Abdominal Pain History

Gastroenterology & Hepatology, Subjective/History Elements
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Patient complains of abdominal pain.
Onset [text] prior to evaluation
Onset while: [text]

Associated Pain (0=none, 10=severe)
Location: [text]
Radiation: [text]
Severity now (0-10): [text]
Severity at worst (0-10): [text]
Duration: [text]
Characterized as: [text].

The pain is relieved with [text]
[select value="no|YES"] <-- worse with standing
[select value="no|YES"] <-- pleuritic pain

Associated Symptoms:
[select value="no|YES"] <-- decreased appetite (last ate at [text])
[select value="no|YES"] <-- nausea
[select value="no|YES"] <-- vomiting [text]
[select value="no|YES"] <-- diarrhea
[select value="no|YES"] <-- constipation (last stool at [text])
[select value="no|YES"] <-- black or bloody stool
[select value="no|YES"] <-- fever
[select value="no|YES"] <-- Dysuria
[select value="no|YES"] <-- Frequency
[select value="no|YES"] <-- Hematuria

Pertinent PMH
[select value="no|YES"] <-- Gall Bladder or liver disease
[select value="no|YES"] <-- GERD
[select value="no|YES"] <-- Peptic ulcer
[select value="no|YES"] <-- Pancreatitis
[select value="no|YES"] <-- Kidney stones
[select value="no|YES"] <-- Urinary tract infections
[select value="no|YES"] <-- Diverticulitis
[select value="no|YES"] <-- Inflammatory Bowel Disease
[select value="no|YES"] <-- Pelvic Infection
[select value="no|YES"] <-- Vascular disease

Pertinent Past Surgeries:
[select value="no|YES"] <-- Appendectomy
[select value="no|YES"] <-- Cholecystectomy

Pertinent Medications:
[select value="no|YES"] <-- NSAIDs
[select value="no|YES"] <-- Excessive Alcohol

Pitfalls:
[select value="no|YES"] <-- aortic aneurysm history or risk (age over 60, tobacco history)
[select value="no|YES"] <-- pregnancy risk
[html]<hr>[/html][checkbox memo="display/hide references" name="footnotes" value=""][conditional field="footnotes" condition="(footnotes).is('')"][html]
reference: contributed by Dr. Scott Moses, creator/author of the <a href="http://www.fpnotebook.com" target="_blank">Family Practice Notebook</a>.[/html][/conditional]
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

display/hide references
Result - Copy and paste this output:

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