Elizabeth SOAP.docx - William Strang Elizabeth 34 y\/o F G0P0 w PMH of infertility has severe lower abdominal pain for 1 hour The pain started after

Elizabeth SOAP.docx - William Strang Elizabeth 34 y/o F...

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William Strang Elizabeth 34 y/o F G0P0 w/ PMH of infertility has severe lower abdominal pain for 1 hour. The pain started after twisting and standing motion and has not remitted. The pain is located in RLQ, severe, stabbing, sharp, strong, aggravating by moving, stayed in LLQ. Pt has associated nausea w/o vomiting. Gyne hx notable for LMP 3 weeks ago, 28 day, regular flow, no abnormal bleeding, normal pap smears. Pt has been receiving infertility tx of FSH and hCG for 9 months. Allergy to penicillin consisting of a rash. PE: BP 106/70 HR 116 R 16 normal bowel sounds, severe RLQ palpatory tenderness below McBurney w/ guarding and rebound, mild RUQ and LLQ palpatory tenderness, bimanual exam found mass w/ tenderness, gyne exam required
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  • Fall '20
  • Pelvic inflammatory disease, Human abdomen

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