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J.J Kip SieglerHospital #76-78-45 HISTORY CHIEF COMPLAINT Right sided, ab unhinge, eighter from Decatur minute of arcs duration PRESENT ILLNESS This is the freshman Brookside Hospital admission for this 20 year aged pink-slipped carpenter who was in his unwashed state of excellent health until approximately eight hours previous to admission when he unquestionable some high, transverse midepigastric abdominal pain following closing of a Chinese meal. The pain became progressively more pictorial and gradually, over the following quaternion hours, localized in the compensate lower quadrant. One hour prior to admission, while preparing to vex to the hospital, the patient had one fortune of emesis. The patient denies any later(prenominal) nausea and diarrhea moreover has been constipated for the historic 48 hours. PAST HISTORY SURGERY: none ILLNESSES: NONE ALLERGIES: NONE assorted POLLEN: Undetermined SMOKE: NONE ALCOHOL: truly frequently IMMUNIZATIONS: None in the past four long time FAMILY HISTORY The father is deceased, epoch 21 presumable suicide. drive is living(a) and well, age 41. One sister age 22, living well, p arnt is married and has one child and has been unemployed for the past 6 months. He spends most of his time refurbishing an old sailboat.

somatic EXAMNINATION There is an alert, oriented Caucasian male in in truth mild abdominal distress, lying supine with his right pelvic girdle flexed. Temperature is 101.2, Pulse is 88, Respiration is 20, and BP is 130/78 REVIEW OF SYSTEMS HEENT: daily trim: Warm, moist without pallor, icterus, or cyanosis, no acute lesion or petechiae Pupils are equal and reactive to light. Conjunctivae a re softly injected. Nares in addition mild! ly injected. Pharynx and mouth likewise, very minimally injected, without say of septic debris. CR: Lungs are clear to auscultation and percussion. The heart speech rhythm is firm without murmurs or enlargement. ABDOMNIAL: Somewhat protuberant with absent bowel sounds, with go tenderness and guarding in the right lower quadrant without rebound....If you privation to get a full essay, order it on our website: OrderEssay.net

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