History Taking of Abdominal Pain
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Abdominal Pain The Art of History Taking in Abdominal Pain! "My stomach hurts" is a vague complaint. As clinicians, we need to ask the right questions to narrow down the differential diagnosis. Character of Pain matters: Cramping/Colicky: Gradual build-up ➡️ Squeezing ➡️ Release. Often indicates luminal obstruction (intestinal colic). Spasmodic/Sharp: Sudden onset. Think stones (biliary/renal) or acute obstruction. Location is Key: Right Iliac Fossa: Rule out Appendicitis. Right Hypochondrium: R
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Approaching a patient with abdominal distension requires a thorough history, physical examination, and appropriate investigations. Start by noting the onset, duration, and associated symptoms like pain, vomiting, or bowel changes. Assess dietary habits, recent surgeries, and medical history. During examination, observe the shape, symmetry, and presence of visible peristalsis. Percussion differentiates between fluid (ascites) and gas (intestinal obstruction). Palpation identifies tenderness or ma
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