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CHIEF COMPLAINT Abdominal Pain

CHIEF COMPLAINT Abdominal Pain JAAMT-Final.qxd 5/18/07 11:41 AM Page 140 CHIEF COMPLAINT Abdominal Pain Sherry Roth, PA-C, CMT, FAAMT An essential element of the history of abdominal Abdominal pain pain is the chronology of events. Is this the first is a very common time the patient has had this sort of pain, or has it happened before? Was the pain the first symptom complaint with or was it preceded by another symptom (e.g., nausea, which patients vomiting, diarrhea, fever) or event (e.g., trauma, present to an ER. amenorrhea)? Character of pain: The patient is asked to describe whether the pain is sharp/piercing, o properly evaluate the complaint of abdominal dull/achy, crampy, gnawing, or burning. pain, the examiner must call into play all skills: Duration of pain: The patient is asked to Tobtaining a complete history, performing a describe whether the pain is constant or inter- complete physical exam, and then using his/her brain mittent. The patient is asked whether the pain to come up with a differential diagnosis, following awakens him/her from sleep or not, or whether which a workup will be started to rule out this or the pain seems to be associated with some activ- rule in that. ity (eating, not http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Journal of the American Association for Medical Transcription Wolters Kluwer Health

CHIEF COMPLAINT Abdominal Pain

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Copyright
Copyright 2007 by the American Association for Medical Transcription
ISSN
0745-2624
DOI
10.1097/01.AMT.0000278014.01279.66
Publisher site
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Abstract

JAAMT-Final.qxd 5/18/07 11:41 AM Page 140 CHIEF COMPLAINT Abdominal Pain Sherry Roth, PA-C, CMT, FAAMT An essential element of the history of abdominal Abdominal pain pain is the chronology of events. Is this the first is a very common time the patient has had this sort of pain, or has it happened before? Was the pain the first symptom complaint with or was it preceded by another symptom (e.g., nausea, which patients vomiting, diarrhea, fever) or event (e.g., trauma, present to an ER. amenorrhea)? Character of pain: The patient is asked to describe whether the pain is sharp/piercing, o properly evaluate the complaint of abdominal dull/achy, crampy, gnawing, or burning. pain, the examiner must call into play all skills: Duration of pain: The patient is asked to Tobtaining a complete history, performing a describe whether the pain is constant or inter- complete physical exam, and then using his/her brain mittent. The patient is asked whether the pain to come up with a differential diagnosis, following awakens him/her from sleep or not, or whether which a workup will be started to rule out this or the pain seems to be associated with some activ- rule in that. ity (eating, not

Journal

Journal of the American Association for Medical Transcription – Wolters Kluwer Health

Published: Jun 1, 2007

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