share templates, calculators, and clinical decision support

Abdominal pain history

by Mark Morgan on November 24, 2010

summary, references, & relevant links
Summary: Subjective/History template for abdominal pain contributed by Dr. Scott Moses, creator/author of the Family Practice Notebook.
Reference: Dr. Scott Moses' Epic dot phrases.

---------------------------------------------------------------------------

edit details...
Patient complains of abdominal pain. Onset *** prior to evaluation Onset while: *** Associated Pain (0=none, 10=severe) Location: *** Radiation: *** Severity now (0-10): *** Severity at worst (0-10): *** Duration: *** Characterized as: ***. The pain is relieved with *** *** worse with standing *** pleuritic pain Associated Symptoms: *** decreased appetite (last ate at ***) *** nausea *** vomiting *** *** diarrhea *** constipation (last stool at ***) *** black or bloody stool *** fever *** Dysuria *** Frequency *** Hematuria Pertinent PMH *** Gall Bladder or liver disease *** GERD *** Peptic ulcer *** Pancreatitis *** Kidney stones *** Urinary tract infections *** Diverticulitis *** Inflammatory Bowel Disease *** Pelvic Infection *** Vascular disease Pertinent Past Surgeries: *** Appendectomy *** Cholecystectomy Pertinent Medications: *** NSAIDs *** Excessive Alcohol Pitfalls: *** aortic aneurysm history or risk (age over 60, tobacco history) *** pregnancy risk
(go to next fillable item)