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List the presenting symptoms you would elicit from a patient presenting with abdominal pain.
Write SOCRATES down when you go into OSCE as a prompt.
Site of pain, get patient to point and describe.
Onset get patient to describe whether pain came on suddenly or gradually.
Character How does the pain feel? does it feel sharp? Radiate? (next question) Does the pain have a pattern? is it consistent? does it come and go.
Radiation does the pain radiate to other areas or is the pain well localised?
Alleviating factors - Have you found anything that reduces the pain?
Would be good to ask about severity here.
Associated symptoms - BNB LA
bowell
nausea/ vomiting
Bleeding
Liver prblems
Appetite and weight change.
Timing - does this happen at a particular time of the day. do you have it now (you may have already asked some of these questions.
Exacerbating/ Relieving factors -
Severity - May have already been asked with pain?
Besides the eliciting the presenting symptoms what other areas do you need to cover in a GIT history
Red flags - MURTAGH
previous episodes
ICE - what particularly are you worried this could be?
Past medical Hx
What are the specific medical conditions and medications that need to be elicited in the GIT history?
Inflammatory bowel disease, GORD, any history of endoscopy,
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