gastro history

Question 1

Right Upper Quadrant (abdomen) organs

Answer 1

Liver, gallbladder, duodenum, pylorus, pancreas, right kidney, large bowel

Question 2

Left upper Quadrant (abdomen) organs

Answer 2

Spleen, stomach, large bowel, left kidney, part of liver, pancreas

Question 3

Right lower quadrant organs

Answer 3

Appendix, bowel, right kidney, right ovary/uterine tube, bladder, and uterus if distended

Question 4

Left lower quadrant organs

Answer 4

Bowel, left kidney, left ovary, bladder, and uterus if displaced

Question 5

What to ask about vomiting

Answer 5

1. Describe what happens during a typical episode (rule out rumination).
2. How long have you been having attacks of vomiting (distinguish acute from chronic)?
3. Does the vomiting occur with nausea preceding it, or does it occur without any warning?
4. Is the vomiting usually immediately after a meal or hours after a meal?
5. Do you have vomiting early in the morning or late in the evening?
6. What does the vomit look like? Is it bloodstained, bile-stained or feculent? (Gastrointestinal bleeding or bowel obstruction)
7. Do you have specific vomiting episodes followed by feeling completely well for long periods before the vomiting episode occurs again? (Cyclical vomiting syndrome)
8. Is there any abdominal pain associated with the vomiting?
   9.Have you been losing weight?
9. What medications are you taking?
10. Do you have worsening headaches? (Neurological symptoms suggest a central cause)