This is a history template.
Patient complains of abdominal pain.
Onset prior to evaluation
Onset while:

Associated Pain (0=none, 10=severe)
Location:
Radiation:
Severity now (0-10):
Severity at worst (0-10):
Duration:
Characterized as: .

The pain is relieved with
<-- worse with standing
<-- pleuritic pain

Associated Symptoms:
<-- decreased appetite (last ate at )
<-- nausea
<-- vomiting
<-- diarrhea
<-- constipation (last stool at )
<-- black or bloody stool
<-- fever
<-- Dysuria
<-- Frequency
<-- Hematuria

Pertinent PMH
<-- Gall Bladder or liver disease
<-- GERD
<-- Peptic ulcer
<-- Pancreatitis
<-- Kidney stones
<-- Urinary tract infections
<-- Diverticulitis
<-- Inflammatory Bowel Disease
<-- Pelvic Infection
<-- Vascular disease

Pertinent Past Surgeries:
<-- Appendectomy
<-- Cholecystectomy

Pertinent Medications:
<-- NSAIDs
<-- Excessive Alcohol

Pitfalls:
<-- aortic aneurysm history or risk (age over 60, tobacco history)
<-- pregnancy risk
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Result - Copy and paste this output: