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Gastrointestinal Symptoms HPI
Mar 4, 2019
•
Mark Morgan
categories:
Subjective/History
Gastroenterology & Hepatology
Use with GI symptoms Patient Questionnaire
yo
M
F
with gastrointestinal symptoms:
Initial questions
-Sx include:
decreased appetite
bloating sensation
pain with defecation
constipation
diarrhea
abdominal pain
nausea/vomiting
other-
-Sx started
day(s)
hour(s)
week(s)
month(s)
ago
-Sx started when/while
-Last BM was
day(s)
hour(s)
week(s)
ago and consistency was
soft
slightly firm
very hard
loose
like water
, and color was described as
.
-#BMs in past 24hrs:
-Last meal eaten was
hour(s)
day(s)
ago
-Sx improved by
-Sx worsened by
-Since onset, sx have
gotten better
gotten worse
stayed about the same
Pain specific questions
-Location:
-Radiation:
-Severity currently:
1
2
3
4
5
6
7
8
9
10
/10
-Severity at worst:
1
2
3
4
5
6
7
8
9
10
/10
-Timing:
constant
comes and goes
Duration of pain if episodic:
-Described as:
both sharp and dull
sharp/knifelike
dull/pressure
other-
N/V specific questions
-
no
YES
<-- nausea
-
no
YES
<-- vomiting
if yes, indicate color
Exposures
-
no
YES
<-- Recent intake of questionable/new food
-
no
YES
<-- Recent antibiotics
-
no
YES
<-- Recent travel
Add'l questions
-Other Associated Symptoms:
--
no
YES
<-- Chest pain or chest/belly pain with breathing
--
no
YES
<-- Black or bloody stool
--
no
YES
<-- Fever
--
no
YES
<-- Dysuria
--
no
YES
<-- Urinary frequency
--
no
YES
<-- Urinary urgency
--
no
YES
<-- Hematuria
-Hx of these conditions:
--
no
YES
<-- Gall Bladder or liver disease
--
no
YES
<-- GERD
--
no
YES
<-- Peptic ulcer(s)
--
no
YES
<-- Pancreatitis
--
no
YES
<-- Kidney stones
--
no
YES
<-- Urinary tract infections
--
no
YES
<-- Diverticulitis
--
no
YES
<-- Inflammatory Bowel Disease
--
no
YES
<-- Pelvic Infection
--
no
YES
<-- Vascular disease
-Hx of these surgeries:
--
no
YES
<-- Appendectomy
--
no
YES
<-- Cholecystectomy
-Currently using:
pertinent meds/substances
--
no
YES
<-- Daily or near-daily use of NSAIDs
--
no
YES
<-- Daily or near-daily alcohol use
--
no
YES
<-- Daily or near-daily use of Opioids
--
no
YES
<-- aortic aneurysm history or risk (age over 60, tobacco history)
*
no
YES
<-- Patient at risk of potentially being pregnant.
Serum HCG test was
ordered
negative
POSITIVE
For use in CRDAMC FM clinic
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reference: modified by original contribution from Dr. Scott Moses, creator/author of the
(link)
Family Practice Notebook
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