Patient Info: Esther Park, 78 years, Asian female
CC: Patient states that they are "having pain in her
belly" and that she is having trouble "going to the
bathroom."
HPI: The patient, Ms. Park, came into the office
...
Patient Info: Esther Park, 78 years, Asian female
CC: Patient states that they are "having pain in her
belly" and that she is having trouble "going to the
bathroom."
HPI: The patient, Ms. Park, came into the office
complaing of abdominal pain and not being able to
have a bowel movement. She states that this pain
started 5 days ago and has gotten worse over the
past 2 to 3 days. The pain is in the lower abdomen
and does not radiate. She does not have pain
anywhere else. She states that her current
abdominal pain could be rated a 6 out of 10. She
describes the pain as "dull and crampy." She states
that it does get worse sometimes, especially after
physical activity or eating. She states that resting
does help, but the only treatment she has pursued is
"taking small sips of warm water," a method her
friend infromed her of. This has not been an effective
treatment. She states that she is not being able to go
about her normal daily activities due to the pain. She
also reports a low energy level. She is currently
constipated, and issue that she has no history of.
She has been constipated for about 5 days, but has
not pursued any treatment. She had a bout of
diarrhea about 3 days ago that she described as
"loose and watery." It lasted for one day. Before the
onset of the abdominal pain 5 days ago, the patient
states that they had normal bowel habits, but has not
had a movement in 3 days. No mucus or blood in
stool. Patient states that the frequency of her
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