Hx: Abdominal Pain Cheat Sheet (DRAFT) by med_panda

- Introduce yourself
- Confirm name, DOB, address, ethnicity
- Ensure patient is comfor­table
- Explain that you are going to ask some questions regarding their tummy pain
- Assure confid­ent­iality
- OBTAIN CONSENT
- Begin

O: When did it begin? Was it gradual or sudden? Has it increased or decreased over time?
P: Using one finger, can you please point to where it hurts?, where does it hurt the most? Is the pain the same throughout the area?
Q: Could you please describe the pain e.g cramping, burning, crushing, stabbing, gnawing, throbbing, dull, sharp? Is it constant or does it come and go?
R: Does the pain go anywhere else?
S: How bad is the pain on a scale of 1-10? How has this pain affected your life (sleeping, eating, movement)
T: Does the pain follow a certain time of day? morning, lunch, night? Any time pattern? If so, how many times a day/night do you usually experience this pain? Is it related to eating? How long does the pain last?
U: Does anything you do make it better? or worse? Does that {what ever they do} still work? => Food, water, painki­llers, herbal meds, massage, movement, change of posture

GI
- Nausea + Vomiting
- Diarrhea/ Consti­pation
- Bleeding (hemat­eme­sis­/me­lena)
- Abd Distention

Infx
- Fever, Malaise

Hepato Biliary
- Jaundice, Stool changes

Urological
- Dysuria, Oliguria or anuria

Psycho­log­ica­l/M­ental
- Anorexia, Bulimia, Pica

Malignancy
- Weight loss, fatigue, Loss of appetite, Change in bowel/­bladder

Gyneco­logical
- Last menstr­uat­ional period, timing, amount of bleeding, discharge

- Have you had this before? Did you get checked for it?
- Have you ever stayed in the hospital (admit­ted)? Had any surgery or procedures done?
- Do you have any diseases such as problems with your choles­terol, diabetes, heart problems, kidney, HTN?

- Are you currently taking any medicine? parace­tamol, ibupofren, antibi­otics, contra­cep­tives
- Is it prescribed or over the counter?
-{ I am now going to ask some sensitive questions, they are important to help me figure out what is wrong } Do you take any recrea­tional drugs such as marijuana, ice etc
- Do you have any allergies? What is the reaction you get?

- Are your parents still alive? Do they have any illnesses? How did they pass away? How old were they?
- Are your siblings alive and well?
- Does anyone at home have the same illness?
- Are there any illnesses or conditions that you know of that run in your family?

- Are you married?
- What do you do for work?
- What do your meals usually consist of? Do you have any diet restri­ctions? Have you recently eaten any raw/un­der­cooked food? How often do you drink water?
- Do you drink alcohol? (dwell)
- Do you smoke? Does anyone at home smoke? (dwell)
- Did you recently travel anywhere? or overseas?
- How are your housing and living condit­ions? Water supply? Toilet? (dwell)

- Ask the patient if there is anything they might like to add that you have forgotten to ask
- Do they have any questions?
- Ideas, Concerns, Expect­ations

Thank patient and state hypothesis