NR 509 GASTROINTESTINAL RESULTS Transcript Shadow Health (NR509)

Exam (elaborations) NR 509 GASTROINTESTINAL RESULTS Transcript Shadow Health (NR509) Gastrointestinal Results | Turned In Advanced Health Assessment - Chamberlain, NR509-April-2018 Return to Assignment Your Results Lab Passss Started: May 29, 2018 | Patient Exam Time: 198 min Transcript Greet 05/29/18 10:20 AM CDT Question 05/29/18 10:20 AM CDT Question 05/29/18 10:24 AM CDT Question 05/29/18 10:26 AM CDT Question 05/29/18 10:35 AM CDT Overview Transcript Subjective Data Collection Objective Data Collection Education & Empathy Documentation Lifespan Review Questions Self-Reflection IIntterrvviiew Quessttiionss (()) Sttattementtss ((1177)) Exxam Acttiionss ((5588)) Hellllo myy name iiss Sarra an FNP ssttudentt and wiillll be iintterrvviiewiing yyou ttodayy Hey. wiillll yyou ssttatte yyourr name ((Cllarriifified tto whatt iiss yyourr name..)) Tina Jones. whatt iiss yyourr datte off biirrtth February 17th. how olld arre yyou ? I'm 28. whatt brroughtt yyou iin tto tthe clliiniic ttodayy? I've been having this stomach pain for awhile. It keeps coming back, and it really is starting to bother me. Allll Liiness (()) 5/29/2018 Gastrointestinal | Completed | Shadow Health Empathize 05/29/18 10:38 AM CDT Question 05/29/18 10:41 AM CDT Question 05/29/18 10:42 AM CDT Question 05/29/18 10:43 AM CDT Question 05/29/18 10:44 AM CDT Question 05/29/18 11:00 AM CDT Question 05/29/18 11:00 AM CDT Sorry you are feeling so bad Thanks for understanding. when do you notice the pain? (Clarifified to when does the pain start.) It starts pretty quickly after I finish eating. Like within ten or fifteen minutes. when did the pain start? Probably at least a month ago. Maybe longer. It started out really minor so it took me awhile to realize it was getting bad. Where is the pain located? It's like... my upper stomach. Like right below my breastbone, in the middle. describe how the pain feels? Um, it feels like heartburn. But sometimes, if it's bad, it's sharper than that. Does the pain increase? Yeah, it's getting worse over time. I get these stomach pains every day. Is there an increase in pain? (Clarifified to Did the pain change?.) Yeah, it's getting worse over time. I get these stomach pains every day. How many times a week are you getting this PAIN 5/29/2018 Gastrointestinal | Completed | Shadow Health Question 05/29/18 11:01 AM CDT Question 05/29/18 11:03 AM CDT Question 05/29/18 11:04 AM CDT Question 05/29/18 11:07 AM CDT Question 05/29/18 11:07 AM CDT Question 05/29/18 11:08 AM CDT Question 05/29/18 11:09 AM CDT Question 05/29/18 11:09 AM CDT Every time I eat it hurts a little, but 3 or 4 times a week, it'll be a lot worse. do you have this pain every day? (Clarified tto Do yyou havve abdomiinall paiin evverryy dayy..)) Yeah, it's getting worse over time. I get these stomach pains every day. when doess yyourr abdomiinall paiin begiin ((Cllarriifified tto When diid tthe abdomiinall diisscomfforrtt begiin?..)) Probably at least a month ago. Maybe longer. It started out really minor so it took me awhile to realize it was getting bad. When doess tthe paiin begiin? It starts pretty quickly after I finish eating. Like within ten or fifteen minutes. How llong doess tthe paiin llasstt? For a few hours after I eat. Wiillll yyou rratte yyourr paiin on a Paiin Scalle 0 outt off 10 Right now, it's like a 1 or 2. But after I eat, it's like a. . . 5? Ratte yyourr paiin when llyyiing down? If I've eaten and try to lie down, that's when it's the worst. Like a 6 or 7. IIss tthe paiin crrusshiing? 5/29/2018 Gastrointestinal | Completed | Shadow Health Question 05/29/18 11:10 AM CDT Question 05/29/18 11:10 AM CDT Question 05/29/18 11:10 AM CDT Question 05/29/18 11:55 AM CDT Question 05/29/18 11:55 AM CDT Question 05/29/18 11:58 AM CDT Question 05/29/18 11:59 AM CDT No. IIss tthe paiin gnawiing? No, it's not like that. IIss tthe paiin crrampiing? No, it's not like stomach cramps. Doess yyourr abdomen ttenderr tto ttouch? No. My stomach pain's not tender like that. Wherre iiss yyourr paiin llocatted It's like... my upper stomach. Like right below my breastbone, in the middle. Doess yyourr paiin rradiiatte? No, it's right in the center of my stomach, like between my belly button and my ribs. Doess yyourr paiin rradiiatte? No, it's right in the center of my stomach, like between my belly button and my ribs. Shoullderr paiin? No. 5/29/2018 Gastrointestinal | Completed | Shadow Health Question 05/29/18 11:59 AM CDT Question 05/29/18 11:59 AM CDT Question 05/29/18 11:59 AM CDT Question 05/29/18 12:00 PM CDT Question 05/29/18 12:00 PM CDT Question 05/29/18 12:00 PM CDT Question 05/29/18 12:00 PM CDT Empathize 05/29/18 12:03 PM CDT Anyy backk paiin? My back feels fine. Arrm paiin? ((Cllarriifified tto do yyou havve paiin iin yyourr arrm..)) No, it's right in the center of my stomach, like between my belly button and my ribs. Anyy flflankk paiin? No -- my pain is like, on my front. In the middle of my stomach. Whatt ssiide off yyourr ssttomach? I feel pain after I eat, multiple times throughout the day. It kinda feels like burning, like heartburn. Whatt ssiide iiss yyourr paiin on ((No mattchiing quessttiionss ffound..)) On whatt ssiide do yyou ffeell tthe paiin? ((No mattchiing quessttiionss ffound..)) IIss tthe paiin on yyourr rriightt ssiide? ((Cllarriifified tto Do yyou havve ssharrp paiin iin yyourr rriightt llowerr abdomen?..)) No, it's not at all like that. It's in the middle of my stomach. II''m ssorrrryy yyou''rre ffeelliing sso bad Thanks for saying that. Yourr paiin occurrss afftterr eattiing? 5/29/2018 Gastrointestinal | Completed | Shadow Health Question 05/29/18 12:04 PM CDT Question 05/29/18 12:04 PM CDT Question 05/29/18 12:04 PM CDT Educate 05/29/18 12:05 PM CDT Question 05/29/18 12:05 PM CDT Empathize 05/29/18 12:05 PM CDT Question 05/29/18 12:06 PM CDT Educate 05/29/18 12:07 PM CDT Yes. Every time I eat it hurts. I've been eating less because I don't like being in pain. Your pain is wiitth llarrgerr meallss? If I eat too much, or if I have something spicy. But I quit eating spicy food already. Do ffattttyy ffoodss makke iitt worrsse? ((Cllarriifified tto do yyou eatt a llott off ffattttyy ffood..)) Not too much. I mean, I like French fries and stuff, but I try not to eat them too often. Frrench ffrriiess arre conssiiderred a ffattttyy ffood.. Lett''ss ttrryy tto cutt down on tthosse ffrrench ffrriiess Alright, thanks for letting me know. IIss tthe paiin worrsse when yyou bend ovverr? Yeah. It gets worse when I bend over -- I noticed that at work. Sorrrryy tto hearr tthatt I appreciate you saying that. Doess iitt hurrtt when yyou lliie flflatt Yeah. Trryy tto rreffrraiin ffrrom bendiing ovverr att worrkk 5/29/2018 Gastrointestinal | Completed | Shadow Health Question 05/29/18 12:07 PM CDT Question 05/29/18 12:07 PM CDT Question 05/29/18 12:09 PM CDT Question 05/29/18 12:09 PM CDT Educate 05/29/18 12:10 PM CDT Question 05/29/18 12:10 PM CDT Question 05/29/18 12:11 PM CDT Thanks for telling me. Is your pain decreased bettween meallss? No, it's gotten worse and worse over time. How do yyou ffeell bettween meallss? Yeah, I usually have a couple of snacks during the day. IIss yyourr paiin betttterr when yyou ssiitt up? Usually, yeah. Anyy decrreasse iin appettiitte? Yeah, I haven't been wanting to eat lately. IItt iiss iimporrttantt tthatt yyou ssttiillll eatt 3 ttiimess a dayy That makes sense. You eatt outt? I try not to eat out too much, but with my schedule I end up having to. Arre yyou eattiing ssmallllerr meallss? ((Cllarriifified tto Havve yyou been eattiing ssmallllerr meallss tthan ussuall..)) Yeah, I've been trying to eat really little meals. I haven't been that hungry, and I don't want to have the pain of eating a big meal. 5/29/2018 Gastrointestinal | Completed | Shadow Health Question 05/29/18 12:11 PM CDT Question 05/29/18 12:13 PM CDT Question 05/29/18 12:13 PM CDT Exam Action 05/29/18 12:24 PM CDT Exam Action 05/29/18 12:25 PM CDT Exam Action 05/29/18 12:25 PM CDT Exam Action 05/29/18 12:25 PM CDT Exam Action 05/29/18 12:25 PM CDT Exam Action 05/29/18 12:28 PM CDT Exam Action 05/29/18 12:29 PM CDT Exam Action 05/29/18 12:29 PM CDT Are you eattiing sspiicyy ffoodss? Well, I used to eat spicy food sometimes, but in the last few weeks I can't. It makes my stomach pain too bad. Anyy iincrreasse iin burrpiing? Yeah, that's been happening after I eat. Anyy rrecentt weiightt llossss? No, I don't think so. Tesstted sskkiin tturrgorr on fforrearrm IInsspectted rriightt ssiide off abdomen IInsspectted ffrrontt off abdomen IInsspectted llefftt ssiide off abdomen IInsspectted ffrrontt off abdomen Ausscullttatted