Description
Shadow Health: Abdominal Tina Jones
Assignment Description: Assess the Abdominal system of Tina Jones, a Digital Standardized Patient. Interview and examine the patient, document your findings, and complete post-exam activities.
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Estimated Time to Complete: 45-65 minutes
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Solution: Shadow Health: Abdominal Tina Jones
Category
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.
Relevant Medical History
Finding:
Asked about current stomach and bowels
Finding:
Denies current abdominal issues
(Found)
Pro Tip: Asking Tina whether she is currently experiencing any stomach or bowel difficulties helps you determine her ability to receive an interview and her need for immediate care.Example Question:
Do you have any current abdominal issues?
Finding:
Asked about typical bowel habits
Finding:
Reports a bowel movement every two days
(Found)
Pro Tip: Asking Tina how often she has bowel movements is significant in understanding her gastrointestinal symptoms, as the bowels can cause or be caused by numerous conditions.Example Question:
How often do you have a bowel movement?
Finding:
Reports last bowel movement was yesterday morning
(Available)
Pro Tip: Asking Tina when her last bowel movement was is significant in understanding her gastrointestinal symptoms, as a long period of time between bowel movements can indicate an underlying condition and potential discomfort.Example Question:
When was your last bowel movement?
Finding:
Asked about constipation
Finding:
Denies constipation
(Found)
Pro Tip: Asking Tina about any constipation she experiences is significant in understanding her gastrointestinal symptoms, as constipation can be uncomfortable and point to an underlying condition.Example Question:
Have you been constipated?
Finding:
Denies hard stools
(Found)
Pro Tip: Asking Tina about any hard stools she experiences is significant in understanding her gastrointestinal symptoms, as hard stools can be uncomfortable and point to an underlying condition.Example Question:
Have you had hard stools?
Finding:
Denies straining during bowel movement
(Available)
Pro Tip: Asking Tina about any straining she experiences during bowel movements is significant in understanding her gastrointestinal symptoms, as straining can be uncomfortable and point to an underlying condition.Example Question:
Do you strain during a bowel movement?
Finding:
Asked about diarrhea
Finding:
Denies diarrhea
(Found)
Pro Tip: Asking Tina whether she is currently experiencing any diarrhea helps you determine her ability to receive an interview and her need for immediate care.Example Question:
Do you have diarrhea?
Finding:
Followed up on stool characteristics
Finding:
Reports stool is formed
(Found)
Pro Tip: Asking Tina if her stools are formed is significant in understanding her gastrointestinal symptoms and any potential conditions.Example Question:
Are your stools formed?
Finding:
Reports color is medium-brown
(Available)
Pro Tip: Asking Tina what colors her stools are is significant in understanding her gastrointestinal symptoms and any potential conditions.Example Question:
What color are your stools?
Finding:
Denies blood in stool
(Available)
Pro Tip: Asking Tina if her stools contain blood is significant in understanding her gastrointestinal symptoms and any potential conditions.Example Question:
Do you notice blood in your stool?
Finding:
Denies mucus in stool
(Available)
Pro Tip: Asking Tina if her stools contain mucus is significant in understanding her gastrointestinal symptoms and any potential conditions.Example Question:
Do you notice mucus in your stool?
Finding:
Asked about gassiness
Finding:
Denies excessive gassiness
(Found)
Pro Tip: Symptoms often vary from patient to patient. Asking Tina about the symptoms she is experiencing, like gas, details the way her individual symptoms and pain manifest.Example Question:
Have you been feeling gassy?
Finding:
Denies bloating
(Available)
Pro Tip: Symptoms often vary from patient to patient. Asking Tina about the symptoms she is experiencing, like bloating, details the way her individual symptoms and pain manifest.Example Question:
Have you been experiencing bloating?
Finding:
Asked about nausea
Finding:
Denies nausea
(Found)
Pro Tip: Symptoms often vary from patient to patient. Asking Tina about the symptoms she is experiencing, like nausea, details the way her individual symptoms and pain manifest.Example Question:
Have you been having nausea?
Finding:
Asked about vomiting
Finding:
Denies vomiting
(Found)
Pro Tip: Symptoms often vary from patient to patient. Asking Tina about the symptoms she is experiencing, like vomiting, details the way her individual symptoms and pain manifest.Example Question:
Have you been vomiting recently?
Finding:
Asked about food intolerance
Finding:
Denies food intolerance
(Found)
Pro Tip: Certain foods can cause people to become ill depending on their personal physiology. Asking Tina whether there are foods she can’t tolerate allows you to determine her need for follow-up tests or diet recommendations.Example Question:
Are there any foods that make you sick?
Finding:
Asked about appetite changes
Finding:
Reports recent increase in appetite
(Found)
Pro Tip: Pain can have a substantial effect on diet and appetite. Asking Tina if her appetite has increased will illustrate the ways in which her symptoms are manifesting.Example Question:
Has your appetite increased?
Finding:
Reports appetite increase started about a month ago
(Available)
Pro Tip: Pain can have a substantial effect on diet and appetite. Asking Tina when her appetite increased will illustrate the ways in which her symptoms are manifesting.Example Question:
When did your appetite increase?
Finding:
Asked about GERD and heartburn
Finding:
Denies heartburn
(Found)
Pro Tip: Symptoms often vary from patient to patient. Asking Tina about the symptoms she is experiencing, like heartburn, details the way her individual symptoms and pain manifest.Example Question:
Do you have heartburn?
Finding:
Denies chest pain
(Available)
Pro Tip: Symptoms often vary from patient to patient. Asking Tina about the symptoms she is experiencing, like chest pain, details the way her individual symptoms and pain manifest.Example Question:
Do you ever get chest pain?
Finding:
Denies history of GERD
(Available)
Pro Tip: Symptoms often vary from patient to patient. Asking Tina about the symptoms she is experiencing, like GERD, details the way her individual symptoms and pain manifest.Example Question:
Have you ever had GERD?
Finding:
Asked about urinary problems
Finding:
Reports increased urination
(Found)
Pro Tip: Bladder dysfunction can indicate a GI problem. Asking Tina if she has been urinating more than usual can help you to determine the cause of Tina’s symptoms.Example Question:
Have you been urinating more frequently?
Finding:
Reports waking up to urinate during the night
(Available)
Pro Tip: Bladder dysfunction can indicate a GI problem. Asking Tina if she has to wake up to urinate can help you to determine the cause of Tina’s symptoms.Example Question:
Are you waking up in the middle of the night to urinate?
Finding:
Denies incontinence
(Available)
Pro Tip: Bladder dysfunction can indicate a GI problem. Asking Tina if she is having bladder control problems can help you to determine the cause of Tina’s symptoms.Example Question:
Are you having bladder control problems?
Finding:
Denies painful or difficult urination
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Related: (Completed) Shadow Health: Musculoskeletal Tina Jones
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