History taking - Abdominal pain in female.
Introduction: Good morning Miss. Smith I am Dr. Munagapati, senior house officer
in the department of obstetrics and gynaecology. I would like to have a small chat
with you regarding your abdominal pain, is that all right with you?
When did the pain start? Could you point out exactly where the pain is? Type of pain?
Is the pain radiating anywhere?
What makes the pain better and what makes it worse? Is the pain getting better now?
Is there any diurnal variation?
Associated feature like nausea, vomiting and distention?
Vomit colour and charecter? Relation to food?
Does it wake you up at night (severity)? How is your appetite? Any weight loss? Are you opening your bowels regularly? Diarrhoea and constipation?
Stool formed? Is it hard to flush? Colour?
Relation to exercise? breathlessness and sweating?
Menstrual history: when was the last period? Are you on any contraceptives? Could you be pregnant?
Burning micturition, h/o UTI and vaginal discharge?
Is the vaginal discharge foul smelling? Colour?
Have you had similar episode in the past?
Family history of bowel diseases or Carcinoma?
Smoking and alcohol? Drug history?
Medical history: h/o acid peptic disease, angina, appendicectomy, STD, PID, IUCD, ectopics.
DD: UTI, STD, PID, appendicitis, ectopic pregnancy, acid peptic disease, pancreatitis, renal and gall stones.
Reference: Per vaginal Examination.