HISTORY:
pain for
Onset: , following
Location:
Radiation:
Severity: , / 10
Type:
Pattern:
Worsening factors:
Alleviating factors: ,
, up to °, over
, episodes ,
, episodes ,
, , , clots
Other elements:
EXAM:
General appearance:
Vital signs: , BP , HR , RR , SpO2 %, Temp °
Abdomen: , , ,
Pelvic: vulva , vagina , cervix , uterus , adnexa ,
Genital: , testicles , penis
ASSESSMENT:
DDx:
PLAN:
- Blood work: , , , , ,
- CT scan of abdomen could be optional if diagnosis is clear and symptoms are mild
- Urinalysis, urine culture
- Abdominal ultrasound
- Colonoscopy
-
-
-
- Clear liquid diet until symptoms improve
- Gradual reintroduction of fiber into diet
- Increase fluid intake
- Referral to gastroenterologist
- Follow-up in
- Return if symptoms worsen or if new symptoms develop such as fever, vomiting, or increased pain
- Go to ER if severe abdominal pain, severe vomiting, or fever occurs