1. By Dr. Hayam Hebah Associate professor Al Maarefa college.
GIT examination By
Dr. Hayam Hebah
Associate professor
Al Maarefa college.

2. History taking Personal history
Complaint: main symptom (1 or max 2)+duration
HPI.
other systems involved
Past history
Social history and occupational history
Family history
Drug history

3. HPI:
Upper GIT symptoms: dyspepsia- epigastric pain-nausea-vomiting- hematemesis-melena-appetite-heartburn-dysphagia-painful mouth lesions-halitosis
Lower GIT symptoms: diarrhea-constipation-dysentry-flatulance-
Others: jaundice-fever-urinary symptoms

4. GI alarm features:
Any patient starting to c/o after being 50 years old.
Persistent vomiting
Dysphagia
Fever
Weight loss
GI bleeding
Anemia
Painless, watery high volume diarrhea
Nocturnal symptoms disturbing sleep

5. Urinary symptoms:
Pain: loin pain – ureteral colic-dysuria- strangury- perineal and rectal pain- testicular pain in groin or lower abdomen.
Storage symptoms: frequency-urgency-nocturia.
Voiding symptoms: hesitancy
Incontinence-dribbling after micturition
Urine volume abnormalities: polyuria –oliguria -anuria- pneumaturia-hematuria-proteinuria

6. Examination General Local : -inspection - palpation: *superficial
*deep
*organs
- percussion
- auscultation.
PR &PV