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Abdominal pain : history taking

This concise table provides key questions for medical students to ask when taking a patient's history of abdominal pain.

History Taking for Abdominal PainKey Questions
Presenting Complaint- Use open questions and let the patient describe the symptoms
Site- SOCRATES acronym is often employed ( site, onset, character, radiation, associations, time course , exacerbating and relieving factors , severity )
Onset- Clarify when the symptom first started and if the onset was sudden or gradual.
Character- is the pain sharp, dull ache, burning, colicky, pressure/fullness, throbbing, pulsating, steady, cramping, visceral, referred
Radiation- Ask if the symptom moves anywhere else
Associated Symptoms- Ask if there are any other symptoms associated with the abdominal pain. Explore the following:
- Vomiting: Assess the frequency and content of vomiting.
- Nausea and Appetite: Inquire about the presence of nausea and any changes in appetite
- Change in Bowel Habits: Ask about constipation, diarrhoea, and changes in stool
- Pain Character: Explore if the pain is crampy, sharp, dull, or aching.
- Blood or Mucus in Stool: Check for any presence of blood or mucus in stool.
- Pain Radiation: Determine if the pain...

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