\documentclass[10pt,a4paper]{article}

% Packages
\usepackage{fancyhdr}           % For header and footer
\usepackage{multicol}           % Allows multicols in tables
\usepackage{tabularx}           % Intelligent column widths
\usepackage{tabulary}           % Used in header and footer
\usepackage{hhline}             % Border under tables
\usepackage{graphicx}           % For images
\usepackage{xcolor}             % For hex colours
%\usepackage[utf8x]{inputenc}    % For unicode character support
\usepackage[T1]{fontenc}        % Without this we get weird character replacements
\usepackage{colortbl}           % For coloured tables
\usepackage{setspace}           % For line height
\usepackage{lastpage}           % Needed for total page number
\usepackage{seqsplit}           % Splits long words.
%\usepackage{opensans}          % Can't make this work so far. Shame. Would be lovely.
\usepackage[normalem]{ulem}     % For underlining links
% Most of the following are not required for the majority
% of cheat sheets but are needed for some symbol support.
\usepackage{amsmath}            % Symbols
\usepackage{MnSymbol}           % Symbols
\usepackage{wasysym}            % Symbols
%\usepackage[english,german,french,spanish,italian]{babel}              % Languages

% Document Info
\author{hjsdhaj}
\pdfinfo{
  /Title (git-history.pdf)
  /Creator (Cheatography)
  /Author (hjsdhaj)
  /Subject (GIT History Cheat Sheet)
}

% Lengths and widths
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\addtolength{\hoffset}{-3cm}
\addtolength{\voffset}{-2cm}
\setlength{\tabcolsep}{0.2cm} % Space between columns
\setlength{\headsep}{-12pt} % Reduce space between header and content
\setlength{\headheight}{85pt} % If less, LaTeX automatically increases it
\renewcommand{\footrulewidth}{0pt} % Remove footer line
\renewcommand{\headrulewidth}{0pt} % Remove header line
\renewcommand{\seqinsert}{\ifmmode\allowbreak\else\-\fi} % Hyphens in seqsplit
% This two commands together give roughly
% the right line height in the tables
\renewcommand{\arraystretch}{1.3}
\onehalfspacing

% Commands
\newcommand{\SetRowColor}[1]{\noalign{\gdef\RowColorName{#1}}\rowcolor{\RowColorName}} % Shortcut for row colour
\newcommand{\mymulticolumn}[3]{\multicolumn{#1}{>{\columncolor{\RowColorName}}#2}{#3}} % For coloured multi-cols
\newcolumntype{x}[1]{>{\raggedright}p{#1}} % New column types for ragged-right paragraph columns
\newcommand{\tn}{\tabularnewline} % Required as custom column type in use

% Font and Colours
\definecolor{HeadBackground}{HTML}{333333}
\definecolor{FootBackground}{HTML}{666666}
\definecolor{TextColor}{HTML}{333333}
\definecolor{DarkBackground}{HTML}{32A852}
\definecolor{LightBackground}{HTML}{F2F9F4}
\renewcommand{\familydefault}{\sfdefault}
\color{TextColor}

% Header and Footer
\pagestyle{fancy}
\fancyhead{} % Set header to blank
\fancyfoot{} % Set footer to blank
\fancyhead[L]{
\noindent
\begin{multicols}{3}
\begin{tabulary}{5.8cm}{C}
    \SetRowColor{DarkBackground}
    \vspace{-7pt}
    {\parbox{\dimexpr\textwidth-2\fboxsep\relax}{\noindent
        \hspace*{-6pt}\includegraphics[width=5.8cm]{/web/www.cheatography.com/public/images/cheatography_logo.pdf}}
    }
\end{tabulary}
\columnbreak
\begin{tabulary}{11cm}{L}
    \vspace{-2pt}\large{\bf{\textcolor{DarkBackground}{\textrm{GIT History Cheat Sheet}}}} \\
    \normalsize{by \textcolor{DarkBackground}{hjsdhaj} via \textcolor{DarkBackground}{\uline{cheatography.com/201639/cs/43000/}}}
\end{tabulary}
\end{multicols}}

\fancyfoot[L]{ \footnotesize
\noindent
\begin{multicols}{3}
\begin{tabulary}{5.8cm}{LL}
  \SetRowColor{FootBackground}
  \mymulticolumn{2}{p{5.377cm}}{\bf\textcolor{white}{Cheatographer}}  \\
  \vspace{-2pt}hjsdhaj \\
  \uline{cheatography.com/hjsdhaj} \\
  \end{tabulary}
\vfill
\columnbreak
\begin{tabulary}{5.8cm}{L}
  \SetRowColor{FootBackground}
  \mymulticolumn{1}{p{5.377cm}}{\bf\textcolor{white}{Cheat Sheet}}  \\
   \vspace{-2pt}Not Yet Published.\\
   Updated 10th April, 2024.\\
   Page {\thepage} of \pageref{LastPage}.
\end{tabulary}
\vfill
\columnbreak
\begin{tabulary}{5.8cm}{L}
  \SetRowColor{FootBackground}
  \mymulticolumn{1}{p{5.377cm}}{\bf\textcolor{white}{Sponsor}}  \\
  \SetRowColor{white}
  \vspace{-5pt}
  %\includegraphics[width=48px,height=48px]{dave.jpeg}
  Measure your website readability!\\
  www.readability-score.com
\end{tabulary}
\end{multicols}}




\begin{document}
\raggedright
\raggedcolumns

% Set font size to small. Switch to any value
% from this page to resize cheat sheet text:
% www.emerson.emory.edu/services/latex/latex_169.html
\footnotesize % Small font.

\begin{multicols*}{2}

\begin{tabularx}{8.4cm}{p{0.88 cm} x{7.12 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{8.4cm}}{\bf\textcolor{white}{Preperation:}}  \tn
% Row 0
\SetRowColor{LightBackground}
{\bf{W}} & Wash Hands \tn 
% Row Count 2 (+ 2)
% Row 1
\SetRowColor{white}
{\bf{I}} & Introduce Yourself + Patient's Identity \tn 
% Row Count 4 (+ 2)
% Row 2
\SetRowColor{LightBackground}
{\bf{P}} & Permission \tn 
% Row Count 6 (+ 2)
% Row 3
\SetRowColor{white}
{\bf{P}} & Patient Position + Pain \tn 
% Row Count 8 (+ 2)
% Row 4
\SetRowColor{LightBackground}
{\bf{E}} & Explaination \tn 
% Row Count 10 (+ 2)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{8.4cm}{p{0.8 cm} p{0.8 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{8.4cm}}{\bf\textcolor{white}{Basic Patient Information:}}  \tn
% Row 0
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{8.4cm}}{Name} \tn 
% Row Count 1 (+ 1)
% Row 1
\SetRowColor{white}
\mymulticolumn{2}{x{8.4cm}}{Age} \tn 
% Row Count 2 (+ 1)
% Row 2
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{8.4cm}}{Date of Birth} \tn 
% Row Count 3 (+ 1)
% Row 3
\SetRowColor{white}
\mymulticolumn{2}{x{8.4cm}}{Gender} \tn 
% Row Count 4 (+ 1)
% Row 4
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{8.4cm}}{Date Seen} \tn 
% Row Count 5 (+ 1)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{8.4cm}{p{0.88 cm} x{7.12 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{8.4cm}}{\bf\textcolor{white}{Presenting Complaint:}}  \tn
% Row 0
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{8.4cm}}{Anorexia and Weightloss} \tn 
% Row Count 1 (+ 1)
% Row 1
\SetRowColor{white}
\mymulticolumn{2}{x{8.4cm}}{Dysphagia} \tn 
% Row Count 2 (+ 1)
% Row 2
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{8.4cm}}{Nausea and Vomiting} \tn 
% Row Count 3 (+ 1)
% Row 3
\SetRowColor{white}
\mymulticolumn{2}{x{8.4cm}}{Wind and Flatulence} \tn 
% Row Count 4 (+ 1)
% Row 4
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{8.4cm}}{Abdominal Distension} \tn 
% Row Count 5 (+ 1)
% Row 5
\SetRowColor{white}
Pain: & Painful mouth\{\{nl\}\}Heartburn and Reflux\{\{nl\}\}Dyspepsia\{\{nl\}\}Odynophagia\{\{nl\}\}Abdominal Pain \tn 
% Row Count 8 (+ 3)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{8.4cm}{x{3.36 cm} x{4.64 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{8.4cm}}{\bf\textcolor{white}{Abdominal Pain:}}  \tn
% Row 0
\SetRowColor{LightBackground}
{\bf{Visceral Pain:}}\{\{nobreak\}\} & Poorly localised\{\{nl\}\}\{\{nl\}\}Distension, muscle spasm, inflammation, anoxia, stretch of mesentry\{\{nl\}\}\{\{nl\}\}Foregut visceral pain - Epigastrium\{\{nl\}\}Midgut visceral pain - Periumbilical\{\{nl\}\}Hindgut visceral pain - Hypogastrium \tn 
% Row Count 10 (+ 10)
% Row 1
\SetRowColor{white}
{\bf{Somatic Pain:}}\{\{nobreak\}\} & Well localised\{\{nl\}\}\{\{nl\}\}Cutting, pressure, temperature, inflammation \tn 
% Row Count 14 (+ 4)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{8.4cm}}{{\bf{Character:}} \newline • {\bf{Colicky}}  ➢ Smooth muscle contraction of the wall of a hollow organ (bowel)  ➢ Sinusoidal (in time) and migrating (in site) \newline • {\bf{Constant Dull Ache}}  ➢ Organ with fibrous capsule (liver) \newline • {\bf{Burning}}  ➢ Inflammation (Oesophagus/urethra) \newline • {\bf{Distention/fullness/bursting}} \newline • {\bf{Constricting/tightness  }}➢ Cardiac \newline • {\bf{Throbbing  }}➢ Increasing with each systole (headache) \newline • {\bf{Stabbing  }}➢ Sharp (Pleuritic pain or acute peritonitis)}  \tn 
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{8.4cm}{x{3.52 cm} x{4.48 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{8.4cm}}{\bf\textcolor{white}{Exacerbating Factors:}}  \tn
% Row 0
\SetRowColor{LightBackground}
{\bf{Movement:}} & Inflammation of the parietal peritoneum \tn 
% Row Count 2 (+ 2)
% Row 1
\SetRowColor{white}
{\bf{Food:}} & Gastric \tn 
% Row Count 3 (+ 1)
% Row 2
\SetRowColor{LightBackground}
{\bf{Increased acidiity/fasting:}} & Duodenal \tn 
% Row Count 5 (+ 2)
% Row 3
\SetRowColor{white}
{\bf{Exercise:}} & Muscular \tn 
% Row Count 6 (+ 1)
% Row 4
\SetRowColor{LightBackground}
{\bf{Stretch/Deep Inspiration:}} & Pleuritic \tn 
% Row Count 8 (+ 2)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{8.4cm}{x{4 cm} x{4 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{8.4cm}}{\bf\textcolor{white}{Relieving Factors:}}  \tn
% Row 0
\SetRowColor{LightBackground}
{\bf{Evacuation of Contents:}} & Smooth Muscle Distention\{\{nl\}\}\{\{nl\}\}e.g. Gastric pain relieved by vomiting\{\{nl\}\}Rectal pain relieved by defication \tn 
% Row Count 6 (+ 6)
% Row 1
\SetRowColor{white}
{\bf{Movement/Application of Heat:}}\{\{nobreak\}\} & Smooth Muscle Spasm \tn 
% Row Count 9 (+ 3)
% Row 2
\SetRowColor{LightBackground}
{\bf{Sitting Forward:}} & Pancreatic Pain or Pericarditis \tn 
% Row Count 11 (+ 2)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{8.4cm}{x{3.04 cm} x{4.96 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{8.4cm}}{\bf\textcolor{white}{Associated Symptoms:}}  \tn
% Row 0
\SetRowColor{LightBackground}
{\bf{Upper GI:}}\{\{nobreak\}\} & • Dysphagia\{\{nl\}\}• Regurgitation\{\{nl\}\}• Vomiting\{\{nl\}\}• Haematemesis (Vomiting Food)\{\{nl\}\}• Fatty Food\{\{nl\}\}• Intolerance\{\{nl\}\}• Flatulence \tn 
% Row Count 7 (+ 7)
% Row 1
\SetRowColor{white}
{\bf{Lower GI:}}\{\{nobreak\}\} & • Constipation\{\{nl\}\}• Distension\{\{nl\}\}• Diarrhoea\{\{nl\}\}• Blood/mucus per rectum\{\{nl\}\}• Tenesmus (A feeling of incomplete evacuation of the bowel)\{\{nl\}\}• Perianal Discomfort \tn 
% Row Count 15 (+ 8)
% Row 2
\SetRowColor{LightBackground}
{\bf{General:}}\{\{nobreak\}\} & • Anorexia\{\{nl\}\}• Weight Loss\{\{nl\}\}• Symptoms of Anaemia \tn 
% Row Count 18 (+ 3)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{8.4cm}}{{\bf{Altered Bowel Habit:}} \newline • Diarrhoea (Ask frequency and consistency) \newline • Constipation \newline  \newline {\bf{Bleeding:}} \newline • Haematemesis (ask about volume) \newline • Melaena (black, sticky, tarry, stool) \newline • Rectal Bleeding (colour, volume, mixed in stool or not?)}  \tn 
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{8.4cm}{X}
\SetRowColor{DarkBackground}
\mymulticolumn{1}{x{8.4cm}}{\bf\textcolor{white}{.}}  \tn
% Row 0
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{8.4cm}}{} \tn 
% Row Count 0 (+ 0)
\hhline{>{\arrayrulecolor{DarkBackground}}-}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{8.4cm}{x{3.36 cm} x{4.64 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{8.4cm}}{\bf\textcolor{white}{Common Disorders:}}  \tn
% Row 0
\SetRowColor{LightBackground}
{\bf{Upper GIT:}}\{\{nobreak\}\} & • Oesophagitis\{\{nl\}\}• Gastroduodentitis\{\{nl\}\}• Biliary Colic\{\{nl\}\}• Acute Cholecystits\{\{nl\}\}• Acute Pancreatitis (Epigastric Pain) \tn 
% Row Count 7 (+ 7)
% Row 1
\SetRowColor{white}
{\bf{Lower GIT:}}\{\{nobreak\}\} & • Acute Appendicitis \{\{nl\}\}• IBD (RIF Pain - terminal ileitis)\{\{nl\}\}• Colonic or rectal carcinoma (Altered bowel habit or intestinal obstruction) \tn 
% Row Count 14 (+ 7)
% Row 2
\SetRowColor{LightBackground}
{\bf{Hepatobiliary:}}\{\{nobreak\}\} & • Pre-hepatic, hepatic, and post-hepatic causes of jaundice \tn 
% Row Count 17 (+ 3)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{8.4cm}}{Consider associations with other symptoms: \newline e.g. Left rib fractures 9-11 associated with splenic injury}  \tn 
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{8.4cm}{p{0.8 cm} p{0.8 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{8.4cm}}{\bf\textcolor{white}{Conclusion:}}  \tn
% Row 0
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{8.4cm}}{{\bf{Ideas, Concerns, and Expectations}}} \tn 
% Row Count 1 (+ 1)
% Row 1
\SetRowColor{white}
\mymulticolumn{2}{x{8.4cm}}{{\bf{{\emph{Thank patient and ensure comfort}}}}\{\{ac\}\}} \tn 
% Row Count 2 (+ 1)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
\par\addvspace{1.3em}


% That's all folks
\end{multicols*}

\end{document}