History Taking: Abdo

Question 1

bad breath

Answer 1

halitosis

Question 2

dry mouth

Answer 2

xerostomia

Question 3

altered taste

Answer 3

dysgeusia

Question 4

foul taste

Answer 4

cacogeusia

Question 5

cracked painful lips

Answer 5

inflammation of mucous membranes of mouth - stomatitis

Question 6

gauge of pain

Answer 6

socrates

Question 7

colicky RUQ pain, severe, radiating to below right scapula

Answer 7

consider biliary colic and gall stones

Question 8

epigastric pain with associated mass + dysphagia

Answer 8

consider gastric carcinoma

Question 9

gnawing epigastric pain, remission for weeks/months, exacerbated by foo, radiating into back

Answer 9

consider peptic ulcer

Question 10

causes of weight gain

Answer 10

fluid retention
hypothyroidism
depression
increased energy input/output ratio

Question 11

causes of weight loss

Answer 11

malignancy
malabsorption
metabolic diseases
psychiatric diseases such as anorexia nervosa

Question 12

heart burn

Answer 12

hot burning reterosternal discomfort
exact. by food, lying flat or bending forwards

MUST DIFFERENTIATE BY CARDIAC PAIN

Question 13

DYSPEPSIA

Answer 13

pain or discomfort centred in upper abdomen

Question 14

odynophagia

Answer 14

pain on swallowing

Question 15

dysphagia

Answer 15

difficulty swallowing

Question 16

melaena

Answer 16

passage of black tarry stools

Question 17

jaundice

Answer 17

yellow discolouration of sclerae/skin