e. Sonogram or ultrasound?
Read if necessary: A gel is rubbed on your upper right side and an instrument is moved around the area while an examiner watches on a television screen.
1[] Yes
2[] No
9[] DK
Hand Card S1.
Card S1
Card S1 depicts the torso of a body. The abdomen is divided into sections 9 numbered sections. The right and left sides are labeled. Generally, the numbers correspond as follows:
1 upper right
2 upper midline
3 upper left
4 mid right
5 middle
6 mid left
7 lower right
8 lower midline
9 lower left
8. Looking at this card, tell me the numbers that show you where the pain (from the (condition in Check Item 1)) was located?
Mark all that apply.
Do not probe.
1[] (11)
2[] (11)
3[] (11)
4[] (11)
5[] (11)
6[] (11)
7[] (11)
8[] (11)
9[] (11)