Worsening Abdominal Pain and Bloating in a 30-Year-Old Woman

Mohammad Elbatta, MD; Jason Schairer, MD


August 12, 2019

Physical Examination and Workup

Upon physical examination, the patient's height is 5'6", weight is 160 lb, blood pressure is 108/70 mm Hg, pulse is 70 beats/min, and respiratory rate is 12 breaths/min. The physical examination reveals a comfortable-appearing woman in no acute distress. The head and neck examination findings are normal, and no scleral icterus is noted. She does not appear dehydrated. Her lung sounds are clear to auscultation bilaterally. The S1 and S2 heart sounds are normal, with no audible murmurs, rubs, or gallops.

The patient has a soft abdomen that is not distended, with bowel sounds heard in all four quadrants. Palpation reveals no tenderness at the time of examination and no masses are felt. A rectal examination reveals brown, guaiac-negative stool. No neurologic deficits are noted. Basic workup, including complete blood cell count and basic metabolic profile, are within the reference range.


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