abdominal pain

Chief Complaint

Medical Note Template -- [Epigastric|Periumbilical|RUQ|RLQ|LUQ|LLQ|Suprapubic|Right adnexa|left adnexa pain]

Associated symptoms

[fever|heartburn|nausea|vomiting|diarrhea|constipation|weight loss|night pain|vaginal discharge|no nausea|no vomiting|no fever|normal bowel movements]

Symptom modifiers and relevant history

[Worse with meals.|Worse after meals.|Worse with fatty meals.|Relieved by bowel movement.|Relieved by OTC antacids.|Worse with menstrual cycles.|History of diverticulosis.|No GU symptoms.]

Examination

Abdomen - [soft|rigid|rebound tenderness|acute abdomen], [no|mild|moderate|mod-sev|severe] [abdominal|epigastric|periumbilical|RUQ|RLQ|LUQ|LLQ|suprapubic] tenderness. No organomegaly. No masses. Normal bowel sounds.

Assessment and Plan

[Abdo pain nyd|GERD|Gastritis|Gastric ulcer|Cholecystitis|Cholelithiasis|Constipation|Appendicitis|Diverticulitis|Bowel obstruction|endometriosis|ovarian cyst|vaginitis] Plan: [Refer to gastroenterology|Refer for endoscopy|Refer for colonoscopy|Refer to general surgery|To ER] Medications: [Zantac 150 mg bid|prevacid 30 mg od|losec 20 mg od|nexium 40 mg od|pantoloc 40 mg od|pariet 20 mg od|H. pylori triple therapy|cipro 500 mg bid and flagyl 500 mg bid x 7 days] Follow-up: After [1|2|3] [d|w|m]

Assessment and Plan

[Abdo pain nyd|GERD|Gastritis|Gastric ulcer|Cholecystitis|Cholelithiasis|Constipation|Appendicitis|Diverticulitis|Bowel obstruction|endometriosis|ovarian cyst|vaginitis] Plan: [Refer to gastroenterology|Refer for endoscopy|Refer for colonoscopy|Refer to general surgery|To ER] Medications: [Zantac 150 mg bid|prevacid 30 mg od|losec 20 mg od|nexium 40 mg od|pantoloc 40 mg od|pariet 20 mg od|H. pylori triple therapy|cipro 500 mg bid and flagyl 500 mg bid x 7 days] Follow-up: After [1|2|3] [d|w|m]