A seven-year-old child has been seen in the pediatric clinic three times in the last two months for complaints of abdominal pain. On each occasion, the physical exam and all ordered lab work have been normal
The most important information to assess at this time would be: 1. The child's normal eating habits.
2. Recent viral illnesses or other infectious symptoms.
3. Review of the child's immunization history.
4. Changes in school or home life.
4
Rationale 1: Because of the abdominal complaints, the child's eating habits would have already been discussed.
Rationale 2: With normal blood work and tests, the chance of any illness over the last few months is unlikely.
Rationale 3:
Rationale 4: With a normal exam and lab work, there is a high probability that this child's abdominal pain is stress-related, and it is most important to identify the possible stressors in this child's life to aid in diagnosis and treatment. Asking about changes in home or school life is most likely to get to information about recent stresses in the child's life.
Global Rationale:
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