Abdominal Pain

Determining the Cause

Stable Patient

Click on Location of Pain

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Letter Question What it reveals
S — Site Where exactly is the pain? Organ localization
O — Onset When did it start? Sudden or gradual? Vascular vs. inflammatory vs. functional
C — Character Burning, cramping, stabbing, dull? Type of tissue involved
R — Radiation Does it go anywhere else? Classic patterns (e.g., shoulder = diaphragm irritation)
A — Associations Nausea? Fever? Bowel changes? Urinary symptoms? Systemic vs. localized
T — Timing Constant or comes and goes? Getting better or worse? Acute vs. chronic, progressive vs. resolving
E — Exacerbating/Relieving What makes it worse or better? Functional clues (food, position, movement, defecation)
S — Severity Score 1–10 Urgency and clinical weight
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Management and Determining the Cause

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