Description

Dorothy Jones – Attempt 3723068

VL is a 25-year-old female presenting with an itchy rash that started initially on her bilateral inner thighs and is now on her left inner forearm x2 days. She reports recent travel to Napa where she was exposed to bush plants, scallops, a hot tub, and a new lotion. She denies any fever, shortness of breath, fatigue, or shortness of breath but reports a history of hives as a child. Physical exam shows erythematous raised blisters to her bilateral inner thighs measuring 10×12 cm and a 6 cm erythematous linear pattern of blisters to her left inner forearm. Lung sounds are clear bilaterally, no abnormalities seen in the eyes, ears, nose, or throat.

Dorothy Jones – Attempt 3741013

D.J is a 54 yer old female that presents to the emergency department with a two day history of sudden-onset of abdominal pain that is in the periumbilical region rating (8-10). Pain is described as squeezing and has diffuse tenderness to palpation. Pain is increased with food consumption and somewhat relieved by vomiting. Patient reports constipation x 2 days and unable to pass gas. Patient has absent bowel sounds, abdominal distention, tenderness, tympana and tachycardia. Her emesis is non bloody but is bilious in nature. She does report a previous cholecystectomy and hysterectomy as well as fibroid removal. A history of high cholesterol as well as heavy alcohol use. Patient denies any fevers or urinary symptoms.

Dorothy Jones – Attempt 3748568

DJ is a 54-year-old female patient with a PMH of multiple abdominal surgeries-cholecystectomy and fibroidectomies- presents with acute progressive non-radiating midabdominal pain for 2 days with non-bloody greenish emesis and bloating times 1 day. She reports a history of hyperlipidemia and heavy alcohol use, denies fever, flatus-last was 2 days ago, and bowel movements. The physical exam shows tachycardia, absent bowel sounds, abdominal distention with tympany, periumbilical discomfort with diffuse tenderness to palpation, and unremarkable cardio or respiratory findings.

Dorothy Jones – Attempt 3751980

Dorothy Jones is a 54-yr old female who presents for evaluation of acute umbilicus abdominal pain for three days. Patient sates intermittent nausea and vomiting, described as a greenish liquid. Upon the patients assessment she is noted for significant abdominal Physical examination is positive for abdominal distention, pain, absent bowel sounds in noted in each quadrant. Abdomen is moderately tympanitic to percussion throughout, heart rate is elevated at 105 bpm. Abdomen without involuntary guarding or rebound tenderness.

Dorothy Jones – Attempt 3752448

DJ is a 54-year-old female with a chief complaint of abdominal pain. She reports 8-9/10 middle abdominal pain, nausea, green colored vomit, abdominal bloating, and constipation x2 days. She denies fevers, blood in stool, weight loss or gain, and changes in urination. Physical exam reveals tachycardia, abdominal distension, abdominal tenderness on palpation, and absent bowel sounds. Rectal exam is normal, negative hemoccult, and no rebound tenderness with deep palpation.