Abdominal Pain

Patient presents to clinic with complaint of [select value= epigastric|RUQ|RLQ|LLQ|LUQ|suprapubic|general]abdominal pain. Onset [text]. Symptoms have ***trending*** [text] since onset [text]. Severity now: [text].  Severity at its worst: [text]. Patient [select value="admits to|denies|"] radiation [text]. Patient describes the pain as [text]. Palliative factors include: {text}. Provoking factors include: [text].Patient [select value= admits to|denies] previous episodes. [text]. [textarea default="sample text"]

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
[select value="no|YES"] <-- pleuritic pain

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

Vitals
General: WDWN, NAD [text]
HEENT: Normocephalic, EOMI, no LAD, no scleral icterus, moist mucuous membranes [text]
Heart: RRR, no murmurs, rubs or gallops [text]
Lungs: CTAB [text]
Abdomen: No signs of trauma/bruising, percussion tympanic throughout, bowel sounds in all 4 quadrants, [text] tenderness to palpation [text].  

[Assessment/Plan
Patient presents to clinic with [text]
Differential Dx: [text]
Tests:[text]
Treatment: [text]
Follow up: [text]
Patient educated on [text]
Next steps if no improvement: [text]]