Sounds: Normoactive
Location of Non Normoactive Bowel Sounds: all quadrants normoactive
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Auscultate- Abdominal Aorta
answer
No bruit
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Auscultate- Abdominal Arteries
answer
Right Renal: No bruit
Right Iliac: No bruit
Right Femoral: No bruit
Left Renal: No bruit
Left Iliac: No bruit
Left Femoral: no bruit
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Percussion-Abdomen
answer
All areas are tympanic
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Percussion-CVA Tenderness
answer
Did not react
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Percussion-Liver Span
answer
Between 6 and 12cm
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Palpate-Light
answer
Tenderness- No Tenderness
Location of Tenderness- No quadrants tender
Observations- no additional observations
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Palpate- Deep
answer
Presence of Unexpected Mass-No palpable mass
Location of Mass-No palpable mass
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Palpate-Liver
answer
Detection-Palpable
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Palpate-Spleen
answer
Detection-Not palpable
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Palpate-Kidneys
answer
Right- Not palpable
Left- Not palpable
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Relevant Medical History +2
answer
When was your last bowel movement?
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Family History +1
answer
Any family history of abdominal conditions?
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Family History +1
answer
Any family history of abdominal cancer?
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Relevant Medical History +1
answer
Have you had any stomach aches?
question
Relevant Medical History +1
answer
Have you had any diarrhea?
question
Relevant Medical History +1
answer
What does your stool look like?
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Relevant Medical History +2
answer
How often do you go to the bathroom?
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Relevant Medical History +1
answer
How often do you eat?
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Relevant Medical History +1
answer
Do you have any pain after meals?
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Relevant Medical History +1
answer
Do you have any pain going to the batrrom?
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Relevant Medical History +1
answer
Are there any foods that cause you pain?
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Relevant Medial History +1
answer
Do you ever throw up?
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Review of Systems +1
answer
Have you ever had an appendectomy?
question
Relevant Medical History +1
answer
Do you have any nausea?
question
Relevant Medical History +1
answer
How much water do you drink?
question
Risk Factors +1
answer
Do you smoke?
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Risk Factors +1
answer
Do you drink alcohol?
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Risk Factors +1
answer
Do you use illicit drugs?
question
Relevant Medical History +1
answer
Do you get hungry often?
question
Relevant Medical History +1
answer
Do you urinate normally?
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Relevant Medical History +1
answer
Is your urine cloudy?
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Review of Systems +1
answer
How did you loose your weight?
question
Document Additional Findings
answer
Patient denies any digestive problems.
Patient denies reflux, nausea, dysphagia, constipation, diarrhea, changes in bowel habits, jaundice, abdominal pain, or bloody stool.
Patient denies pain upon voiding.
Patient voids regularly, and claims normal stool color and shape.
Patient denies any gallbladder or liver disease. Patient denies any kidney disease or history of kidney stones.
Patient reports increased polyphagia and polydipsia.
Patient reports drinking 3-4 diet cokes per day.
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