Chief complaint: ABD PAIN

Question 0

Remember if pt takes any medications specify:

Answer 0

1) when med was taken

2) whether it helped

Question 1

Common meds:

Answer 1

Protonix 
Tylenol 
Motrin
Ibuprofen 
Zofran (anti-nausea) 
Pepto-Bismo 
TUMS

Question 2

Do you have a hx of prior episodes? If pt answers yes, make sure to answer:

Answer 2

1) does current episode feel similar or different? What’s different about it?
2) Has the pt seen a doctor for the episode before? What tests did they run/prescriptions were given? Was there a diagnosis?

Question 3

Do you have a hx of ___ ____ or ___?

Answer 3

Abd surgeries, problems

Question 4

Common abd problems (in hx section):

Answer 4

Pancreatitis, cholecystitis, diverticulitis, colitis, GERD (acid reflux), gastritis, peptic ulcers, gastroenteritis

Question 5

Common abd surgeries:

Answer 5

Appy, chole, gastric bypass

Question 6

Common context questions:

Answer 6

1) when was your last BM? Was it normal? Was there blood? (Docs just want to know if there was blood in stool)
2) for the ladies: when was your LMP? Was it regular?
3) have you traveled recently? Used any abx recently? Is anyone else sick in household?

Question 7

Physical exam findings:

1) normal abd exam:

Answer 7

Soft, nontender, nondistended, no rebound, mo guarding

• rectal exam : soft brown stool, GUIAC negative

Question 8

Physical Exam Findings:

Abnormal findings:

Answer 8

(Location) tenderness with palpation with rebound and voluntary guarding, distended, GUIAC positive

Question 9

MDM:

Common things doctors will order for abd pain patients:

Answer 9

Medications:

1) Toradol
2) Dilaudid
3) GI Cocktail
4) Zofran
5) IV fluids

Common tests: CT of abd, labs that check for WBC, lipase level, LFT, and UA

Question 10

Common DDX:

Answer 10

1) Appendicitis
2) Cholecystitis
3) Colitis
4) Diverticulitis
5) Gastritis
6) Gastroenteritis
7) Pancreatitis
8) UTI
9) Pyelonephritis
10) Ovarian Cyst (for ladies)