Doctor: Hello, I'm Dr. Pete, a specialist in general surgery. First I'd like to know your name.
Patient: My name is Richard ,a student.
Doctor: How old are you? (smile)
Patient: 20 years old. (laughing and relaxing)
Doctor; Don't be nervous.Relax and say slowly.What's wrong with you?
Patient: I’m here because of a stomachache.It hurts in the morning suddenly,and I don’t know why it would happen.
Doctor: Show me where it is. (proper body language and smile)
Doctor: Oh,it’s in right lower quadrant.And how long has it been?
Patient: About 8 hours ago.It begins to hurt in the morning, here, but in the afternoon it hurts in the lower abdomen.It real-really hurts.
Doctor: How about your appetite after the pain?
Patient: oh, dear, I vomit when eating after breakfast, even drinking water, and feel uncomfortable when I see food.
Doctor: How is your stool in the last two days?
Patient: Yeah, I opened the bowel yesterday. But it hasn’t happen until now after yesterday.
Doctor: Have you had any diarrhea?
Patient: No, the stools were normal.
Doctor: Em....Can you describe when you vomit? Is there anything unusual in yellow or green? Patient: Oh.Just the food and some fruits that I ate in the morning,nothing else.
Doctor: What were the meals this morning? Was it greasy or spicy?
Patient: Cabbage and lean meat, light food, not spicy.
Doctor: But do you like greasy or spicy food in usual?
Patient: I like it very much, but I haven't had a stomachache before.
Doctor: Does it hurt when you move? Is the pain colic or dull or... ?
Patient: Oh ,it does when I move. Em... colic pain.At first the pain was generalized in the (whole) abdomen, but it subsequently localized to the R.L.Q.
Doctor: Can you get relieved if you lie down or squat?
Patient: Yes, it can.
Doctor: Did you go to the doctor or take the painkillers after your pain?
Patient: I didn't see the doctor and I ate a few pills to relieve the stomachache, but it didn't work.
Doctor: Have you ever suffered from gastroenteritis such as gastric ulcer or appendicitis?
Patient: Never.Maybe I have stomachache sometimes but it stopped hurting after a few minutes , or a painkiller to stop it.
Doctor: well, I generally get your situation. And now I have a few more questions about you and your family. Have you ever had any serious disease?
Patient: No major disease, just sometimes a cold.
Doctor: Any further tests?
Patient: Em...Blood test and the result is healthy.
Doctor: Any surgery before?
Doctor: Have you had any history of drugs or food allergy?