull, crampy feeling.
Can you rate the pain from 1 through 10.
Right now. . . 6 out of 10.
Are there any aggravating factors? (Clarified to What aggravates the pain?.)
Moving around certainly doesn't help. Neither does eating. (Clarified to what makes my pain
worse.)
Do you do anything to relieve the pain?
When I rest and try not to move much, I feel better. But the pain is still there.
Have you tried taking any medications?
I'm not taking anything for it.
Have you had any nausea and vomiting?
No. I haven't vomited or had any nausea. It's more of a problem with pain. . . and difficulty going
to the bathroom.
Have you seen any blood or mucus in your stool? (Clarified to Has there been blood in your
stool?.)
No. I've never experienced that. (Clarified to if there has been blood in my stool.) [Show Less]