iHuman Case Study: Karen Floyd
45Yrs Old Female Cc: Abdominal
Pain
written by
latestsolutions
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iHuman Case Study:
Karen Floyd 45Yrs
Old Female Cc:
Abdominal Pain
(intermittent chronic
lower cramping)
How can I help you? My stomach hurts
Do you have any other symptoms or concerns
we should discuss?
I occasionally feel “bloated” although I’m not sure my belly is
actually bigger when I feel that way. I…well pass a lot of gas
and… even belch a lot compared to other people I know. Sort of
embarrassing for a woman you know. Do you think that’s related
to all of this?
Is your pain affected by what, when, or how
much you eat?
It seemstobe worse with rich foods. I haven’t really noticed it as
associated with when or how much.
Do you now or have you ever smoked or
chewed tobacco?
No, I never have.
Are you taking any over the counter or herbal
medications?
I take a multivitamin daily, and acetaminophen from time to
time for stress headaches
Are you taking any prescription medications? No prescription medications
Do you have any allergies? Not that I know of
Have you ever been hospitalized? Just for the c-section and the bike accident thing
Any previous medical, surgical, or dental
procedures?
I had a c-section at 27 without any complications. When I was 17,
I had a bike accident and had a complicated fracture of my right
tibia. They had to fix that with surgery.
Can you tell me about any current or past
medical problems you have had?
I don’t know really what’s important. The only thing besides this
stomach problem is that lately I’ve been getting occasional hot
flashes and my skin is sort of dry. I also get headaches now and
then which isn’t new and that probably isn’t important anyway.
Is that the kind of things you want to know?
Do you have diarrhea? Occasionally. Sometimes I’d say my bowel movement is loose and
watery. Does that count?
Is there any blood in your stools or with your
bowel movement?
Anything red? Not that I have noticed
Do you have a problem with constipation? Definitely. For as long as I can recall in my adult life, I have
alternating periods ofconstipation and just the opposite if you
know what I mean that lasts several days. When I am
constipated, I feel like I cannot get everything out, even after a
BM.
Have you been having fevers? I don’t think so, can you check that for me
How often does this abdominal pain occur? It’s been coming and going for years now. It never really goes
away entirely, but then it also doesn’t seem to be getting a lot
worse. It’s just there all the time. So frustrating.
How severe (1-10 scale) is your abdominal
pain?
It varies, sometimes it’s just mild and annoying, othertimes it
stops me in my tracks it’s so bad
Does the pain in your abdomen radiate
someplace else? Where?
No, it’s just in my stomach
Where more precisely is your abdominal pain? All over, especially in the lower half of my belly.
What does the pain/discomfort in your
abdomen feel like? (Cramping, burning,
stabbing, aching, tingling, squeezing).
Usually like a bad cramp but sometimes it can be a stabbing
feeling.
Does anything make the pain in your abdomen
better or worse?
“Having a bowel movement sometimes makes it better. Then it
starts up again if I’mstressed out or eating the wrong stuff”.
When did your abdominal pain start? This problem started at least 10 years ago. It’s really been going
on far to [Show Less]