ASSESSMENT PROTOCOL FOR PROBLEM ON ABDOMINAL PAIN, EPIGASTRIC: ADULT PATIENT (Logic Tree No. 11) o JRECTION : Deten11ine/idcntify which of the following symptoms/signs (S/S) or history data (Hx D) are present and follow the flowchart for the appropriate plan of managemen t. RED YELLOW GREEN S/S or Hx D S/S or Hx D S/S or Hx D Severe pain, that is, it Pain moderate in Mild or tolerable pain is severe enough to intensity Pain described as interfere with sleep Recurrent or persistent burning or g. nawing or daily routine abdominal pain Pain is localized at the Sudden onset of pain Fatty food intolerance epigastric area Shortness of breath. or abdominal pain Pain occurred several Dizziness occurring about 2 hours after a meal or Vomiting of blood hours after a heavy in the middle of the Pain radiates to your or fatty (or oily) meal night chest, neck or Yellowish color otthe Pain relieved by food shoulder skin and/or eyes intake Blood in the stool or Temperature of 38. 60C Low grade fever stool Is black and above (temperature of Very tense or hard Pain when fingers 37. S0C to 38. S0C) abdominal wall are pressed gently Headache f>ati·ent Ii. es very quiet over the abdomen Loss of appetite to avoid making the especially over the Previous history of pain more severe epigastric area and eplgastric p. ain or Fast, shallow breathing right upper abdomen peptic ulcer disease and/or weak pulse Nausea and/or Patient took medicine that may be irregular vomiting for diabetes (like Cold clammy skin insulin, Diabenase and Euglucon) several hours before onset of condition. Body weakness Abdomen sounds. hollow when tapped . gently. 403 