Shadow Health-Focused Exam: Abdominal
Pain – Esther Park
Asked review of systems for genitourinary
(AnsDenies….
-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
(Ans-
-Reports abdominal pain
-Reports difficulty with bowel movements
Asked about orientation
(AnsOriented to…
-own person
-place
-situation
-time
Asked about the onset of pain
(Ans- Reports…
-discomfort for the past five days
- pain worsened intensely 2-3 days ago
Asked about location of the pain
(Ans- Reports… - pain in lower abdomen
-pain is not localized
Denies…
-flank pain
Asked about pain rating on a scale
(Ans- Reports…
-current pain rating of 2/10
-lowest pain is 2/10
-worst pain is 8/10
Asked about characteristics of the pain
(AnsDescribes pain as…
-dull
-cramping
-constant
-fluctuating in severity
Asked about non-pharmacological relieving factors
(AnsReports…
-resting helps relieve pain
-drinking warm water to relieve pain was ineffective
Asked about pharmacological relieving factors
(Ans- Denies…
-taking pain medication
-taking laxatives