Sandbox/stem

Characterize the symptoms: Characterize the pain: ❑ Onset (eg, sudden, gradual) ❑ Provocative and palliating factors (eg, Is your pain related to your meals?) ❑ Quality (eg, dull, sharp, colicky, waxing and waning) ❑ Radiation (eg, to the shoulder, back, flank, groin, or chest) ❑ Site (eg, a particular quadrant or diffuse) ❑ Time course (eg, hours versus weeks, constant or intermittent) Other symptoms ❑ Nausea & vomiting ❑ Diaphoresis ❑ Anorexia ❑ Fever ❑ Bloody stool ❑ Vaginal discharge ❑ Painful urination ❑ Shortness of breath ❑ Mental status change ❑ Jaundice ❑ Maldigestion ❑ Flatulence ❑ Fatigue ❑ Fever ❑ Fever ❑ Mass in any of the quadrants ❑ Symptoms suggestive of sepsis ❑ Symptoms suggestive of common hepatic duct obstruction ❑ RUQ pain with fever & jaundice ❑ Symptoms suggestive of gallstone ileus ❑ Transient abdominal pain with nausea & vomiting ❑ Hematemesis