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:
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