• 
  

  Finding:

  Established chief complaint

• 
  

  Finding:

  Reports abdominal pain

  (Found)

  Pro Tip: Abdominal pain can be caused by problems in the underlying organs, peritoneum, muscles, or blood vessels, changes in electrolytes or other blood contents, or even anxiety. Asking for details about the pain helps to determine the origin. Esther park abdominal pain focused shadow health assessment transcript, objective, subjective solved.

  Example Question:

  Do you have any abdominal pain?
• 
  

  Finding:

  Reports difficulty “going to the bathroom”

  (Found)

  Pro Tip: Understanding all of a patient’s reason for visiting is an important foundation to establish. If there are multiple symptoms, follow up on each one during your interview.

  Example Question:

  Are you able to make a bowel movement?

• 
  

  Finding:

  Asked about oxxx

• 
  

  Finding:

  Reports a feeling of xxxx

  (Found)

  Pro Tip: Wxxxx

  Example Question:

  How xxxx
• 
  

  Finding:

  Reports pain with xxxx

  (Found)

  Pro Tip: Whenever you are assessing a symptom or a health condition, inquiring about xxxx. Esther park abdominal pain focused shadow health assessment transcript, objective, subjective solved.

  Example Question:

  Has thexxxx

• 
  

  Finding:

  Asked about xxxxx

• 
  

  Finding:

  Reports xxxx

  (Found)

  Pro Tip: Identification of the location of your patient’s discomfort can provide important clues about its cause and how it should be best treated.

  Example Question:

  Where is your discomfort located?
• 
  

  Finding:

  Reports pain is not localized

  (Found)

  Pro Tip: xxxx Esther park abdominal pain focused shadow health assessment transcript, objective, subjective solved

  Example Question:

  Is the xxxxx
• 
  

  Finding:

  Reports attempts to treat pain by drinking small sips of warm water

  (Found)

  Pro Tip: Flank pain often occurs with disorders of the urinary tract. When a patient complains of flank pain, assess for co-occurring symptoms such as fever, chills, hematuria, and dysuria.

  Example Question:

  Do you have pain on your sides?

• 
  

  Finding:

  Confirmed pain rating on a scale

• 
  

  Finding:

  Reports painxxxx

  (Found)

  Pro Tip: For many people, it is difficult to clearly dxxxx.

  Example Question:

  How would you rate your pain on a scale of one to ten?

• 
  

  Finding:

  Asked aboutxxxx

• 
  

  Finding:

  Describes xxxx

  (Found)

  Pro Tip: Asking your patient toxhelps identify its xxxcause and the severity. Patients may not know how to answer, so you may need to suggest words like xxxx

  Example Question:

  Can you xxxxx
• 
  

  Finding:

  Reports pain is ixxx

  (Found)

  Pro Tip: It’s important to ask your patient if her pain is xxx in order to determine her level of discomfort and identify the cause of the pain. xxxx pain is often best managed with around-the-clock pain medications. Esther park abdominal pain focused shadow health assessment transcript, objective, subjective solved

  Example Question:

  Is your painxxxx

• 
  

  Finding:

  Asked about xxxxx

• 
  

  Finding:

  Reports that resting helps

  (Available)

  Pro Tip: It’s important to assess the nature of pain by asking about xxx. If you know your patient is taking xxxx, asking about the medication’s xxxx can help you xxxx.

  Example Question:

  What xxx?
• 
  

  Finding:

  Reports attempts to xxxx

  (Available)

  Pro Tip: Asking about how your patient has been xxxx. The results of her previous treatment may be helpful in your diagnosis and the development of her new xxxx, as well as a good opportunity toxxx your patient on xxxx.

  Example Question:

  How have you been xxx?
• 
  

  Finding:

  Reports xxxstomach

  (Found)

  Pro Tip: Asking about how your patient has been nxxxxes her current condition and her approach to xxxx. The results of her previous treatment may be helpful in your xxxand the development of her xxx, as well as a good opportunity to x. Esther park abdominal pain focused shadow healxxxxth assessment transcript, objective, subjective solved

  Example Question:

  Have you xxx?

• 
  

  Finding:

  Asked about xxxx

• 
  

  Finding:

  Reports pain is aggravated by eating

  (Found)

  Pro Tip: Asking you patient what aggravates her pain can point to factors that exacerbate symptoms and the ways in which your patient is approaching self-care.

  Example Question:

  Is the painxxx by xxx
• 
  

  Finding:

  Reports xx by xx

  (Found)

  Pro Tip: Asking you patient what aggravates her pain can point to factors that exacerbate symptoms and the ways in which your patient is approaching self-care.

  Example Question:

  Is the pain aggravated by xxx

• 
  

  Finding:

  Asked about activities of daily life

• 
  

  Finding:

  Reports recent difficulty participating in usual activities

  (Found)

  Pro Tip: Asking about changes in activity level will help determine the level of disability caused by your patient’s condition. Esther park abdominal pain focused shadow health assessment transcript, objective, subjective solved

  Example Question:

  How has your xxx?
• 
  

  Finding:

  Reports low xxx

  (Found)

  Pro Tip: Asking about x will help determine thxxe level of xxxxcaused by your patient’sxxxx.

  Example Question:

  Do you have x?xx

• 
  

  Finding:

  Asked aboutxxxx

• 
  

  Finding:

  Reports current xxx

  (Found)

  Pro Tip: In xxx patients, xxx is often caused byxx, xxxx side effects, xxx diets, and difficulty ambulating to the toilet, which can result in deliberate retention of   xxx

  Example Question:

  Are you xxxx?
• 
  

  Finding:

  Reports no history of xxxx

  (Available)

  Pro Tip: x

  Example Question:

  Are you xxx

• 
  

  Finding:

  Followed up aboutxxx

• 
  

  Finding:

  Reports constipation for 5 days

  (Found)

  Pro Tip: Whenever you are assessing a symptom or a health condition, inquiring about x assxxesses the xxxx and the xxx of the problem.

  Example Question:

  For how long have you beenxxxx
• 
  

  Finding:

  Reports no attempt to treat xxx

  (Found)

  Pro Tip: Asking about how your patient has been managing her pain assesses her current condition and her approach to self-care. The results of her previous treatment may be helpful in your diagnosis and the development of her new treatment plan, as well as a good opportunity to educate your patient on effective self-care practices.

  Example Question:

  How have you tried to treat thexxxx

• 
  

  Finding:

  Asked about xxxx

• 
  

  Finding:

  Reports recent xxxx

  (Found)

  Pro Tip: Whenever you are assessing a symptom or a health condition, inquiring about onset assesses the severity and the progression of the problem. Esther park abdominal pain focused shadow health assessment transcript, objective, subjective solved.

  Example Question:

  Have you recently had xxx

• 
  

  Finding:

  Followed up about xxxx

• 
  

  Finding:

  Reports xxxx

  (Found)

  Pro Tip: It’s important to ask about changes in stool characteristics because it may be a sign of a new onset of a gastrointestinal disease or disorder. xxxx is a common symptom of inflammatory bowel diseases, food allergies and intolerance, gastrointestinal infections, and many other conditions.

  Example Question:

  How long ago did you xxxx
• 
  

  Finding:

  Reports xxxx had a sudden onset

  (Found)

  Pro Tip: It’s important to ask about changes in stool characteristics because it may be a sign of a new onset of a gastrointestinal disease or disorder. xxx is a common symptom of inflammatory bowel diseases, food allergies and intolerance, gastrointestinal infections, and many other conditions.

  Example Question:

  Did the xxxx happen suddenly?
• 
  

  Finding:

  Reports diarrhea lasted one day

  (Found)

  Pro Tip: It’s important to ask about changes in stool characteristics because it may be a sign of a new onset of a gastrointestinal disease or disorder. Diarrhea is a common symptom of inflammatory bowel diseases, food allergies and intolerance, gastrointestinal infections, and many other conditions.

  Example Question:

  How long did your diarrhea last?
• 
  

  Finding:

  Describes diarrhea as loose and watery

  (Available)

  Pro Tip: Asking a patient who has diarrhea to describe her stool helps identify its cause and the severity. Patients may not know how to answer, so you may need to suggest words like frothy, greasy, floating, or watery. It is also important to inquire about the presence of blood or mucus. Esther park abdominal pain focused shadow health assessment transcript, objective, subjective solved.

  Example Question:

  How would you describe the diarrhea?

• 
  

  Finding:

  Asked about bowel movement patterns

• 
  

  Finding:

  Reports last bowel movement 3 days ago

  (Found)

  Pro Tip: Whenever you are assessing a symptom or a health condition, inquiring about onset assesses the severity and the progression of the problem.

  Example Question:

  When did the constipation start?
• 
  

  Finding:

  Reports some discomfort during bowel movement

  (Available)

  Pro Tip: It’s important to ask about changes in stool characteristics because it may be a sign of a new onset of a gastrointestinal disease or disorder.

  Example Question:

  Do you have pain during bowel movements?
• 
  

  Finding:

  Last bowel movement was diarrhea

  (Available)

  Pro Tip: It’s important to ask about changes in stool characteristics because it may be a sign of a new onset of a gastrointestinal disease or disorder. Diarrhea is a common symptom of inflammatory bowel diseases, food allergies and intolerance, gastrointestinal infections, and many other conditions.

  Example Question:

  What was the character of your last bowel movement?
• 
  

  Finding:

  Reports no mucus in stool

  (Found)

  Pro Tip: While small amounts of mucus may be present in normal stool, increased mucus in the stool is associated with a variety of intestinal disorders.

  Example Question:

  Has there been mucus in your stool?
• 
  

  Finding:

  Reports no blood in stool

  (Found)

  Pro Tip: Bloody stool is an alarming symptom that indicates bleeding in the digestive tract. Bright red bloody stool suggests bleeding in the colon or rectum. Bloody stool that appears black or tarry suggests bleeding in upper digestive tract, such as the small intestine or stomach.

  Example Question:

  Has there been blood in your stool?
• 
  

  Finding:

  Reports typically having a bowel movement almost every day

  (Found)

  Pro Tip: Asking about usual bowel movements facilitates baseline data collection. Asking specifically about bowel movement frequency aids in the identification of abnormalities.

  Example Question:

  How many bowel movements do you typically have per week?
• 
  

  Finding:

  Reports stools usually brown, formed, and soft

  (Found)

  Pro Tip: Asking about usual bowel movements facilitates baseline data collection. Asking specifically about bowel movement frequency aids in the identification of abnormalities. Esther park abdominal pain focused shadow health assessment transcript, objective, subjective solved.

  Example Question:

  Can you describe a typical bowel movement?

• 
  

  Finding:

  Asked about urination

• 
  

  Finding:

  Reports recent, slight decrease in frequency of urination

  (Found)

  Pro Tip: Frequency of urination can be an important clue to many underlying conditions. It’s important to ask whether your patient has noticed changes in her typical habits.

  Example Question:

  Have you had any changes in the frequency of your urination?
• 
  

  Finding:

  Reports darker urine recently

  (Found)

  Pro Tip: Darker urination can be an important clue to many underlying conditions like cirrhosis or hepatitis. It’s important to ask whether your patient has noticed changes in her typical urinary patterns.

  Example Question:

  Has your urine been darker recently?
• 
  

  Finding:

  Reports no blood in urine

  (Found)

  Pro Tip: Blood in the urine can be an important clue to many underlying conditions like cancer or kidney problems. It’s important to ask whether your patient has noticed changes in her typical urinary patterns.

  Example Question:

  Have you had blood in your urine?

• 
  

  Finding:

  Asked about medications

• 
  

  Finding:

  Reports blood pressure medication

  (Found)

  Pro Tip: The medication that a patient takes will indicate any relevant health conditions, their treatment plan, and how well they comply with it. Asking about relevant medication will help you to treat your patient.

  Example Question:

  Do you take medication for your blood pressure?
• 
  

  Finding:

  Reports Accupril

  (Available)

  Pro Tip: The medication that a patient takes will indicate any relevant health conditions, their treatment plan, and how well they comply with it. Asking about relevant medication will help you to treat your patient.

  Example Question:

  What medication do you take for your blood pressure?
• 
  

  Finding:

  Accupril is 10 mg

  (Found)

  Pro Tip: The medication that a patient takes will indicate any relevant health conditions, their treatment plan, and how well they comply with it. Asking about relevant medication will help you to treat your patient.

  Example Question:

  What dose of blood pressure medication do you take?
• 
  

  Finding:

  Taken daily at 8 a.m.

  (Found)

  Pro Tip: The medication that a patient takes will indicate any relevant health conditions, their treatment plan, and how well they comply with it. Asking about relevant medication will help you to treat your patient. Esther park abdominal pain focused shadow health assessment transcript, objective, subjective solved

  Example Question:

  When did you last take blood pressure medication?
• 
  

  Finding:

  Reports no OTC use

  (Found)

  Pro Tip: Patients should always be asked specifically about over-the-counter medications, as many patients will overlook talking about them. Over-the-counter medications can cause medical complications of their own or can indicate medical problems that your patient has been attempting to self-treat.

  Example Question:

  Do you take any over-the-counter medications?

• 
  

  Finding:

  Asked about allergies

• 
  

  Finding:

  Reports latex allergy

  (Found)

  Pro Tip: Latex allergies can cause severe and even life-threatening consequences. Always asking specifically about allergies can help ensure that your patient does not receive medication or treatment that will do her harm.

  Example Question:

  Are you allergic to latex?
• 
  

  Finding:

  Reports no medication allergies

  (Found)

  Pro Tip: Medication allergies can cause severe and even life-threatening consequences. Always asking specifically about these allergies can help ensure that your patient does not receive medication that will do her harm.

  Example Question:

  Are you allergic to any medications?
• 
  

  Finding:

  Reports no food allergies

  (Found)

  Pro Tip: Knowing your patient’s food allergies prevents your patient from receiving harmful food, and it helps to identify specific allergies–such as shellfish or eggs–which can contraindicate the administration of common medications or treatments that include derivatives of these substances.

  Example Question:

  Do you have any food allergies?

• 
  

  Finding:

  Asked about general known health conditions

• 
  

  Finding:

  Reports hypertension

  (Found)

  Pro Tip: It’s best to determine specifically whether or not the condition has been diagnosed by a healthcare professional.

  Example Question:

  Do you have high blood pressure?
• 
  

  Finding:

  Diagnosed with hypertension at age 54

  (Available)

  Pro Tip: Learning the diagnosis date of your patient’s illness is an essential element of the illness’s history.

  Example Question:

  At what age were you diagnosed with hypertension? Esther park abdominal pain focused shadow health assessment transcript, objective, subjective solved

• 
  

  Finding:

  Asked about relevant gastrointestinal history

• 
  

  Finding:

  Reports no history of gastrointestinal disorders

  (Found)

  Pro Tip: Broad open questions are efficient and useful in eliciting a large amount of information from your patient. Asking about any gastrointestinal problems helps guide your assessment.

  Example Question:

  Do you have any GI conditions?
• 
  

  Finding:

  Reports no history of GERD, heartburn, or ulcer

  (Found)

  Pro Tip: If a patient has a history of GERD, ulcer, heartburn, or perceived indigestion, it could contribute to her present condition.

  Example Question:

  Do you have a history of heartburn?
• 
  

  Finding:

  Reports no history of appendicitis

  (Found)

  Pro Tip: In patients with lower quadrant abdominal pain, confirming a previous appendectomy can help rule out appendicitis as a cause for her current symptoms. It is important to note that elderly patients with appendicitis may present atypically and often lack certain classic symptoms such as rebound tenderness, right lower quadrant pain, fever, and anorexia.

  Example Question:

  Have you ever had appendicitis?
• 
  

  Finding:

  Reports no history of stomach cancer

  (Found)

  Pro Tip: If a patient has a history of stomach cancer, abdominal pain could be a sign of recurrence.

  Example Question:

  Do you have a history of stomach cancer?
• 
  

  Finding:

  Reports no history of liver disease

  (Found)

  Pro Tip: A history of liver disease could cause additional gastrointestinal complaints for a patient.

  Example Question:

  Do you have a history of liver disease?

• 
  

  Finding:

  Asked about relevant history of surgery

• 
  

  Finding:

  Reports c-section

  (Found)

  Pro Tip: Information about your patient’s pregnancy complications can provide you with insight into past medical conditions. Esther park abdominal pain focused shadow health assessment transcript, objective, subjective solved

  Example Question:

  Did you have any complications during pregnancy?
• 
  

  Finding:

  C-section at age 40

  (Found)

  Pro Tip: Information about your patient’s pregnancy can provide you with insight into past medical conditions.

  Example Question:

  At what age did you have a C-section?
• 
  

  Finding:

  Reports cholecystectomy

  (Found)

  Pro Tip: Information about your patient’s past surgeries can provide you with insight into past medical conditions.

  Example Question:

  Have you had your gallbladder removed?
• 
  

  Finding:

  Cholecystectomy at age 42

  (Found)

  Pro Tip: Establishing a timeline about your patient’s past surgeries can provide you with insight into past medical conditions.

  Example Question:

  At what age did you have your gallbladder removed?
• 
  

  Finding:

  Reports no post-operative complications

  (Available)

  Pro Tip: Asking about any postoperative complications in your patient’s history may provide information relevant to identifying her present condition.

  Example Question:

  Did you have any complications after your surgery?

• 
  

  Finding:

  Asked about diet

• 
  

  Finding:

  Reports last meal was toast at breakfast

  (Found)

  Pro Tip: A healthy and balanced diet is crucial for maintaining good health. Asking Esther about her last meal will indicate her typical eating habits and allow you to assess whether her eating habits put her at risk of cardiovascular disease or other health complications.

  Example Question:

  What was your last meal?
• 
  

  Finding:

  Typically eats 3 meals

  (Found)

  Pro Tip: A healthy and balanced diet is crucial for maintaining good health. Asking Esther about what she typically eats will allow you to assess whether her eating habits put her at risk of cardiovascular disease or other health complications.

  Example Question:

  How many meals do you typically eat in a day?
• 
  

  Finding:

  Typically does not eat snacks

  (Found)

  Pro Tip: A healthy and balanced diet is crucial for maintaining good health. Asking Esther about what she typically has for a snack will allow you to assess whether her eating habits put her at risk of cardiovascular disease or other health complications.

  Example Question:

  What is a typical snack for you?
• 
  

  Finding:

  Typical breakfast is a piece of fruit

  (Found)

  Pro Tip: A healthy and balanced diet is crucial for maintaining good health. Asking Esther about what she typically eats for breakfast will allow you to assess whether her eating habits put her at risk of cardiovascular disease or other health complications.

  Example Question:

  What do you usually eat for breakfast?
• 
  

  Finding:

  Typical lunch is soup, sometimes skips lunch

  (Found)

  Pro Tip: A healthy and balanced diet is crucial for maintaining good health. Asking Esther about what she typically eats for lunch will allow you to assess whether her eating habits put her at risk of cardiovascular disease or other health complications. Esther park abdominal pain focused shadow health assessment transcript, objective, subjective solved

  Example Question:

  What do you usually eat for lunch?
• 
  

  Finding:

  Typical dinner is chicken or fish with vegetables and rice

  (Found)

  Pro Tip: A healthy and balanced diet is crucial for maintaining good health. Asking Esther about what she typically eats for dinner will allow you to assess whether her eating habits put her at risk of cardiovascular disease or other health complications.

  Example Question:

  What do you usually eat for dinner?

• 
  

  Finding:

  Asked about fiber intake

• Finding:

  Reports no fiber supplements

  (Found)

  Pro Tip: A high fiber diet helps to reduce constipation. Asking Esther if she takes fiber supplements will help you to assess whether she gets enough fiber in her diet.

  Example Question:

  Do you take fiber supplements?

• Finding:

  Reports belief that she gets enough fiber

  (Found)

  Pro Tip: A high fiber diet helps to reduce constipation. Asking Esther about her fiber consumption will help you to assess whether she gets enough fiber in her diet.

  Example Question:

  Do you think you get enough fiber?

• Finding:

  Reports getting fiber from a daily vegetable

  (Found)

  Pro Tip: A high fiber diet helps to reduce constipation. Asking Esther what sources of fiber she eats will help you to assess whether she gets enough fiber in her diet. Esther park abdominal pain focused shadow health assessment transcript, objective, subjective solved

  Example Question:

  What sources of fiber do you eat?

• Finding:

  Reports getting fiber from a daily piece of fruit

.

.

.