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Questions and Answers
Which type of pain should be considered when evaluating Hannah's severe pelvic pain?
Which type of pain should be considered when evaluating Hannah's severe pelvic pain?
- Neuropathic pain
- Somatic pain
- Visceral pain (correct)
- Referred pain
What is a critical aspect to consider when assessing the severity of Hannah's pelvic pain?
What is a critical aspect to consider when assessing the severity of Hannah's pelvic pain?
- Radiation of the pain
- Duration of the pain (correct)
- Frequency of the pain episodes
- Location of the pain
Which question should be prioritized when assessing Hannah's pelvic pain in front of her parents?
Which question should be prioritized when assessing Hannah's pelvic pain in front of her parents?
- What activities did you do prior to the pain onset?
- How did the pain start? (correct)
- Are you currently on any medications?
- Have you had any previous surgeries?
What additional symptom should be evaluated in conjunction with Hannah's pelvic pain?
What additional symptom should be evaluated in conjunction with Hannah's pelvic pain?
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Which of the following options may help in identifying the cause of Hannah's pelvic pain?
Which of the following options may help in identifying the cause of Hannah's pelvic pain?
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Study Notes
Patient Assessment Overview
- Severe pelvic pain can indicate various underlying medical issues such as gastrointestinal, gynecological, or urinary conditions.
- In assessing a 15-year-old, it is crucial to ensure comfort and privacy to facilitate open communication.
Important Questions for Assessment
- Duration and Onset of Pain: Asking how long the pain has persisted and whether it started suddenly or gradually helps identify urgent conditions like appendicitis or ovarian torsion.
- Associated Symptoms: Inquiring about other symptoms such as nausea, vomiting, changes in bowel or urinary habits, or menstrual irregularities can provide insights into the potential cause of pain.
Pain Management Considerations
- Simple oral analgesia was ineffective, indicating the need for further evaluation and possibly stronger pain management or emergency intervention.
- Monitoring and documenting Hannah's vital signs and pain intensity is essential for assessing the situation and response to treatment.
Importance of Parental Involvement
- Engaging with parents while allowing Hannah to express her concerns promotes a supportive environment.
- Maintaining a balance between parental involvement and adolescent privacy is important for building trust and ensuring comprehensive care.
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