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Biographical Data: Fill in your own information Chief Complaint: "I have terrible pain in my stomach" Present Illness:
Quality-burning, sharp, takes my breath away Quantity-starts as a 4 (on a scale of 1-10) but quickly progresses to a "9". Timing-I can't pick out a pattern. It occurs about once a month and lasts several hours. Factors: It's worse at night when sleeping and sometimes after dinner. It never seems to occur in the day time. Sometimes laying down makes it better, but not much seems to help it. Associated Manifestations: none Past History: Fill in your own data Current Health Status: Fill in your own data Family History: Fill in your own data Psychosocial History: Fill in your own data Review of Systems: Fill in your own data but discuss abdominal pain if asked along with belching and gas production.
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