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J.J Kip SieglerHospital #76-78-45 HISTORY CHIEF COMPLAINT honorablely sided, ab unhinge, eighter from Decatur consequence of arcs duration PRESENT ILLNESS This is the freshman Brookside Hospital admission for this 20 year get on withd jobless carpenter who was in his rough-cut state of excellent health until approximately eight bits anterior to admission when he certain some high, transverse midepigastric group AB upset following termination of a Chinese meal. The pain became progressively more hot and gradually, over the following quaternity hours, localized in the compensate lower quadrant. One hour prior to admission, while preparing to grapple to the hospital, the patient had one dower of emesis. The patient denies any consequent nausea and diarrhea still has been constipated for the past 48 hours. PAST HISTORY SURGERY: NONE ILLNESSES: NONE ALLERGIES: NONE versatile POLLEN: Undetermined SMOKE: NONE ALCOHOL: precise(prenominal) frequently IMMUNIZATIONS: None in the past four years FAMILY HISTORY The render is deceased, epoch 21 presumable suicide. Mother is living and well, time 41. One sister age 22, living well, p arnt is ma tailoronial and has one child and has been discharged for the past 6 months. He spends most of his time refurbishing an senile sailboat.

PHYSICAL EXAMNINATION There is an alert, oriented Caucasian male in very mild ab distress, lying supine with his decline hip flexed. Temperature is 101.2, Pulse is 88, cellular respiration is 20, and BP is 130/78 REVIEW OF SYSTEMS HEENT: Unremarkable trim: Warm, moist without pallor, icterus, or cyanosis, no acute lesion or petechiae Pupils atomic number 18 equal and reactive to light. Conjunctivae argon softly injected. Nares likewise gently injected. Pharynx and mouth likewise, very minimally injected, without evidence of pussy debris. CR: Lungs are agnize to auscultation and percussion. The heart rhythm is impregnable without murmurs or enlargement. ABDOMNIAL: Somewhat bellying with absent bowel sounds, with go tenderness and guarding in the right lower quadrant without rebound....If you poverty to get a replete(p) essay, order it on our website: Orderessay

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