20, 8:32 PMFocused Exam: Abdominal Pain Completed Shadow Health

3/25/20, 8:32 PMFocused Exam: Abdominal Pain | Completed | Shadow Health

Page 1 of 13https://app.shadowhealth.com/assignment_attempts/6153043

Focused Exam: Abdominal Pain Results | Turned In

Advanced Health Assessment - January 2020, nur634 Return to Assignment (/assignments/299545/) (/site_notice_dismissals?from_flash=true&site_notice_id=412)Shadow Health will be performing planned maintenance this Friday, from 7:00am until 7:30am Eastern. During this time assignment attempts will be disabled. Thank you for helping us to improve your Shadow Health experience!If you are are experiencing audio issues while using Safari, please visit this article (https://support.shadowhealth.com/hc/en-us/articles/360009548313-Audio-issues-in-Safari) on our Help Desk for further information.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

3/25/20, 8:32 PMFocused Exam: Abdominal Pain | Completed | Shadow Health

Page 2 of 13https://app.shadowhealth.com/assignment_attempts/6153043

Question

02/18/20 2:29 PM MST

Question

02/18/20 2:35 PM MST

Question

02/18/20 2:35 PM MST

Question

02/18/20 2:37 PM MST

Question

02/18/20 2:37 PM MST

Question

02/18/20 2:38 PM MST

Question

02/18/20 2:38 PM MST

Question

02/18/20 2:39 PM MST

Question

02/18/20 2:43 PM MST

Question

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.)

3/25/20, 8:32 PMFocused Exam: Abdominal Pain | Completed | Shadow Health

Page 3 of 13https://app.shadowhealth.com/assignment_attempts/6153043

Question

02/18/20 2:43 PM MST

Question

02/18/20 2:44 PM MST

Question

02/18/20 2:44 PM MST

Question

02/18/20 2:45 PM MST

Question

02/18/20 2:46 PM MST

Question

02/18/20 2:49 PM MST

Question

02/18/20 2:49 PM MST

Question

02/18/20 2:50 PM MST

Question

02/18/20 2:50 PM MST

Question

02/18/20 2:51 PM MST

Has there been mucus in your stool?No, I haven't noticed anything like that.Have you had any rectal pain?No. I haven't had any problems like that.Have you had fever or chills?No, I haven't been feverish or chilly. [AUDIO COMING SOON] Have you had any vaginal bleeding or discharge?No.Is your pain constant?Yes. Certain things can make it a tiny bit better or a tiny bit worse, I suppose. But it's always there.Does the pain affect your activities of daily living?Well, I don't feel unnaturally tired or weak. But I have experienced low energy, like I need to rest more often.Do you feel constipated?Well, yes. . . other than my. . . digestive upset. . . I haven't moved my bowels for several days.Are you having any difficulty urinating?No, no trouble.How much water do you drink per day?Usually I drink, oh, two glasses of water a day. But it's been difficult to drink much in the last few days. [AUDIO COMING SOON] Have you had any history of constipation?

3/25/20, 8:32 PMFocused Exam: Abdominal Pain | Completed | Shadow Health

Page 4 of 13https://app.shadowhealth.com/assignment_attempts/6153043

Question

02/18/20 2:52 PM MST

Question

02/18/20 2:52 PM MST

Question

02/18/20 2:53 PM MST

Question

02/18/20 2:53 PM MST

Question

02/18/20 2:54 PM MST

Question

02/18/20 2:55 PM MST

Question

02/18/20 2:55 PM MST

Question

02/18/20 2:56 PM MST

Question

02/18/20 2:57 PM MST

Question

02/18/20 2:58 PM MST

I don't usually have problems going to the bathroom. . . but this has been going on for. . . about five days now. [AUDIO COMING SOON] Any allergies?I have an allergy to latex.Do you have a regular annual check ups?Yes. I usually see Dr. Keller, here--at Shadowville Primary Care. But I was told she's out today.Have you had any colonoscopy in the past? (No matching questions found.) Have you had colonoscopy?I've had two colonoscopies. The last one was ten years ago.Have you had any sexually transmitted infections before? (Clarified to Do you have a history of

STD?.)

No, I've never had anything... like that. (Clarified to if I have had an STD.) Are you sexually active?I have a gentleman friend and, yes... We are intimate.Have you been diagnosed with any illness like hypertension?No, just a little high blood pressure. At my age, that's very lucky.Any surgeries in the past?I've had two operations, both many years ago.What are those surgeries? (Clarified to What surgeries are you scars from?.) I had two surgeries, a long time ago. The one up on my right, up here--that's from when they removed my gallbladder. I must have been... 42. That big scar down low was a C-section. I got that when I was forty. (Clarified to what surgeries my scars are from.) Any history of GERD?No. I don't get indigestion, heartburn, nothing like that.