Assignment task:
Abdomen Focus Case AW DOB: 6/19/2000 Gender: Female Ethnicity: White American 23-year-old female presents with pain on urination and blood in urine that started 2 days ago. Stinging pain with passing urine. Noted specks of blood in urine this morning. Pain is 6/10 lower abdomen pain, 8/10 passing urine. "I'm afraid I have a STI?" PAST MEDICAL HISTORY: Depression and Hayfever Past Hospitalizations: none Past Surgeries: none MEDICATIONS: Prescription: Sertraline Non -prescription: Loratadine 10 mg 1 tab prn Herbal/Supplements: none Allergies: Penicillin: Anaphylaxis What are the questions or specifics you would ask or seek for the History of Present Illness (HPI)? SOAP: Subjective What are the questions or specifics you would ask or seek for the Review of Systems (ROS)? SOAP: Subjective What are the pertinent focus signs you will be assessing for the Physical Exam (PE)? SOAP: Objective Are there any diagnostics (labs or radiology) you would consider ordering for this patient? SOAP: Assessment