abdominal pain Examinee Checklist ENTRANCE: Examinee knocked on the door before entering. Examinee introduced self by name. Examinee identifi ed his/her role or position. Examinee correctly used patients name. Examinee made eye contact with the SP. HISTORY: Examinee showed compassion for your pain

If the patient does not allow you to touch his abdomen because of severe pain, say, I know that you are in pain, and I want to help you, but I need to examine you to be able to locate the source of pain and give you the right treatment. I will be as quick and gentle as possible. You may place your hand on the patients shoulder or arm but not on his leg or hand when you are trying to console him I know that you are in pain. Is there anything I can do for you to help you feel more comfortable?Onset Constant/intermittent Frequency Progression Severity on a scale Location Radiation Quality Alleviating factors Exacerbating factors Types of food that exacerbate pain Relationship of food to pain Previous episodes of similar pain Nausea/vomiting Description of vomitus Blood in vomitus Diarrhea/constipation Weight changes Appetite changes Change in stool color Current medications Past medical history Past surgical history Family history Occupation Alcohol use Illicit drug use Tobacco Sexual activity Drug allergies Physical Examination: Examinee washed his/her hands.

Examinee asked permission to start the exam. Examinee used respectful draping. Examinee did not repeat painful maneuvers. Exam Component Maneuver CV exam Auscultation Pulmonary exam Auscultation Abdominal exam Inspection, auscultation, palpation (including Murphys sign), percussion