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Shadow Health Assessment

Tina Jones — Gastrointestinal

Complete Shadow Health GI assessment from STU NUR504. Score 98.1% — Subjective 31/31 (100%). 127-line transcript covering upper abdominal pain after meals, complete abdominal examination, bowel sounds and diagnosis of GERD without esophagitis.

Score 98.1%Subjective 31/31127-Line TranscriptSTU NUR504
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Shadow Health Assessment

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Clinical Overview

Tina Jones — Gastrointestinal

Tina Jones presents with upper abdominal pain for one month that occurs daily, worsening 3–4 times per week. She rates pain at 5/10 and describes it as burning, occurring after meals. She denies dysphagia, nausea, vomiting, or blood in stool.

The GI assessment covers the complete abdominal history including OLDCARTS pain analysis, dietary history, and bowel habits. Physical examination documents a soft, protuberant abdomen with normoactive bowel sounds in all four quadrants, liver span within normal limits.

Subjective Data Collection scored 31/31 (100%) — a near-perfect module. Diagnosis: GERD without evidence of esophagitis.

Primary Diagnosis: GERD without evidence of esophagitis
What is included in each document?
  • Full 127-line interview transcript
  • Subjective Data Collection — 31/31 (100%)
  • OLDCARTS pain analysis — complete
  • Abdominal inspection, auscultation, percussion, palpation
  • Bowel sounds all four quadrants
  • Liver span measurement
  • EHR Provider Notes — student and model
  • Diagnosis: GERD with rationale