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Focused Exam: Abdominal Pain Esther Park Shadow Health Complete Assignment Solution

Esther Park is a 78-year-old Korean woman presenting with abdominal pain in the
ED. the abdominal pain is a 6 and described as a constant dull, crampy feeling
low low in her abdomen that began as a general discomfort about 5 days ago
when the patient states she began having difficulties going to the bathroom and
has not had a bowel movement for several days. The pain worsens when she
moves around a lot or eats something. The only surgeries she has had is
gallbladder removal and C-section, both in her 40s. She takes 10mg of Accupril
daily. She has pain in her LLQ of her abdomen when percusses. Upon palpation of
the LLQ a firm, oblong mass approximately 2X4cm was noted.
Scored Items
Experts selected these topics as essential components of a strong, thorough
interview with this patient.
Patient Data
Not scored
a combination of open and closed questions will yield better patient data. The
following details are facts of the patient's case.
History of Presenting Illness

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.
Example Question:
Do you have any abdominal pain?

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