cce_family medicine_epigastric pain

severity

time, place

character

associations

factors

acute

progressive

sudden

ruptured HCC

ruptured esophagus (Boerhaave's syndrome)

ruptured AAA

acute appenditis

myocardial infarction

perforate peptic ulcer

pancreatic cancer

esophagitis

peptic ulcer, stomach cancer

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(increase: after meal) (decrease: PPI, antacid, analgesics)

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constant pain, colicky pain

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