NR509 NR 509 Focused Exam Abdominal Pain Results Turned In Advanced Health Assessment Chamberlain

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5/28/2018 Focused Exam: Abdominal Pain | Completed | Shadow Health https://chamberlain.shadowhealth.com/assignment_attempts/3534350 1/29 Focused Exam: Abdominal Pain Results | Turned In Advanced He... alth Assessment - Chamberlain, NR509-April-2018 Return to Assignment Your Results L La ab b P Pa as ss s Started: May 28, 2018 | Patient Exam Time: 153 min Transcript Greet 05/28/18 1:18 PM CDT Question 05/28/18 1:18 PM CDT Question 05/28/18 1:19 PM CDT Question 05/28/18 1:20 PM CDT Question 05/28/18 1:21 PM CDT Exam Action 05/28/18 1:27 PM CDT Overview Transcript Subjective Data Collection Objective Data Collection Education & Empathy Documentation Self-Reflection I In nt te er rv viie ew w Q Qu ue es st tiio on ns s ( (1 13 38 8) ) S St ta at te em me en nt ts s ( (2 21 1) ) E Ex xa am m A Ac ct tiio on ns s ( (9 91 1) ) Hello my name is Sara an FNP student who will be interviewing you today Hello. Will you please state your name? (Clarified to what is your name and birthday.) My name is Esther Park, and I was born on January 7th . . . [Ms. Park reports correct birth year.] [AUDIO COMING SOON] Please State your age? (No matching questions found.) How old are you? Seventy-eight. What brought you into the clinic today? I have some pain in my belly. . . and I'm having difficulty going to the bathroom. My daughter was worried about me. Measured vitals A Allll L Liin ne es s ( (2 25 50 0) )5/28/2018 Focused Exam: Abdominal Pain | Completed | Shadow Health https://chamberlain.shadowhealth.com/assignment_attempts/3534350 2/29 Question 05/28/18 1:29 PM CDT Question 05/28/18 1:31 PM CDT Empathize 05/28/18 1:31 PM CDT Question 05/28/18 1:31 PM CDT Question 05/28/18 1:32 PM CDT Question 05/28/18 1:33 PM CDT Question 05/28/18 1:33 PM CDT Question 05/28/18 1:34 PM CDT When did your pain start? The pain started as a general discomfort, about five days ago, when I started having the. . . difficulties going to the bathroom. Was your pain sudden? No, it was gradual. I had some pain and discomfort about. . . five days ago. Then in the past few days it got much worse. I'm sorry to hear you're feeling bad Thank you. How often are you having the pain? Oh, it's with me all the time. The bloating, too. But certain things do make it worse. Where does it actually hurt? (Clarified to Which part of your abdomen hurts?.) The pain and discomfort is down low in my belly. Point of location of pain Well my whole belly is uncomfortable to some degree, but it's mostly in the lower part, that's where the pain is. Down in my lower belly. What makes your pain worse? Moving around certainly doesn't help. Neither does eating. How long is your pain last?5/28/2018 Focused Exam: Abdominal Pain | Completed | Shadow Health https://chamberlain.shadowhealth.com/assignment_attempts/3534350 3/29 Question 05/28/18 1:41 PM CDT Question 05/28/18 1:41 PM CDT Question 05/28/18 1:42 PM CDT Question 05/28/18 1:42 PM CDT Empathize 05/28/18 1:43 PM CDT Question 05/28/18 1:43 PM CDT Question 05/28/18 1:47 PM CDT The pain is there all the time, but it gets much worse at certain points--when I move around a lot or eat something, especially. What causes your pain? I'm just not sure. I've been having trouble going to the bathroom, but I don't know what is making all this happen. What makes your pain worse? Moving around certainly doesn't help. Neither does eating. Is your pain sharp? No. I'd say it's crampy and. . . a dull, crampy feeling. Rate your pain on a scale of 0 to 10? Right now. . . 6 out of 10. I'm sorry to hear that you're feeling so bad Thank you. Does it affect your daily life? (Clarified to How has your illness affected your daily life?.) Well, I have been slowed down lately. This week I missed both of my fitness classes. I never miss a class. . . and I like to help with the cleaning at home, but my daughter--she worries too much--she wants me to rest. What provides relief? (No matching questions found.)5/28/2018 Focused Exam: Abdominal Pain | Completed | Shadow Health https://chamberlain.shadowhealth.com/assignment_attempts/3534350 4/29 Question 05/28/18 1:48 PM CDT Question 05/28/18 1:48 PM CDT Empathize 05/28/18 1:49 PM CDT Question 05/28/18 1:49 PM CDT Question 05/28/18 1:50 PM CDT Question 05/28/18 1:50 PM CDT Question 05/28/18 1:50 PM CDT Question 05/28/18 1:51 PM CDT What makes it feel better? When I rest and try not to move much, I feel better. But the pain is still there. What have you done to relieve your pain? I've tried taking small sips of warm water, resting. The warm water does nothing. A friend suggested it, but it's nonsense. I'm sorry you feel that way Thank you. Is your pain intermittent? (No matching questions found.) 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. What makes it better? (Clarified to What makes your pain feel better?.) When I rest and try not to move much, I feel better. But the pain is still there. What makes your pain worse? Moving around certainly doesn't help. Neither does eating. How is your energy level? Right now? I feel slow, sluggish. I just feel very uncomfortable.5/28/2018 Focused Exam: Abdominal Pain | Completed | Shadow Health https://chamberlain.shadowhealth.com/assignment_attempts/3534350 5/29 Empathize 05/28/18 1:51 PM CDT Question 05/28/18 1:53 PM CDT Question 05/28/18 1:53 PM CDT Question 05/28/18 1:53 PM CDT Question 05/28/18 1:54 PM CDT Question 05/28/18 1:55 PM CDT Question 05/28/18 1:55 PM CDT Sorry you feel uncomfortable Thank you. Are you having constipation? (Clarified to Are you feeling constipated?.) Well, yes. . . other than my. . . digestive upset. . . I haven't moved my bowels for several days. When was the last time you had a bowel movement? That was a few days ago. When I had a digestive upset. Diarrhea. Do you have a history of constipation? I don't usually have problems going to the bathroom. . . but this has been going on for. . . about five days now. Other than the digestive upset I had a few days ago. Any treatment for constipation? (Clarified to How have you treated the constipation?.) Well, I haven't experienced constipation before, so I haven't done anything for it. Any recent diarrhea? Yes, I did have a bout of diarrhea pretty recently. Describe your diarrhea? It was very loose. Watery.5/28/2018 Focused Exam: Abdominal Pain | Completed | Shadow Health https://chamberlain.shadowhealth.com/assignment_attempts/3534350 6/29 Question 05/28/18 1:56 PM CDT Question 05/28/18 1:57 PM CDT Educate 05/28/18 1:57 PM CDT Question 05/28/18 1:58 PM CDT Question 05/28/18 1:58 PM CDT Question 05/28/18 1:58 PM CDT Question 05/28/18 1:59 PM CDT Question 05/28/18 1:59 PM CDT Last normal bowel movement? (Clarified to How are you bowel movements?.) My bowel movements are usually. . . what I assume one would call normal. Not too soft, a normal brown color. Fairly regular. How often are your bowel movements Before this? Every day. Well, I miss a day now and then, but usually every day. It is important to have a bowel movement everyday Thank you for explaining that. Any discomfort with your last bowel movement? Yes, I have been very uncomfortable in my belly--my lower belly. It's been going on for almost a week. Any mucus in your stool? No, I haven't noticed anything like that. Any blood in your stool? No. I've never experienced that. Any problems with urination? No, no trouble. No urinary frequency? (Clarified to Have your changed the frequency of your urination recently?.)5/28/2018 Focused Exam: Abdominal Pain | Completed | Shadow Health https://chamberlain.shadowhealth.com/assignment_attempts/3534350 7/29 Empathize 05/28/18 1:59 PM CDT Educate 05/28/18 2:00 PM CDT Question 05/28/18 2:00 PM CDT Question 05/28/18 2:00 PM CDT Exam Action 05/28/18 2:12 PM CDT Exam Action 05/28/18 2:38 PM CDT Exam Action 05/28/18 2:38 PM CDT Exam Action 05/28/18 2:38 PM CDT Exam Action 05/28/18 2:38 PM CDT I've been going slightly less often because. . . well, I've been little less thirsty than usual. I'm sorry to hear that Thank you. It is important you keep up with your water intake at least eight 8 oz glasses a day Thank you for explaining that. Any color changes in your urine? Yes, it has been a little darker than usual lately. Any blood in your urine? No, it seems normal enough to me. Maybe a little darker than usual. Inspected general face: Slight flushing of cheeks Inspected forehead and scalp Inspected nose and mouth Inspected left side of face Inspected back of head Inspected right side of face5/28/2018 Focused Exam: Abdominal Pain | Completed | Shadow Health https://chamberlain.shadowhealth.com/assignment_attempts/3534350 8/29 Exam Action 05/28/18 2:38 PM CDT Exam Action 05/28/18 2:39 PM CDT Exam Action 05/28/18 2:45 PM CDT Exam Action 05/28/18 2:45 PM CDT Exam Action 05/28/18 2:45 PM CDT Exam Action 05/28/18 2:47 PM CDT Exam Action 05/28/18 2:49 PM CDT Exam Action 05/28/18 2:50 PM CDT Exam Action 05/28/18 2:50 PM CDT Exam Action 05/28/18 2:51 PM CDT Exam Action 05/28/18 2:51 PM CDT Exam Action 05/28/18 2:53 PM CDT Exam Action 05/28/18 2:53 PM CDT Inspected general face: Slight flushing of cheeks Performed otoscopic examination of left naris Performed otoscopic examination of right naris Performed otoscopic examination of left naris Performed otoscopic examination of right naris Inspected mouth and throat Inspected left side of abdomen Inspected front of abdomen Inspected right side of abdomen Inspected front of abdomen Inspected front of legs for edema: No edema Inspected left leg for edema: No edema5/28/2018 Focused Exam: Abdominal Pain | Completed | Shadow Health https://chamberlain.shadowhealth.com/assignment_attempts/3534350 9/29 Exam Action 05/28/18 2:53 PM CDT Exam Action 05/28/18 2:53 PM CDT Exam Action 05/28/18 2:54 PM CDT Exam Action 05/28/18 2:56 PM CDT Exam Action 05/28/18 2:56 PM CDT Exam Action 05/28/18 2:56 PM CDT Exam Action 05/28/18 2:56 PM CDT Exam Action 05/28/18 2:56 PM CDT Exam Action 05/28/18 2:56 PM CDT Exam Action 05/28/18 2:57 PM CDT Exam Action 05/28/18 2:57 PM CDT Exam Action 05/28/18 2:58 PM CDT Exam Action 05/28/18 2:58 PM CDT Inspected front of legs for edema: No edema Inspected right leg for edema: No edema Inspected front of legs for edema: No edema Auscultated aortic area with the bell Auscultated aortic area with the diaphragm Auscultated pulmonic area with the diaphragm Auscultated Erb's point with the diaphragm Auscultated tricuspid area with the diaphragm Auscultated tricuspid area with the bell Auscultated mitral area with the bell Auscultated breath sounds in anterior left upper lobe Auscultated breath sounds in anterior right upper lobe Auscultated breath sounds in anterior right middle lobe5/28/2018 Focused Exam: Abdominal Pain | Completed | Shadow Health https://chamberlain.shadowhealth.com/assignment_attempts/3534350 10/29 Exam Action 05/28/18 2:58 PM CDT Exam Action 05/28/18 2:58 PM CDT Exam Action 05/28/18 2:58 PM CDT Exam Action 05/28/18 2:58 PM CDT Exam Action 05/28/18 2:58 PM CDT Exam Action 05/28/18 2:58 PM CDT Exam Action 05/28/18 2:58 PM CDT Exam Action 05/28/18 2:58 PM CDT Exam Action 05/28/18 2:58 PM CDT Exam Action 05/28/18 2:58 PM CDT Exam Action 05/28/18 2:58 PM CDT Exam Action 05/28/18 2:58 PM CDT Exam Action 05/28/18 2:59 PM CDT Auscultated breath sounds in anterior left mid-chest (upper lobe) Auscultated breath sounds in anterior right lower lobe Auscultated breath sounds in anterior left lower lobe Auscultated breath sounds in posterior right upper lobe Auscultated breath sounds in posterior left upper lobe Auscultated breath sounds in posterior right mid-back (lower lobe) Auscultated breath sounds in posterior left mid-back (lower lobe) Auscultated breath sounds in posterior left lower lobe Auscultated breath sounds in posterior left lower lobe on side Auscultated breath sounds in posterior left lower lobe near spine Auscultated breath sounds in posterior right lower lobe near spine Auscultated breath sounds in posterior right lower lobe on side Auscultated breath sounds in posterior right lower lobe5/28/2018 Focused Exam: Abdominal Pain | Completed | Shadow Health https://chamberlain.shadowhealth.com/assignment_attempts/3534350 11/29 Exam Action 05/28/18 2:59 PM CDT Exam Action 05/28/18 3:00 PM CDT Exam Action 05/28/18 3:00 PM CDT Exam Action 05/28/18 3:00 PM CDT Exam Action 05/28/18 3:00 PM CDT Exam Action 05/28/18 3:01 PM CDT Exam Action 05/28/18 3:01 PM CDT Exam Action 05/28/18 3:01 PM CDT Exam Action 05/28/18 3:01 PM CDT Exam Action 05/28/18 3:01 PM CDT Exam Action 05/28/18 3:01 PM CDT Exam Action 05/28/18 3:02 PM CDT Exam Action 05/28/18 3:02 PM CDT Auscultated aorta in abdomen Auscultated left upper quadrant Auscultated right upper quadrant Auscultated right lower quadrant Auscultated left lower quadrant Auscultated left renal artery Auscultated right renal artery Auscultated left iliac artery Auscultated right iliac artery Auscultated left femoral artery Auscultated right femoral artery Auscultated over spleen Auscultated over liver5/28/2018 Focused Exam: Abdominal Pain | Completed | Shadow Health https://chamberlain.shadowhealth.com/assignment_attempts/3534350 12/29 Exam Action 05/28/18 3:05 PM CDT Exam Action 05/28/18 3:05 PM CDT Exam Action 05/28/18 3:05 PM CDT Exam Action 05/28/18 3:05 PM CDT Exam Action 05/28/18 3:05 PM CDT Exam Action 05/28/18 3:05 PM CDT Exam Action 05/28/18 3:05 PM CDT Exam Action 05/28/18 3:05 PM CDT Exam Action 05/28/18 3:06 PM CDT Exam Action 05/28/18 3:06 PM CDT Exam Action 05/28/18 3:06 PM CDT Exam Action 05/28/18 3:06 PM CDT Exam Action 05/28/18 3:07 PM CDT Percussed left upper quadrant Percussed right upper quadrant Percussed right lower quadrant Percussed left lower quadrant Percussed left upper quadrant Percussed right upper quadrant Percussed right lower quadrant Percussed left lower quadrant Percussed for spleen Percussed for spleen Percussed for spleen Percussed for spleen Percussed for liver span: 7 cm in the mid-clavicular line5/28/2018 Focused Exam: Abdominal Pain | Completed | Shadow Health https://chamberlain.shadowhealth.com/assignment_attempts/3534350 13/29 Exam Action 05/28/18 3:08 PM CDT Exam Action 05/28/18 3:08 PM CDT Exam Action 05/28/18 3:10 PM CDT Exam Action 05/28/18 3:10 PM CDT Exam Action 05/28/18 3:11 PM CDT Exam Action 05/28/18 3:11 PM CDT Exam Action 05/28/18 3:14 PM CDT Exam Action 05/28/18 3:14 PM CDT Percussed right flank for CVA tenderness Percussed left flank for CVA tenderness Palpated right lower quadrant with light pressure: No tenderness reported; no masses, guarding, or distension That feels alright. Palpated left lower quadrant with light pressure: Tenderness reported; palpable guarding and distension, no masses Mmm, it feels sore there. Palpated left upper quadrant with light pressure: No tenderness reported; no masses, guarding, or distension That feels alright. Palpated right upper quadrant with light pressure: No tenderness reported; no masses, guarding, or distension That feels alright. Palpated right upper quadrant with deep pressure: No masses That feels alright. Palpated left upper quadrant with deep pressure: No masses That feels alright. Palpated right lower quadrant: with deep pressure: No masses5/28/2018 Focused Exam: Abdominal Pain | Completed | Shadow Health https://chamberlain.shadowhealth.com/assignment_attempts/3534350 14/29 Exam Action 05/28/18 3:14 PM CDT Exam Action 05/28/18 3:15 PM CDT Exam Action 05/28/18 3:17 PM CDT Exam Action 05/28/18 3:17 PM CDT Exam Action 05/28/18 3:18 PM CDT Exam Action 05/28/18 3:18 PM CDT Exam Action 05/28/18 3:19 PM CDT Exam Action 05/28/18 3:19 PM CDT Exam Action 05/28/18 3:19 PM CDT Exam Action 05/28/18 3:20 PM CDT Exam Action 05/28/18 3:21 PM CDT Exam Action 05/28/18 3:23 PM CDT That feels alright. Palpated left lower quadrant with deep pressure: Firm, oblong mass (2x4 cm) Ooo, that--that's sore right there. Aortic width is 2 cm: No lateral pulsation Palpated for liver: Palpable 1 cm below right costal margin Palpated for spleen: Not palpable Palpated bladder: Not palpable; no distention or tenderness Palpated for left kidney: Not palpable Palpated for right kidney: Not palpable Tested skin turgor Performed pelvic exam Performed digital rectal exam Checked urinalysis5/28/2018 Focused Exam: Abdominal Pain | Completed | Shadow Health https://chamberlain.shadowhealth.com/assignment_attempts/3534350 15/29 Question 05/28/18 3:25 PM CDT Question 05/28/18 3:25 PM CDT Question 05/28/18 3:26 PM CDT Question 05/28/18 3:26 PM CDT Question 05/28/18 3:26 PM CDT Question 05/28/18 3:26 PM CDT Question 05/28/18 3:27 PM CDT Question 05/28/18 3:27 PM CDT Question 05/28/18 3:27 PM CDT What medications do you take? Just the medication for my blood pressure. What is the name of the medication? It's called Accupril. How much accupril do you take? 10 milligrams. How many times a day do you take accupril? (No matching questions found.) How many times a day do you take your medication? (No matching questions found.) How often do you take your medication? Yes, that's very important. I never skip a dose. How often do you take your medication? Yes, that's very important. I never skip a dose. How many times a day? (No matching questions found.) When do you take your medication? (Clarified to When do you take your blood pressure medication?.) I take it every morning at about 8 a.m., after breakfast.5/28/2018 Focused Exam: Abdominal Pain | Completed | Shadow Health https://chamberlain.shadowhealth.com/assignment_attempts/3534350 16/29 Question 05/28/18 3:27 PM CDT Educate 05/28/18 3:28 PM CDT Empathize 05/28/18 3:28 PM CDT Question 05/28/18 3:28 PM CDT Empathize 05/28/18 3:29 PM CDT Question 05/28/18 3:29 PM CDT Question 05/28/18 3:29 PM CDT When was the last time you took your medication? I took my Accupril this morning, at around 8. It is important to take your medication everyday as prescribed Thank you for explaining that. I'm glad you take your medication as prescribed Thank you. Do you take any over-the-counter medications? No. Those over-the-counter medicines. . . Tylenol--they say it's very bad for the stomach. I understand Thank you. Do you have any allergies to medication? No, not that I'm aware of. Any allergies to anything? (Clarified to are you allergic to anything else.) Just latex, that's it.5/28/2018 Focused Exam: Abdominal Pain | Completed | Shadow Health https://chamberlain.shadowhealth.com/assignment_attempts/3534350 17/29 Question 05/28/18 3:30 PM CDT Question 05/28/18 3:30 PM CDT Empathize 05/28/18 3:30 PM CDT Question 05/28/18 3:30 PM CDT Question 05/28/18 3:31 PM CDT Question 05/28/18 3:32 PM CDT Question 05/28/18 3:32 PM CDT Question 05/28/18 3:32 PM CDT What happens when you come in contact with latex? (Clarified to What are the symptoms of your latex allergy?.) I get an itchy skin rash. Do you have high blood pressure? Yes, I have been diagnosed with high blood pressure. But I take very good care of that. That is good to know Thank you. When were you diagnosed with high blood pressure? I believe I was diagnosed when... I must have been 54. Do you have any history of gastrointestinal disorders? No, I have a good stomach. I've never had this kind of trouble before. And I'm usually fairly regular. Do you have a history of reflux? (No matching questions found.) History of reflux? (No matching questions found.) History of GERD? No. I don't get indigestion, heartburn, nothing like that. history of ulcers?5/28/2018 Focused Exam: Abdominal Pain | Completed | Shadow Health https://chamberlain.shadowhealth.com/assignment_attempts/3534350 18/29 Question 05/28/18 3:32 PM CDT Question 05/28/18 3:33 PM CDT Question 05/28/18 3:33 PM CDT Question 05/28/18 3:33 PM CDT Question 05/28/18 3:34 PM CDT Question 05/28/18 3:34 PM CDT Question 05/28/18 3:35 PM CDT Question 05/28/18 3:36 PM CDT No, I've never had one. History of appendicitis? No. History of stomach cancer? (Clarified to Have you had stomach cancer.) No. History of liver disease? (Clarified to do you have liver disease.) I've never had any problems with my liver. Any history of surgeries? I've had two operations, both many years ago. What operations did you have? I've had two. I had my gallbladder out, and I had a C-section. Both in my early 40s. Any complications with your surgery? (Clarified to Have you had problems after surgery?.) No, no complications. Any family history of gastrointestinal disorders?5/28/2018 Focused Exam: Abdominal Pain | Completed | Shadow Health https://chamberlain.shadowhealth.com/assignment_attempts/3534350 19/29 Question 05/28/18 3:36 PM CDT Question 05/28/18 3:37 PM CDT Empathize 05/28/18 3:37 PM CDT Question 05/28/18 3:38 PM CDT Question 05/28/18 3:38 PM CDT Question 05/28/18 3:38 PM CDT Question 05/28/18 3:38 PM CDT Well, I do remember my father having heartburn on occasion. But I can't think of anyone having anything, other than that. Any family history of GERD? (Clarified to do your family members have health problems.) Let's see. . . high cholesterol and diabetes. My father was an overweight man. My two older brothers, they live in California. One of them has high cholesterol and now prostate cancer, but he's not having the surgery. His doctor says his cancer is very slow growing. Both. . . Yes, both have high blood pressure. Both my parents had high blood pressure, and so do I, so you might say that runs in my family. Is your father still alive? No. I'm sorry to hear that Thank you. Any family history of stomach cancer? No. Any family history of ulcers? (No matching questions found.) Any family history of liver disease? No, not that I know of. When was your last meal?5/28/2018 Focused Exam: Abdominal Pain | Completed | Shadow Health https://chamberlain.shadowhealth.com/assignment_attempts/3534350 20/29 Question 05/28/18 3:39 PM CDT Educate 05/28/18 3:39 PM CDT Question 05/28/18 3:40 PM CDT Question 05/28/18 3:40 PM CDT Educate 05/28/18 3:40 PM CDT Question 05/28/18 3:41 PM CDT Question 05/28/18 3:42 PM CDT I haven't been eating much at all lately. . . the last time I ate was this morning, a little toast. Do you typically eat three meals a day? Usually three, but sometimes I skip breakfast. I don't eat snacks. Breakfast is the most important meal of the day. You should never skip meals Thank you for explaining that. What do you normally eat for breakfast? For breakfast? I eat fruit, usually a banana. What do you normally eat for lunch? Sometimes I skip lunch if I'm not feeling hungry, but usually I eat something light, like soup. You should never skip a meal. Thank you for explaining that. What do you normally eat for dinner? Usually fish or chicken--a good protein--with rice and a vegetable. Do you take any fiber supplements? No, I don't take any extra fiber. My diet is very healthy.5/28/2018 Focused Exam: Abdominal Pain | Completed | Shadow Health https://chamberlain.shadowhealth.com/assignment_attempts/3534350 21/29 Educate 05/28/18 3:42 PM CDT Question 05/28/18 3:43 PM CDT Question 05/28/18 3:43 PM CDT Educate 05/28/18 3:44 PM CDT Question 05/28/18 3:44 PM CDT Empathize 05/28/18 3:44 PM CDT Question 05/28/18 3:44 PM CDT Question 05/28/18 3:45 PM CDT On occasion there may be a need to take an additional fiber. Thank you for explaining that. How do you get your fiber? I have at least one vegetable each day. Any increase in thirst? I haven't felt noticeably thirsty. I suppose I've been drinking a little less water than usual, just in these last few days. It is important to drink six to eight glasses of water per day. Thank you for explaining that. How much water do you typically drink in a day Usually I drink, oh, six glasses of water a day. But it's been difficult to drink much in the last few days. I understand. Thank you. Do you drink any caffeinated drinks? No. I avoid caffeinated drinks altogether. Do you drink soda?5/28/2018 Focused Exam: Abdominal Pain | Completed | Shadow Health https://chamberlain.shadowhealth.com/assignment_attempts/3534350 22/29 Question 05/28/18 3:45 PM CDT Question 05/28/18 3:45 PM CDT Question 05/28/18 3:46 PM CDT Question 05/28/18 3:47 PM CDT Educate 05/28/18 3:47 PM CDT Question 05/28/18 3:47 PM CDT Question 05/28/18 3:47 PM CDT Question 05/28/18 3:47 PM CDT No, I never do. Do you drink tea? I mostly just drink water. Sometimes chamomile tea. How often do you drink chamomile tea (No matching questions found.) Have you ever smoke cigarettes? I've never smoked a cigarette in my life. What a sad habit. Using illegal drugs? (Clarified to Have you ever taken illegal drugs.) I have never used drugs of any kind. That is good to know and you should never start. Thank you for explaining that. Do you drink alcohol? Yes, but very little. How much alcohol do you drink a week? On Sundays, I have my only drink for the week. What alcoholic beverage do you drink?5/28/2018 Focused Exam: Abdominal Pain | Completed | Shadow Health https://chamberlain.shadowhealth.com/assignment_attempts/3534350 23/29 Question 05/28/18 3:48 PM CDT Question 05/28/18 3:48 PM CDT Question 05/28/18 3:49 PM CDT Question 05/28/18 3:50 PM CDT Question 05/28/18 3:50 PM CDT Question 05/28/18 3:50 PM CDT Question 05/28/18 3:51 PM CDT Question 05/28/18 3:51 PM CDT I always have one glass of wine. A dry white wine. How many drinks a month do you have? I only have a drink on Sundays, and then only one glass of white wine -- four drinks each month. That seems very moderate to me. What are you doing when drinking wine? (No matching questions found.) When was your last pap smear? A pap smear? I haven't had one in years. Ten years, at least. Do you feel healthy? In general? I exercise, I eat right, I keep busy. Usually, I feel good. I'm lucky. Ever had STI testing? My gentleman friend has. . . physical limitations. We don't have intercourse. Last colonoscopy? (No matching questions found.) When was your last colonoscopy? I remember having a flu shot. . . maybe a year ago. Two years ago. Something like that. Ever had a colonoscopy? (No matching questions found.) Have you ever had a colonoscopy5/28/2018 Focused Exam: Abdominal Pain | Completed | Shadow Health https://chamberlain.shadowhealth.com/assignment_attempts/3534350 24/29 Question 05/28/18 3:51 PM CDT Question 05/28/18 3:52 PM CDT Question 05/28/18 3:54 PM CDT Question 05/28/18 3:54 PM CDT Question 05/28/18 3:54 PM CDT Question 05/28/18 3:55 PM CDT Question 05/28/18 3:55 PM CDT Question 05/28/18 3:55 PM CDT I've had two colonoscopies. The last one was ten years ago. Are you independent in your activity level? I enjoy staying busy -- but not too busy. I take classes at the community center--water aerobics, and now Pilates. And I love to walk. My friend and I walk to the botanical gardens, once a week. I garden as well. Those are all nice ways to spend my time. Do you live alone? No. I live with my daughter, Jennifer. Do you have a strong family support I am fortunate that I have a daughter who takes care of me the way she does. And my gentleman friend Max is also very supportive. Any recent travel? No, I haven't gone on any trips in several years. Are you currently sexually active I have a gentleman friend and, yes... We are intimate. Vaginal intercourse? (No matching questions found.) Do you have vaginal intercourse (Clarified to Do you have vaginal intercourse?.)5/28/2018 Focused Exam: Abdominal Pain | Completed | Shadow Health https://chamberlain.shadowhealth.com/assignment_attempts/3534350 25/29 Educate 05/28/18 3:56 PM CDT Question 05/28/18 3:56 PM CDT Question 05/28/18 3:57 PM CDT Question 05/28/18 3:57 PM CDT Question 05/28/18 3:57 PM CDT Question 05/28/18 3:57 PM CDT Empathize 05/28/18 3:58 PM CDT Question 05/28/18 3:58 PM CDT We are sexual, but we don't. . . we have oral sex, but no intercourse. Intercourse is a very important part of a relationship. Thank you for explaining that. Any recent fever? No, I don't believe so. Any recent chills? (No matching questions found.) Chills? No. But I did feel a bit clammy when I had my digestive upset a few days ago. Night sweats? No. That is not a problem for me. Feeling of exhaustion? Well, I don't feel unnaturally tired or weak. But I have experienced low energy, like I need to rest more often. I'm sorry to hear that Thank you. Any bloating?5/28/2018 Focused Exam: Abdominal Pain | Completed | Shadow Health https://chamberlain.shadowhealth.com/assignment_attempts/3534350 26/29 Question 05/28/18 3:58 PM CDT Question 05/28/18 3:59 PM CDT Question 05/28/18 3:59 PM CDT Empathize 05/28/18 3:59 PM CDT Question 05/28/18 3:59 PM CDT Question 05/28/18 4:00 PM CDT Question 05/28/18 4:00 PM CDT Not usually, but now I feel very bloated. Any increase in flatus? (No matching questions found.) gas? Hm. I have been experiencing some of that. Recent loss of appetite? (Clarified to how long have you noticed decrease in appetite.) It's been hard to eat since the belly pain got much worse, about two or three days ago. When I do eat--my daughter Jennifer makes sure I have a little something--it only makes me feel worse. I'm sorry to hear that Thank you. Loss of appetite? (Clarified to have you lost your appetite.) Yes. I haven't eaten much these last few days. Any nausea? No. I haven't vomited or had any nausea. It's more of a problem with pain. . . and difficulty going to the bathroom. Any recent weight changes? No, not that I've noticed. Any exposure to food poisoning? (No matching questions found.)5/28/2018 Focused Exam: Abdominal Pain | Completed | Shadow Health https://chamberlain.shadowhealth.com/assignment_attempts/3534350 27/29 Question 05/28/18 4:00 PM CDT Question 05/28/18 4:00 PM CDT Question 05/28/18 4:01 PM CDT Question 05/28/18 4:01 PM CDT Question 05/28/18 4:02 PM CDT Question 05/28/18 4:02 PM CDT Question 05/28/18 4:02 PM CDT Question 05/28/18 4:02 PM CDT food poisoning? (Clarified to Could you have had food poisoning?.) No, I didn't eat anything unusual. Painful urination? No. It feels just the same as always. Burning with urination? No, my urination has felt normal. Any history of UTIs? I don't remember ever having one, no. Urinary incontinence? I've never had problems with. . . controlling myself. Any gynecological problems? No. I don't have problems with that area. Vaginal bleeding? No.5/28/2018 Focused Exam: Abdominal Pain | Completed | Shadow Health https://chamberlain.shadowhealth.com/assignment_attempts/3534350 28/29 Question 05/28/18 4:02 PM CDT Question 05/28/18 4:03 PM CDT Question 05/28/18 4:03 PM CDT Question 05/28/18 4:03 PM CDT Question 05/28/18 4:03 PM CDT Question 05/28/18 4:04 PM CDT Question 05/28/18 4:04 PM CDT Question 05/28/18 4:04 PM CDT Vaginal discharge? I think I have the normal amount of vaginal discharge. . . it all seems fine. Menopause? (No matching questions found.) Have you gone through menopause? Yes. I was 54 when I went through the change. Any history of kidney problems? No, I've never had any kidney trouble. Any history of bladder problems? No. Sore throat? No. My throat is fine. Cough? No, I haven't been coughing at all. Any difficulty swallowing? No. I am able to swallow without any problems.5/28/2018 Focused Exam: Abdominal Pain | Completed | Shadow Health https://chamberlain.shadowhealth.com/assignment_attempts/3534350 29/29 Question 05/28/18 4:05 PM CDT Question 05/28/18 4:05 PM CDT Question 05/28/18 4:05 PM CDT Question 05/28/18 4:05 PM CDT Difficulty breathing? (Clarified to Do you currently have shortness of breath?.) No. My breathing is fine. Any chest pain? No, I don't ever experience chest pain. Any chest tightness? No. Any change in taste? My sense of taste has not changed. Comments If your instructor provides individual feedback on this assignment, it will appear here. © Shadow Health® 2018 [Show More]

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