Dictation Practice – Part A07

On a scale of 1 to 10 last night, how bad was the pain?

When it first started, were you doing anything in particular? Did you lift something heavy? (No) Did you twist? Was there any trauma?

Have you ever had any problems with this kind of pain before? (No) Similar pain? (No) This is the first time.

Tell me about your health. Do you have any other medical problems?

Family history in particular of bleeding tendencies or blood clot problems?

So I’m going to examine you. Okay.

So if you want to bring your legs down here, just bring them down gently. I know it’s gonna hurt a little bit. Okay. And now I’m going to just have a look at your abdomen.

Okay. So we’re going to just expose here. And I’m gonna look to see if your abdomen is distended. (Do) you feel bloated at all with your belly all swollen up?

Okay. So it looks good, I don’t see any swelling of your abdomen or any bulging anywhere. So, now I’m going to um give little taps.

Okay. So show me the area where you are sore.

Now, I’m just going to lightly palpate just on the top like that. That’s all Okay. How about down here? That hurts a bit. Okay.

Now, I’m gonna go deeper down. Okay. That’s okay there? And if I press here, do you feel a little bit. And where do you feel that when I’m pressing here? So you feel it on that side. Okay.

Now I’m gonna go deeper here. Okay. So I do see that your muscles are tensing up when I’m doing that. Okay.

I’m gonna do another test where I’m going to press down and I’m gonna let go. Okay. So you tell me if it hurts, So I’m gonna press down, I know it hurts here. I’m gonna let go.

Okay. That does hurt. And I’m going to do it on this side too. I’m gonna press down. Okay. I’m gonna let go.

That really hurts. Okay. Sorry about that.

And I’m gonna listen for your bowel sounds. Okay. And I should have done this before palpitating you, but let me have a listen here. Okay. So I’m just gonna listen in all four quadrants in all areas of the abdomen.

Very good. So your bowel sounds are okay? So we see that the gasses is going through so that there’s no blockage there. Okay.

So now I’m gonna ask you to lift up your leg. Okay. And keep it up. So, well let’s bring your leg out of the blanket. We will make it easier for you. Just bring it up in the air like that and just don’t let me push your leg down. You tell me if it hurts.

That does hurt. Okay. Alright. So let’s bring this down. Okay. And now I’m just going to be pressing a little bit on your kidneys back here. Does that hurt you? (No)

Okay. And how about on this side does that hurt you? And that’s good. Very good.

Now I’m gonna want to have a little bit of an examination to look at your tubes and your ovaries. We call a gynecological examination.