Perianal

No hc fhc bowel conditions Denies spicy foods No haemorrhoids fissures or abscess

ABDOMINAL PAIN MALE

Abdo pain:   Location   Radiation:   Relieving:   Worsening:   Analgesia used:

Fever: nill   Nausea Vomiting: Nill   Urinary: No dysuria or freq   Bowel: No diarrhoea or constipation / No pr bleed or melaena  Operations: Nill   HX fHX Bowel conditions; Nill   Weight loss: Nill   Prostate hx:

Investigations, Previous / Recent. Specialist assessments Dietary factors

ABDOMINAL PAIN FEMALE

Abdo pain:   Location   Radiation:   Relieving:   Worsening:   Analgesia used:

Fever: nill   Nausea Vomiting: Nill   Urinary: No dysuria or freq   Bowel: No diarrhoea or constipation / No pr bleed or melaena  Vaginal: Nill No discharge bleed / Lmp  Operations: Nill   HX fHX Bowel conditions; Nill   Weight loss: Nill   Contraceptive coils/mirena?

Investigations, Previous / Recent. Specialist assessments Dietary factors

GASTROINTESTINAL

Dyspep Risks Factors / Red  flags

Discussed upper gi risk factors, States negative to nsaids, spirits, spices stress.   Advised to avoid.   Discussed upper gi red flag symptoms, signs, No new or worsening epigastric pains, No Haematemesis, PR bleed or melaena, No Dysphagia, No weight loss    Urgent attention If any features