03.14

Clerking for abdominal pain

PC: Abdo pain

HPC:
SOCRATES

Associated with
GI smx: Nausea/vomiting, CIBH (constipation/ loose stools), blood in vomit / blood in stools, swallowing issues
Urinary smx: burning/stinging when passing urine, urgency, frequency, nocturia, incontinence
Gynae smx (in females): LMP/pregnancy, menorrhagia/spotting

PMH:

DHx:

Allergies:

FHx:
Cancer?

SHx:
Alcohol
Smoking
Illicit drug use
Lives at home with
iADL

O/E

** check hernia sites
In males: may need genital exam
In females: may need PV exam
In elderly pts / pts with melaena – PR exam

Obs:
Bloods:
VBG: (incl glucose & lactate)
Urine dip:
ECG:
CXR:
Abdo XR:
CTAP:

Imp:


Plan: