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Abdominal history

Abdominal history. Dr Shadab Nayeemuddin Dr Trixy David. PC: abdominal pain, constipation, diarrhoea, PR bleed, malaena, haematemesis, weight loss, abdominal distension, abdominal bloating, vomiting. Remember SOCRATES when inquiring about pain: S ite O nset C haracter R adiation

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Abdominal history

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  1. Abdominal history • Dr Shadab Nayeemuddin • Dr Trixy David

  2. PC: abdominal pain, constipation, diarrhoea, PR bleed, malaena, haematemesis, weight loss, abdominal distension, abdominal bloating, vomiting. • Remember SOCRATES when inquiring about pain: • Site • Onset • Character • Radiation • Associated symptoms • Timing and duration • Exacerbating/Relieving symptoms • Severity

  3. Causes of abdominal pain • Right iliac fossa: Appendicitis, Crohn’s disease, Renal colic • Left iliac fossa: Sigmoid diverticulitis, Colorectal cancer, Renal colic • Right upper quadrant: Gallstones, Cholecystitis, Hepatitis • Left upper quadrant: Pancreatitis, splenic rupture • Epigastric: Pancreatitis, Gastric/Duodenal ulcer, Atypical MI, GORD

  4. Past medical/surgical history: Any medical conditions, previous admissions, previous surgery, previous endoscopies and findings • Drug history: any medications, drug allergies • Family history: Inflammatory bowel disease, cancer, inherited family disorders • Social history: Smoking, alcohol, recent travel history • DON’T FORGET ICE!!

  5. Thank you!! • Any questions??

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