6421 Comprehensive Gastrointestinal Assessment: Abdominal Pain,
Nausea, Vomiting, Anorexia, Dysphagia, Heartburn, Indigestion,
Diarrhea, Constipation, Jaundice, Rectal Bleeding, Appetite Changes,
Food Intolerance, Bowel Habits, Liver Function, Gallbladder Disorders,
Pancreatitis, Gastritis, Peptic Ulcer Disease, GERD, Hepatomegaly,
Splenomegaly, Ascites, Abdominal Distention, Bowel Sounds, Bruits,
Percussion, Palpation, Rebound Tenderness, Murphy’s Sign, Rovsing’s
Sign, Psoas Sign, Obturator Sign, Colon Cancer Screening, Endoscopy
Exam Questions Verified and Provided with Complete A+ Graded
Rationales Latest Updated 2026
Subjective complaints
Abdominal pain
Nausea/vomiting
Anorexia
Heartburn, indigestion
Dysphagia
Diarrhea/constipation
Jaundice
Rectal bleeding
Appetite
Any change in appetite? Is this a loss of appetite?
Any change in weight? How much weight gained or lost? Over what time period? Is the weight loss due
to diet?
,Dysphagia
Any difficulty swallowing or pain when you swallow? When did you first notice this?
food intolerance
Are there any foods you cannot eat? What happens if you do eat them: allergic reaction, heartburn,
belching, bloating, or indigestion?
Do you use antacids? How often?
Abdominal pain
Any abdominal pain? Please point to it.
Is pain in one spot or does it move around?
How did it start? How long have you had it?
Is it constant, or does it come and go? Does it occur before or after meals? Does it peak? When?
How would you describe the character of the pain: cramping (colic type), burning in pit of stomach, dull,
stabbing, or aching?
Is pain relieved by food, or worse after eating?
Is pain associated with menstrual period or irregularities, stress, dietary indiscretion, fatigue, nausea and
vomiting, gas, fever, rectal bleeding, frequent urination, or vaginal or penile discharge?
•Aggravating factors: What makes the pain worse: food, position, stress, medication, or activity?
•Alleviating Factors: What have you tried to relieve pain by resting, using a heating pad, changing
position, or taking medication?
Nausea and vomiting
Any nausea or vomiting?
•How often? How much comes up? What is the color? Is there an odor?
•Is it bloody?
•Is nausea and vomiting associated with colicky pain, diarrhea, fever, or chills?
, •What foods did you eat in last 24 hours? Where did you eat? At home, school, restaurant? Is there
anyone else in family with same symptoms in last 24 hours?
Bowel habits
How often do you have a bowel movement?
•What is the color and consistency?
•Any diarrhea or constipation? How long?
•Any recent change in bowel habits?
•Any blood in the stool or black tarry stools, color of the stools?
•Use laxatives? Which ones? How often do you use them?
Medications
What medications are you currently taking?
How much alcohol do you drink each day? Each week? When was your last alcoholic drink?
Nutritional assessment
Now I would like to ask you about your diet
•Please tell me all food you ate yesterday, starting with breakfast
Pertinent GI history
Liver disease, hepatitis/jaundice
PUD/GERD
Gallbladder disease
Appendicitis
Pancreatitis
Nausea, Vomiting, Anorexia, Dysphagia, Heartburn, Indigestion,
Diarrhea, Constipation, Jaundice, Rectal Bleeding, Appetite Changes,
Food Intolerance, Bowel Habits, Liver Function, Gallbladder Disorders,
Pancreatitis, Gastritis, Peptic Ulcer Disease, GERD, Hepatomegaly,
Splenomegaly, Ascites, Abdominal Distention, Bowel Sounds, Bruits,
Percussion, Palpation, Rebound Tenderness, Murphy’s Sign, Rovsing’s
Sign, Psoas Sign, Obturator Sign, Colon Cancer Screening, Endoscopy
Exam Questions Verified and Provided with Complete A+ Graded
Rationales Latest Updated 2026
Subjective complaints
Abdominal pain
Nausea/vomiting
Anorexia
Heartburn, indigestion
Dysphagia
Diarrhea/constipation
Jaundice
Rectal bleeding
Appetite
Any change in appetite? Is this a loss of appetite?
Any change in weight? How much weight gained or lost? Over what time period? Is the weight loss due
to diet?
,Dysphagia
Any difficulty swallowing or pain when you swallow? When did you first notice this?
food intolerance
Are there any foods you cannot eat? What happens if you do eat them: allergic reaction, heartburn,
belching, bloating, or indigestion?
Do you use antacids? How often?
Abdominal pain
Any abdominal pain? Please point to it.
Is pain in one spot or does it move around?
How did it start? How long have you had it?
Is it constant, or does it come and go? Does it occur before or after meals? Does it peak? When?
How would you describe the character of the pain: cramping (colic type), burning in pit of stomach, dull,
stabbing, or aching?
Is pain relieved by food, or worse after eating?
Is pain associated with menstrual period or irregularities, stress, dietary indiscretion, fatigue, nausea and
vomiting, gas, fever, rectal bleeding, frequent urination, or vaginal or penile discharge?
•Aggravating factors: What makes the pain worse: food, position, stress, medication, or activity?
•Alleviating Factors: What have you tried to relieve pain by resting, using a heating pad, changing
position, or taking medication?
Nausea and vomiting
Any nausea or vomiting?
•How often? How much comes up? What is the color? Is there an odor?
•Is it bloody?
•Is nausea and vomiting associated with colicky pain, diarrhea, fever, or chills?
, •What foods did you eat in last 24 hours? Where did you eat? At home, school, restaurant? Is there
anyone else in family with same symptoms in last 24 hours?
Bowel habits
How often do you have a bowel movement?
•What is the color and consistency?
•Any diarrhea or constipation? How long?
•Any recent change in bowel habits?
•Any blood in the stool or black tarry stools, color of the stools?
•Use laxatives? Which ones? How often do you use them?
Medications
What medications are you currently taking?
How much alcohol do you drink each day? Each week? When was your last alcoholic drink?
Nutritional assessment
Now I would like to ask you about your diet
•Please tell me all food you ate yesterday, starting with breakfast
Pertinent GI history
Liver disease, hepatitis/jaundice
PUD/GERD
Gallbladder disease
Appendicitis
Pancreatitis
