Abdominal pain
Questionnaire/history: Site? Onset? Timing? Quality? Radiation? Exacerbating factors? Relieving factors? Severity? Associated symptoms? - Nausea? - Vomiting? - Vomiting blood (haematemesis)? - Diarrhoea? - Blood or mucus in the diarrhoea (dysentery)? - Constipation? - Passage of black, tarry stools (melaena)? - Rectal bleed? - Urinary symptoms? - Abnormal vaginal discharge? - Vaginal bleeding? - Systemic symptoms? - Fever? - Night sweats? - Unexplained weight loss? - Other? Chance of pregnancy or currently pregnant? Last menstrual bleeding? Past medical history? Current medication? Drug allergies? Examination: Pallor? Jaundice? BP? Pulse? Temperature? SpO2? Blood glucose? Abdomen: - Scars? - Abdominal distension? - Caput medusae? - Hernia? - Tenderness? - Guarding? - Rovsing’s sign? - Masses? - Bowel sounds? - Bruits? Digital rectal exam? Lower legs? For intimate exam chaperone offered? Investigations: Urine dipstick? Pregnancy test? Diagnosis: For differential diagnosis see Patient UK at https://patient.info/doctor/abdominal-pain-pro Management: According to cause Reference(s): Patient UK: Abdominal pain Geeky Medics: Abdominal examination - OSCE guide