Table 2.
Correct steps to perform in the acute abdominal pain station and the points awarded for each step
| Step | Correct | Partial |
|---|---|---|
| Medical History | ||
| Pain (where, how, when, why) | 1.0 | 0.5 |
| Vegetative Symptoms (nausea, vomiting, fever, bowel movements) | 1.0 | 0.5 |
| Prior medical history (prior illnesses, prior operations) | 1.0 | 0.5 |
| Medications and allergies | 1.0 | 0.5 |
| Physical Examination | ||
| Correct positioning of the patient | 0.8 | |
| Inspection (verbalizing the results) | 0.8 | |
| Auscultation of the abdomen in all four quadrants | 0.8 | |
| Percussion of the abdomen | 0.8 | |
| Palpation of the abdomen (starting in a non-painful region) | 0.4 | |
| Signs (depending on the scenario) | 0.4 | |
| Diverticulitis: rebound tenderness | ||
| Cholecystitis: Murphy’s sign | ||
| Appendicitis: Blumberg’s sign | ||
| Diagnosis | ||
| Naming the correct diagnosis and further diagnostic steps | 1.0 | 0.5 |
| Communication | ||
| Communication with the patient (professional behavior, clear communication, showing empathy, hygiene) | 1.0 | 0.5 |