| If an individual fails to recover within the expected maximum duration period, the reader may wish to consider the following questions to better understand the specifics of an individual's medical case. Regarding diagnosis:
- What was the time course, mode of onset, and initial characteristics of pain? Did pain spread or shift? What was the character of the pain? Constant or recurrent? Vague, crampy, stabbing, or breathtaking?
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Did individual have fever, loss of appetite, nausea, vomiting, constipation, or diarrhea?
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Was abdomen tense, rigid, generally or locally tender, distended, or diminished bowel sounds?
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Did individual have pale complexion (pallor), low blood pressure (hypotension), fever, rapid heartbeat, shallow breathing, sweating, or shock? Was there a yellow tinge to the skin and whites of eyes (jaundice)? Was there blood in the urine, stool, or vomit?
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Were diagnostic tests performed to help identify cause of abdominal pain?
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Was underlying cause of abdominal pain identified?
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Was specific diagnosis confirmed?
Regarding treatment:
- Has underlying cause of pain been identified and resolved? Infection eliminated? Condition surgically repaired?
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If caused by a malignancy, is malignancy operable? If not, what other modes of treatment are available?
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Did individual respond as expected to treatment? If not, what further or alternative treatment options are planned?
Regarding prognosis:
- What is the expected outcome for this diagnosis?
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Why or in what ways does individual's course differ?
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What is expected prognosis for this diagnosis?
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What accommodations can be made to assist individual?
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Would individual benefit from referral to a pain clinic?
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Has individual experienced any complications?
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Were underlying conditions identified that may impact course of illness or recovery?
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Was a pre-existing chronic condition or illness aggravated by the present diagnosis?
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Source: Medical Disability Advisor