DEBORAH ARNAUDIN 54 YEAR OLD FEMALE CHIEF
COMPLAINT ABDOMINAL PAIN ,BILIOUS
VOMITING, ABDOMINAL DISTENSION ;LOCATION
EMERGENCY DEPARTMENT
, Age: 54 years
Location of Encounter: Emergency Department
Chief Complaint (Reason for Encounter):
Abdominal pain
???? History of Present Illness (HPI):
Onset: 2 days ago
Character: Crampy and constant
Location: Periumbilical (around the belly button)
Associated symptoms:
Bilious vomiting (greenish vomit, which may indicate possible bowel obstruction)
Abdominal distension
Aggravating/Relieving factors: Pain is continuous with no relief from vomiting
???? Relevant Medical History:
Past surgery: Abdominal surgery for small bowel obstruction 1 year ago
Substance use: History of heavy alcohol use
???? Physical Examination Findings:
Vital signs: Tachycardia (tachycardic)
Abdomen:
Distended
Absence of bowel sounds in all four quadrants (suggestive of ileus or obstruction)
COMPLAINT ABDOMINAL PAIN ,BILIOUS
VOMITING, ABDOMINAL DISTENSION ;LOCATION
EMERGENCY DEPARTMENT
, Age: 54 years
Location of Encounter: Emergency Department
Chief Complaint (Reason for Encounter):
Abdominal pain
???? History of Present Illness (HPI):
Onset: 2 days ago
Character: Crampy and constant
Location: Periumbilical (around the belly button)
Associated symptoms:
Bilious vomiting (greenish vomit, which may indicate possible bowel obstruction)
Abdominal distension
Aggravating/Relieving factors: Pain is continuous with no relief from vomiting
???? Relevant Medical History:
Past surgery: Abdominal surgery for small bowel obstruction 1 year ago
Substance use: History of heavy alcohol use
???? Physical Examination Findings:
Vital signs: Tachycardia (tachycardic)
Abdomen:
Distended
Absence of bowel sounds in all four quadrants (suggestive of ileus or obstruction)
