Back to: PART 2 OSCE TEXT
Introduction:
Good morning Miss. Smith I am Dr. XYZ, senior house officer in the department of obstetrics and gynaecology. I would like to have a small chat with you regarding your abdominal (tummy) pain, is that all right with you?
Current Complaint:
- When did the pain start?
- Could you point out exactly where the pain is?
- Type of pain?
- Is the pain radiating anywhere?
- What makes the pain better and what makes it worse?
- Is the pain getting better now?
- Is there any diurnal variation (during the day)?
- Associated feature like nausea, vomiting and distention?
- Vomit colour and character? Relation to food?
- Does it wake you up at night (severity)?
- How is your appetite?
- Any weight loss?
- Are you opening your bowels regularly? Diarrhoea and constipation?
- Stool formed? Is it hard to flush? Colour?
- Relation to exercise? breathlessness and sweating?
Menstrual History:
- When was the last period?
- Are you on any contraceptives?
- Could you be pregnant?
- Burning micturition, any history of UTI and vaginal discharge?
- Is the vaginal discharge foul smelling? Colour?
- Have you had similar episode in the past?
Family History:
- Bowel diseases or Carcinoma?
Smoking and alcohol? Drug history?
Medical History:
- History of acid peptic disease, angina, appendicectomy, STD, PID, IUCD, ectopics.
Differential Diagnosis:
- UTI, STD, PID, appendicitis, ectopic pregnancy, acid peptic disease, pancreatitis, renal and gall stones.