1 1
,1
1
1
1 1
2.1Chief11Complaint1
Virginia1Lee1presents1with1moderate1to1severe1abdominal1pain,1predominantly1in1the1lower1
quadrants,1onset1approximately1241hours1prior1to1evaluation.1
3.11Complaints1
Diffuse1lower1abdominal1cramping1and1
•
discomfort1
•
Intermittent1nausea1without1vomiting1
•1
Mild1bloating1and1flatulence1
•
No1urinary1or1bowel1changes1reporte
d1
•1
No1fever,1chills,1or1recent1illness1
,1
1
1
1 1
4
.11Comprehensive1History1Pa
st1Medical1History:1
•
Hypertension1(81years),1controlled1
•
Hyperlipidemia,1on1statin1therapy1
•1
No1diabetes1or1thyroid1disorders1Surgical1
History:1
•
Appendectomy1at1age1221
•
No1gynecologic1or1pelvic1surgeries1M
edications:1
•
Lisinopril1101mg1daily1
•
Atorvastatin1201mg1nightly1
•
Occasional1acetaminophen1Allergies:
1
•
No1known1drug1or1food1allergies1
Family1and1Social1History:1
•
Mother1alive,178,1hypertensive;1father1
deceased,180,1CAD1•1Lives1alone,1work
s1full-time1