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Includes guidance to evaluate demographics and prior relevant history, consider medical, surgical, familial, and social etiologies, and document key positives and negatives. Provides an abdominal physical exam framework covering palpation findings, special tests, rectal exam when indicated, and pregnancy testing and urinalysis as needed. Contains a case study (Mr. Hill) and a detailed example exam narrative with vital signs and abdominal assessment.","# Abdominal Pain\n\n## Red Flags:\n\n·Hematemesis  \n·Hematochezia  \n·Persistent unexplained vomiting  \n·Distension of the abdomen*  \n·Pregnancy  \n·Pulsatile mass  \n·Trauma  \n·Guarding  \n## HPI Template:\n\nDEMOGRAPHICS,OLDCARTS  \nThen Consider All Etiologies:  \nInclude Medical/Surgical/Familial/Social that may contribute or statenoncontributory.  \n## Physical Exam Template:\n\nAbdominal exam:  \n·On palpation There is no abdominal rigidity,no masses,pulsatilemasses,no guarding,tenderness,or rebound.No organomegaly  \n·Indicate Negative Special Test As Needed (eg Murphy's sign,Pain atMcBurney's Point,Psoas,Obturator No costovertebral angle(CVA)tenderness etc)  \n·Rectal exam As needed based on complaint  \n·Pregnancy Test and U/A as needed  \n.Pain out of proportion tophysical exam.High Fever*  \n.Acute onset of sudden andsevere pain.Abnormal Vital Signs  \nHe denies chest pain,shortness of breath,jaw pain.He denies dysuria,hematuria.He denies nausea/vomiting diarrhea,constipation or changesin stool color/bleeding.He denies cough.He denies fever or chills.  \n·He does not appear in any pain with movement.His abdomen appearsflat and non-distended.There are no obvious masses,dermatomallesions,or vascular abnormalities(e.g.,spider angiomas).No Scarsnoted  \n·Normal bowel sounds without any abdominal bruits.On percussion hehas a liver of normal size.  \nAbdominal PainCase Study:Mr.Hill  \nMr.Hill is a 42 year old male who presents to the office today because of stomachpain.He had the worst stomach pain he has ever had last night.He states that hehad friends over for dinner and he went to lie down around 10pm and that is whenthe pain started.He states that it came on pretty quickly and got progressivelyworse.Started about 1.5 hrs after he ate.He describes the pain as a dull,gnawingtype pain around his stomach and under his ribs.He states the pain was constant.He states that the pain was a 7/10.Nothing he did alleviated or aggravated thepain.The pain radiated to the upper right and his back.He states that he has hadstomach pain before but last night it was the worst,he vomited 2 times.He statesthat the vomit was non-bloody.The severe pain lasted about 45 minutes.Thismorning he has no pain but wants to get checked out.He offers that he has ahistory of heartburn but this was nothing like his heartburn.He states never hadpain like this before.He denies chest pain,shortness of breath,jaw pain.He deniesdysuria,hematuria.He denies diarrhea,constipation or changes in stool color.Hedenies cough.He denies fever or chills.  \n·Past medical history is GERD(2 years)take omeprazole 20mg once daily.  \n·Allergies:denies allergies to medications,food or environment  \n·Family Hx:He denies a family history of heart disease,Gl disease,ca or diabetes  \n.Surgical history appendectomy age 12  \n·He drinks 2-312 ounce beers a week.He denies smoking or illicit drug use.He works as asecurity guard.Lives at home with his wife and 2 children.  \n## Physical Exam\n\n·General:  \n。Mr.Hill is a well-appearing male.He appears his stated age.He is pleasant,alertand communicative.He climbs onto the examination table without appearing to bein obvious pain.  \n·Vital signs  \n。Blood pressure 120/80 HR 80 RR 16 Temp 98  \n·Eyes  \no conjunctiva without pallor or lesions.Sclera w/o icterus  \n·Lymph Nodes  \no no lymphadenopathy in the supraclavicular fossa  \n·Lungs  \n。Lungs clear to auscultation bilaterally in all fields;no rales or rhonchi  \n·Heart  \n。Normal S1 and S2 with no murmurs,gallops,or rubs.EKG NSR 88 bpm no ST-T wavechanges.No changes as compared to EKG taken 1 year ago  \n·Abdomen  \n。His abdomen appears flat and non-distended.There are no obvious masses,nopulsatile mass,dermatomal lesions,or vascular abnormalities There is an old well-healed scar over the right lower quadrant.Normal bowel sounds without anyabdominal bruits.Abdomen is non tender to percussion,tympanic sound overstomach,muffled sounds over liver and spleen.Non tender to palpation,noorganomegaly.There is no abdominal rigidit","cbCaimfhw5l7IXft","https://ap.wps.com/l/cbCaimfhw5l7IXft","pdf",390630,2,"English","en",105,"# Abdominal Pain\n## Red Flags\n## HPI Template\n## Physical Exam Template\n## Physical Exam\n## Abdominal Pain Case Study: Mr. Hill","[{\"question\":\"What red flags require urgent attention in abdominal pain?\",\"answer\":\"Red flags include hematemesis, hematochezia, persistent unexplained vomiting, abdominal distension, pregnancy, pulsatile mass, trauma, and guarding.\"},{\"question\":\"How should the HPI be documented for abdominal pain using the template?\",\"answer\":\"Record demographics, prior relevant history, and consider all etiologies, including medical, surgical, familial, and social factors, as well as noncontributory history when useful.\"},{\"question\":\"What does the physical exam template recommend checking for abdominal pain?\",\"answer\":\"Assess for rigidity, masses (including pulsatile masses), guarding, tenderness, rebound, organomegaly, and perform negative special tests as needed. Add rectal exam based on complaint and include pregnancy test and urinalysis when appropriate.\"}]","Abdominal Pain - HPI and Physical Exam Template | PDF",1788439250,{"code":4,"msg":75,"data":76},"ok",{"site_id":69,"language":68,"slug":77,"title":59,"keywords":78,"description":60,"schema_data":79,"social_meta":134,"head_meta":136,"extra_data":138,"updated_unix":73},"abdominal-pain-hpi-and-physical-exam-template","",{"@graph":80,"@context":133},[81,96,116],{"@type":82,"itemListElement":83},"BreadcrumbList",[84,88,90,93],{"item":85,"name":86,"@type":87,"position":9},"https://docshare.wps.com","Home","ListItem",{"item":89,"name":10,"@type":87,"position":66},"https://docshare.wps.com/template/",{"item":91,"name":36,"@type":87,"position":92},"https://docshare.wps.com/template/forms/",3,{"item":94,"name":59,"@type":87,"position":95},"https://docshare.wps.com/template/abdominal-pain-hpi-and-physical-exam-template/194457/",4,{"url":94,"name":59,"@type":97,"image":98,"author":103,"headline":59,"publisher":105,"fileFormat":108,"inLanguage":68,"description":60,"dateModified":109,"datePublished":110,"encodingFormat":108,"isAccessibleForFree":111,"interactionStatistic":112},"DigitalDocument",{"url":99,"@type":100,"width":101,"height":102},"https://docshare.wps.com/thumbnails/abdominal-pain-hpi-and-physical-exam-template/194457.png","ImageObject",442,249,{"name":57,"@type":104},"Person",{"url":85,"name":106,"@type":107},"DocShare","Organization","application/pdf","2026-10-07","2026-09-03",true,{"@type":113,"interactionType":114,"userInteractionCount":15},"InteractionCounter",{"@type":115},"ViewAction",{"@type":117,"mainEntity":118},"FAQPage",[119,125,129],{"name":120,"@type":121,"acceptedAnswer":122},"What red flags require urgent attention in abdominal pain?","Question",{"text":123,"@type":124},"Red flags include hematemesis, hematochezia, persistent unexplained vomiting, abdominal distension, pregnancy, pulsatile mass, trauma, and guarding.","Answer",{"name":126,"@type":121,"acceptedAnswer":127},"How should the HPI be documented for abdominal pain using the template?",{"text":128,"@type":124},"Record demographics, prior relevant history, and consider all etiologies, including medical, surgical, familial, and social factors, as well as noncontributory history when useful.",{"name":130,"@type":121,"acceptedAnswer":131},"What does the physical exam template recommend checking for abdominal pain?",{"text":132,"@type":124},"Assess for rigidity, masses (including pulsatile masses), guarding, tenderness, rebound, organomegaly, and perform negative special tests as needed. Add rectal exam based on complaint and include pregnancy test and urinalysis when appropriate.","https://schema.org",{"og:url":94,"og:type":135,"og:title":59,"og:site_name":106,"og:description":60},"article",{"robots":137,"canonical":94},"index,follow",{"doc_id":55,"site_id":69}]