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Summary - M001

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Most of the medical students find it difficult to do abdomen examination.Here is an easier guide to examine abdomen.It is a simplified version of abdomen examination with the conditions involving the positive findings

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CASE PROFORMA ---- ABDOMEN

Name / age / sex / occupation / address

CHIEF COMPLAINTS

HISTORY OF PRESENTING ILLNESS

H/o Abdomen pain

Duration
Site
Onset
Nature (continuous/intermittent)
Character (constant/colicky)
Radiation
Severity
Aggravating/relieving factors
Associated features (fever/nausea/ vomiting/ defecation)




H/o Abdominal distension:
Duration
Onset (insidious/acute)
Site (localized/uniform)
Progress

, H/o Vomiting/Blood in vomit
No of episodes
Duration
Projectile
Associated with nausea/ headache/ blurring of vision
Quantity
Character (colour/smell/blood streaks)
Associated with food intake
Associated features (pain/malena/hematemesis/ loss of consciousness)
H/o drug intake (NSAIDS, Steroids)
H/o Yellowish discoloration of eyes [sclera] and skin
H/o Leg swelling
H/o Breathlessness
H/o Chest pain
H/o Puffiness of face
H/o Frothy urine (Nephrotic syndrome)
H/o Itching
H/o Discoloration of urine
H/o Pain/Burning micturition
H/o Oliguria / polyuria
H/o Hematuria
H/o Increased frequency of stools
H/o Constipation/Obstipation
H/o Altered color of Stools: (dark/ tarry black/ pale/ with frank blood)
H/o Mass in abdomen
Site
Duration
Progression
Associated pain

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Uploaded on
September 15, 2024
Number of pages
10
Written in
2024/2025
Type
SUMMARY

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