Doctor:hello i'm dr muhammad a student

candidate they have been asked to ask

you some questions to get your condition

are you okay with that

Patient:yes

Doctor:may i confirm you like this

Patient:well my name is um

john and i'm 57 years old

Doctor:nice to meet you mr john

so what's brought you here today

Patient: i've been experiencing abdominal

Pain

and

fever

Doctor:i'm really so sorry to hear that when did

you fall ill

Patient:i had it uh for last three months

now it becomes

much more worse

Doctor:okay i'm sorry to hear that did it start

Suddenly or gradually

Patient:started gradually

Doctor:okay is there anything which makes the

pain increase or decrease in size

Patient:yes whenever i exert like cough or had

constipation or bowel movement then i

had a severe pain

Doctor:can you point to the side of the pain

Patient:In the middle

Doctor:okay how can you describe the pain for me

it is colicky or cramping

Patient:it's more than dull

and continuous

Doctor:okay does it change throughout the day

any specific time which may be

increasing throughout the day

Patient:it increases when i work

Doctor:okay i'm sorry to hear that

uh if you had to rate the pain from 1 to

10 with 10 is the most imaginable how

would you rate it

Patient:when i work it comes to eight nine

oh i'm really closer to that do you want

me to give you some kind of energy

Patient:right now it's

um i'm not that mystery

Doctor:okay

how does this affect your day-to-day

life

Patient:i'm not able to work

um

much with this pain

Doctor:i'm really so sorry to hear that

is there any

discharge or

any fluid come from it

Patient:no

Doctor:okay have you been ever

ill or any have any fever

Patient:yes i

did have

fever

Doctor:okay i'm sorry to hear that is there any

redness or hotness or any sore

over lining

that area

Patient:no

Doctor:okay how do you have any history of

trauma or the fight

Patient:no

Doctor:okay have you been injecting anything at

that side

Patient:no

Doctor:do you've noticed that you have change

in color or numbness or swelling in your

limb

Patient:no

Doctor:okay

uh do you have any like straining when

you pass urine or stool

Patient:yes i do feel strange

Doctor:okay

is there any part in any area in your bulging

Patient:yes yes there is bulge

Doctor:can you point to the side

Patient:it's just

on the left side

Doctor:okay i'm sorry to hear that

does it uh

decrease when you're lying flat

Patient:no

Doctor:okay

do you have any vomiting

or any

said stuff

Patient:no

Doctor:okay

do you have any change in your appetite

Patient:no

Doctor:you have any history of unintentional weight loss

Patient:no

Doctor:do you have any other medical

concern

Patient:no

Doctor:have you underwent any surgery before

Patient:no

Doctor:okay are you taking any long-term

medication or allergic to any drugs

Patient:no i'm not taking any kind of tracts

Doctor:okay is there any member in your family

who has the same condition

Patient:nope

Doctor:okay

uh before i go can i ask some personal

question please

Patient:yes

Doctor:what's your occupation

Patient:i work at the store and i left now

i transport goods from here today