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J.J Kip SieglerHospital #76-78-45 HISTORY CHIEF COMPLAINT even out sided, ab unhinge, eighter from Decatur tenuous of arcs duration PRESENT ILLNESS This is the prime(prenominal) Brookside Hospital admission for this 20 year maturated laid-off carpenter who was in his uncouth state of excellent wellness until approximately eight seconds preceding to admission when he demonstrable some high, transverse midepigastric ab inconvenience oneself following ending of a Chinese meal. The pain became progressively more intemperate and gradually, over the following quatern hours, localized in the chew out lower quadrant. One hour prior to admission, while preparing to start to the hospital, the patient had one flock of emesis. The patient denies any succeeding nausea and diarrhea just has been constipated for the past 48 hours. PAST HISTORY SURGERY: NONE ILLNESSES: NONE ALLERGIES: NONE various(a) POLLEN: Undetermined SMOKE: NONE ALCOHOL: very frequently IMMUNIZATIONS: None in the past four years FAMILY HISTORY The fuss is deceased, epoch 21 thinkable suicide. Mother is living and well, years 41. One sister age 22, living well, p arnt is get married and has one child and has been dismissed for the past 6 months. He spends most of his time refurbishing an out of date sailboat.

PHYSICAL EXAMNINATION There is an alert, orient Caucasian male in very mild group AB distress, lying supine with his repair hip flexed. Temperature is 101.2, Pulse is 88, cellular respiration is 20, and BP is 130/78 REVIEW OF SYSTEMS HEENT: Unremarkable tailor-made: Warm, moist without pallor, icterus, or cyanosis, no acute lesion or petechiae Pupils ar equal and reactive to light. Conjunctivae are softly injected. Nares likewise mildly injected. Pharynx and mouth likewise, very minimally injected, without evidence of septicemic debris. CR: Lungs are neat to auscultation and percussion. The heart rhythm is crocked without murmurs or enlargement. ABDOMNIAL: Somewhat bellying with absent bowel sounds, with go tenderness and guarding in the unspoilt lower quadrant without rebound....If you distress to get a replete(p) essay, order it on our website: Ordercustompaper.com

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