NR-509 Generalized Abdominal Pain

NR-509 Generalized Abdominal Pain

NR-509 Generalized Abdominal Pain

EPISODIC ASSESSMENT / GENERALIZED ABDOMINAL PAIN

INTRODUCTION

_____1. Introduces self as NP student (1)

_____2. Acknowledges purpose of exam (complete H&P or episodic visit) (1)

_____3. Asks open-ended questions to begin and narrows down to closed ended questions (1)

_____4. Asks questions in an appropriate, professional, manner (1)

 

CC / HPI

_____1.  Includes the following:

• Onset (2)
• Location (2)
• Duration/Timing (2)
• Characteristics/Quality/Severity (2)
• Aggravating factors/Associated Symptoms (2)
• Relieving factors (2)
• Treatment/Medications/Remedies (2)

 

_____2.  Summarizes HPI at end of information gathering (1)

PMH

_____1.  Major childhood illnesses (1)          _____5.  Immunizations (1)

_____2.  Major adult illnesses (1)                  _____6.  Allergies to medications, foods and environment (2)

_____3.  Surgeries (1)                                       _____7.  Medications (including RX, OTC, herbal) (2)

_____4.  Hospitalizations  (1)

 

FAMILY HISTORY

_____1.  Asks about both parents  (1)

_____2.  Siblings   (1)

 

SOCIAL HISTORY

_____1.  Living Situation (1)

_____2.  Children  (1)

_____3.  Job (1)

 

HABITS

_____1.  Tobacco (1)

_____2.  ETOH /Illegal Drug Use (1)

ROS

_____1. Constitutional (1)                              ______4. GI (1)

_____2.  HEENT   (1)                                       ______5. GU (1)

_____3.  Cardiovascular/Lungs (1)

 

Sub-total History Points                  ______/40

 

EPISODIC PHYSICAL EXAMINATION

 

EARS, NOSE SINUSES, MOUTH, AND PHARYNX

____1. Otoscopic examination of ears (2)

____2. Examines mouth and throat (2)

 

CHEST/PULMONARY/CARDIOVASCULAR

_____1.  Auscultates breath sounds anterior lung fields (4)

_____2.  Auscultates heart (4)

 

ABDOMEN

_____1.  Inspects abdomen with full exposure all quadrants. Note contour, symmetry, umbilicus, skin, pulsation or movement (6)

_____2.  Auscultates for bowel and vascular sounds in all quadrants (6)

_____3.  Percusses in all quadrants of abdomen including percussing over liver and spleen (6)

_____4.  Palpates lightly all quadrants  (6)

_____5.  Palpates deeply all quadrants    (6)

_____6.  Checks specifically for liver and spleen enlargement (6)

_____7.  Perform Iliopsoas Muscle Test (2)

_____8.  Perform Murphy Sign (2)

_____9.  Perform Blumberg Sign (2)

 

BACK

_____1. Percuss for Costovertebral Angle Tenderness (6)

 

Sub-total Physical Exam Points:                            ______/60

 

Grand Total Points                                                   ______/100

Score of 84% or greater is required to pass

 

Faculty Comments:

 

 

 

Faculty Signature:  ___________________________________________ Date: ________________

NR-509 Generalized Abdominal Pain

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