Female 22 abdo pain
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Pain since this morning. LMP 3 weeks ago
Introduce yourself and confirm the patient’s name and age.
Confirm the patient is comfortable and not in severe pain.
Ask an open question about the presenting complaint (e.g. “What brought you in today?”).
Ask the patient to point to the site of the abdominal pain.
Ask about onset (sudden or gradual).
Ask about the character of the pain (sharp, dull, cramping, burning).
Ask about radiation of pain (e.g. to back, groin, shoulder).
Ask about the severity of pain (0–10 scale).
Ask about the timing and duration (constant or intermittent).
Ask about exacerbating or relieving factors (movement, food, position, analgesia).
Ask about associated gastrointestinal symptoms (nausea, vomiting, diarrhoea, constipation, bloating).
Ask about red flag symptoms (fever, weight loss, rectal bleeding, syncope).
Ask about urinary symptoms (dysuria, frequency, haematuria).
Ask about gynaecological history (last menstrual period, cycle regularity).
Ask about possibility of pregnancy and contraception use.
Ask about vaginal bleeding or discharge.
Ask about past medical and surgical history, especially previous abdominal or gynaecological surgery.
Ask about drug history and allergies, including analgesics and contraceptive medications.
Ask about family history, particularly gastrointestinal or gynaecological disease.
Ask about social history and close (smoking, alcohol, occupation; summarise and ask if anything has
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