31/05/2025
đ History taking of pain
SOCRATES mnemonic:
â
S â Site
â
O â Onset
â
C â Character
â
R â Radiation
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A â Associated symptoms
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T â Timing
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E â Exacerbating/Relieving factors
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S â Severity
âļī¸Understanding Pain on different systems:
đĢ Cardiovascular
Character: Crushing, tight, pressure
Radiates to: Jaw, left arm, back
Triggered by: Exertion, stress
Other signs: Sweating, nausea, breathlessness
đĢ Respiratory Pain
Feels like: Sharp, stabbing, worsens with breathing
Location: Chest or shoulder (if diaphragm is irritated)
Other signs: Cough, fever, shortness of breath
đ´ Gastrointestinal Pain
Feels like: Cramping, burning, colicky
Radiates to: Back, shoulder (e.g. gallbladder or pancreas)
Triggers: Food, fasting
Other signs: Nausea, vomiting, bloating
đââī¸đââī¸ Genitourinary Pain
Feels like: Dull (kidneys), severe and colicky (stones)
Radiates to: Lower abdomen, groin, back
Other signs: Painful urination, blood in urine
đĒ Musculoskeletal Pain
Feels like: Aching, sharp with movement
Triggered by: Activity, posture, injury
Relieved by: Rest, position change
Other signs: Swelling, stiffness
đ§ Neurological Pain
Feels like: Burning, tingling, electric-shock
Follows: Nerve pathways (like sciatica)
Other signs: Numbness, weakness
