DEBORAH ARNAUDIN 54 YEAR OLD FEMALE CHIEF COMPLAINT ABDOMINAL PAIN ,BILIOUS VOMITING, ABDOMINAL DISTENSION ;LOCATION EMERGENCY DEPARTMENT

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)