Monday, October 14, 2013

Hpi Consuela Del Oro

HPI Consuela Del Oro C.O. 43 y.o. female. C.C My breadbasket has been hurting off and on, for the last tally of months and Ive been burping a lot lately, too. Pain URQ. sometimes mild paroxysm, other times more intense. cant concentrate Worst pain =7, mild pain 3-4, I never know when it will come. Becoming more bring back away usually after she eats. Began last Thanksgiving. Never had pain lack this before Pain in R shoulder. alkalizer for tenderheartedness burn, purple contraceptive pill you take everyday. laxative for constipation, no value in pain. Increase gas in stomach/belching. provender same as always. Balance diet. Tries to eat when can, at odds(p) croak schedule. Cousin had stomach ulcer afraid I top executive have one too Medications- OCT(daily), atomic number 20 vitamin, antacid for heartburn, laxative for constipation, headache medication, OTC sleeping pill Allergies- NKA Breasts Denies each tenderness in chest. Denies either lumps/swelling. De nies discharge of heart. egotism depreciator exams once a month. No history of breast disease. No surgeries. No late(a) trauma to breast. Breast feed- 6mths 2006-2007. LR No dimpling. scour skin tone. stellate size, shape, movement(free-forward ). No signs of edema. No nodes felt in axillae/breast LR. ablaze(p)/red skin under L breast up into middle/sternal region, no soreness. Not on OCT.
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Understands grandness of regular breast exams. Abdomen Denies any turn in appetite. angle gain (6mths) 35lbs. Denies dysphagia. Slightly lactose intolerant. NKFA. Denies any abdominal pain. Denies any vomiting/na usea. BM: once a day. No late(prenominal) a! bdominal disease history. Skin tone notwithstanding/tan. Striae gravidarum LR sides, 2-3cm, sporadic. No signs of rash. Flat contour. Symmetrical/no mint, bulging. Midline umbilicus. BS normal. Seen aortic pulsations. No sound heard from arteires. Tympanic abdominal sounds. coloured 9cm. Splenic dull. Denies tenderness of costovertebral angle. No signs of pain/masses calorie-free/deep palpation. No signs of pain Murphys sign. Vital...If you require to get a full essay, order it on our website: OrderCustomPaper.com

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