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Stomach Pain

Nurse : Hello good morning, is it right that I’m talking with Mr. Faiz?
Patient : Morning nurse, yes that’s right. I am Faiz.
Nurse : Okay Mr. Faiz, I’m here to ask you a few questions regarding your data, if you have any
objections you may refuse to answer. Would you be willing?
Patient : Sure nurse, I will.
Nurse : Okay first let me introduce myself, my name is Laras and I am a nurse on duty. Can I
know your full name?
Patient : My full name is Faiz Zahran Alfairuz.
Nurse : Okay Faiz. May I know your date of birth?
Patient : 05 Mei 2001
Nurse : Where do you live?
Patient : i live in Sukabumi at cimaja street.
Nurse : Is any phone number which could be contacted?
Patient : 0 8 5 6 5 9 6 3 7 0 8 3
Nurse : Okay Faiz, may I know who is your next of kin?
Patient : It’s my mother nurse.
Nurse : Okay, are you working or are you a student?
Patient : I am a student at Padjadjaran University.
Nurse : Do you have any insurance?
Patient : Yes, I have BPJS.
Nurse : May i know your medical history?
Patient : Yes, sure.
Nurse: Have you ever been hospitalized?
Patient: No, I haven’t.
Nurse : Do you have any allergies?
Patient : No. I haven’t.

PQRST
Provocation
Nurse : Well now, may I know what your health complaints are?
Patient : I felt pain in my stomach nurse.
Nurse : How did the pain begin?
Patient : The pain started after I had dinner last night.
Nurse : Okay, what do you think will make the pain better?
Patient : I tried to use a warm bottle, but it didn’t help. I think sitting down and lying down seems
to ease the pain a bit. But actually the pain hasn’t gone off since last night, and I just feel very
bored with what pain I’ve been feeling.
Quality
Nurse : Well I see, can you describe what kind of pain that you felt?
Patient : It’s like hot in the stomach, and it’s like heartburn.
Region/Radiation
Nurse : Where is the pain? Is the pain spreading? Or just at one point?
Patient : In the middle and upper right abdomen, in addition to my stomach, I felt pain in my
back and right shoulders.
Severity
Nurse : If I give you a scale of 1-10, what’s the scale that describe for the pain that you feel?
Patient : Hm I think it’s 8? Or 9 maybe, because it’s so painful.
Nurse : That sounds very uncomfortable, is the pain bothering your activity?
Patient : Yes I think so, that caused me sleepless nights.
Nurse : Did you take any medications to help the pain?
Patient : Sometimes I take antacids if I really can’t sleep.
Time
Nurse : Is the pain felt constant or come and go?
Patient: Sometimes disappear, but I think it pain more often when I eat late.
Nurse : Okay I see, thank you for cooperating, and we’ll try to help of from the information that’s
been provided. See you on next consultation.
Patient : Okay, thank you nurse.

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