Location: localized (RLQ, RUQ, LUQ, LLQ, epigastric, hypogastric) or diffuse
Onset, frequency, duration: when did the first episode occur, is pain continuous, if not, what is the episode frequency and duration?
Course: increasing, decreasing, steady
Severity of pain: on a scale from 1 to 10
Quality:sharp/stabbing,dull,radiating,throbbing, colicky/crampy, burning, constricting
Radiation: back, groin, other areas of the abdomen
Aggravating factors: movement, coughing, food, other, none
Reliving factors: lying still, vomiting, antacids, food, other, none
Associated symptoms: nausea, vomiting, fever, change in bowel habits, bleeding per rectum, dysphagia, odynophagia, heartburn, hematemesis, weight loss, change in appetite, dysuria, jaundice
History of similar episodes in the past
Medical history: eg, GERD, IBD, peptic ulcers, liver/ billiary/renal/CV disease
Medication history: eg, NSAIDs, opioids
History of abdominal surgery: time, type of surgery, indication for surgery, postoperative complications, elective vs urgent surgery
Gynecologic history: last menstrual period, dysmenorrhea, oral contraceptive pill use, history of PID, fibroids, endometriosis