tina jones gastrointestinal shadow health transcript
Hello. My name is xxxx. I will interview you and later do a physical exam. Greet 07/05/20 10:03 PM CDT Hey. What is your name? Question 07/05/20 10:03 PM CDT Tina Jones. What is you date of birth? Question 07/05/20 10:04 PM CDT February 17th. How old are you? Question 07/05/20 10:05 PM CDT I?m 28. What brings you to the clinic today? Question 07/05/20 10:05 PM CDT I?ve been having this stomach pain for awhile. It keeps coming back, and it really is starting to bother me. Sorry to hear that you are feeling bad Empathize 07/05/20 10:05 PM CDT Thanks for understanding. When did the pain start? Question 07/05/20 10:06 PM CDT Probably at least a month ago. Maybe longer. It started out really minor so it took me awhile to realize it was getting bad. Where s the pain located? Question 07/05/20 10:06 PM CDT It?s like? my upper stomach. Like right below my breastbone, in the middle. Describe how the pain feels Question 07/05/20 10:06 PM CDT Um, it feels like heartburn. But sometimes, if it?s bad, it?s sharper than that. Does the pain increase? Question 07/05/20 10:06 PM CDT Yeah, it?s getting worse over time. I get these stomach pains every day. How many times a week are you getting the pain? (Clarified to How many times a week have you been having issues with abdominal pain?.) Question 07/05/20 10:07 PM CDT Every time I eat it hurts a little, but 3 or 4 times a week, it?ll be a lot worse. (Clarified to how many times a week I have abdominal pain.) Do you have the abdominal pain everyday? Question 07/05/20 10:08 PM CDT Yeah, I?ve had stomach pain for awhile now. when did the abdominal pain begin? Question 07/05/20 10:09 PM CDT Probably at least a month ago. Maybe longer. It started out really minor so it took me awhile to realize it was getting bad. How long does the pain last? Question 07/05/20 10:09 PM CDT For a few hours after I eat. How do you rate the pain on a scale of 0 to 10? (Clarified to Can you rate your current pain level on a scale of 0 to 10?.) Question 07/05/20 10:10 PM CDT Right now, it?s like a 1 or 2. But after I eat, it?s like a. . . 5? (Clarified to how I would rate my pain on a scale.) Is the pain crushing? Question 07/05/20 10:10 PM CDT No. Is the pain gnawing ? Question 07/05/20 10:11 PM CDT No, it?s not like that. Is the pain cramping? Question 07/05/20 10:11 PM CDT No, it?s not like stomach cramps. where is the pain located? Question 07/05/20 10:11 PM CDT It?s like? my upper stomach. Like right below my breastbone, in the middle. on what side of your stomach is the pain located? Question 07/05/20 10:12 PM CDT No, it?s right in the center of my stomach, like between my belly button and my ribs. do you have sharp pain in your lower abdomen? Question 07/05/20 10:13 PM CDT No, it?s not at all like that. It?s in the middle of my stomach. Am sorry you feel that Empathize 07/05/20 10:14 PM CDT I appreciate you saying that. does your pain occur after eating? Question 07/05/20 10:14 PM CDT Yes. Every time I eat it hurts. I?ve been eating less because I don?t like being in pain. Your pain is with larger meals? Question 07/05/20 10:15 PM CDT Yes, large meals make the pain worse. [AUDIO COMING SOON] do you eat spicy foods? Question 07/05/20 10:15 PM CDT Well, I used to eat spicy food sometimes, but in the last few weeks I can?t. It makes my stomach pain too bad. Do you eat a lot of fatty foods? Question 07/05/20 10:16 PM CDT Not too much. I mean, I like French fries and stuff, but I try not to eat them too often. French fries are considered fatty foods, try cut down on them Educate 07/05/20 10:17 PM CDT Alright, thanks for letting me know. Is your pain worse when you bend over? Question 07/05/20 10:17 PM CDT Yeah. It gets worse when I bend over ? I noticed that at work. sorry to hear that Empathize 07/05/20 10:18 PM CDT Thanks for saying that. Does it hurt when you lie flat? Question 07/05/20 10:18 PM CDT Yeah. Try not to bend over at work Educate 07/05/20 10:18 PM CDT Thanks for telling me. Is the pain better when you sit up? (Clarified to Does the pain improve when you sit up?.) Question 07/05/20 10:19 PM CDT Usually, yeah. (Clarified to if my pain improves when I sit up.) any decrease in appetite? Question 07/05/20 10:20 PM CDT Yeah, I haven?t been wanting to eat lately. Its important you take 3 meals a day Educate 07/05/20 10:20 PM CDT OK, I understand. Do you eat out? Question 07/05/20 10:20 PM CDT I try not to eat out too much, but with my schedule I end up having to. have you been eating smaller meals than usual? Question 07/05/20 10:21 PM CDT Yeah, I?ve been trying to eat really little meals. I haven?t been that hungry, and I don?t want to have the pain of eating a big meal. Any increase in burping? (Clarified to Have you been burping more than usual?.) Question 07/05/20 10:22 PM CDT Yeah, that?s been happening after I eat. (Clarified to if I have been burping more than usual lately.) what makes your stomach pain relieve? (Clarified to What makes the abdominal pain better?.) Question 07/05/20 10:23 PM CDT I feel the best in-between meals. And sitting up on the couch seems to help. And sometimes I take an antacid. (Clarified to what makes the abdominal pain better.) Sitting up position helps prevent stomach acid from coming up the esophagus. Educate 07/05/20 10:25 PM CDT Sure, I think I understand what you mean. What is the name of the antacid? Question 07/05/20 10:25 PM CDT I take the chewable Tums. How many chewable tums? (No matching questions found.) Question 07/05/20 10:25 PM CDT How many chew able tums do you take in a day? Question 07/05/20 10:26 PM CDT I start with two, and then I chew a couple more if I need to. The bottle says you can have up to four. Do the tums help relieve your pain? Question 07/05/20 10:27 PM CDT Yeah, they help. I try to only take them when the pain seems worse than usual. Does use of antacid help? Question 07/05/20 10:27 PM CDT Yeah, they help. I try to only take them when the pain seems worse than usual. Does the pain change? Question 07/05/20 10:28 PM CDT Yeah, it?s getting worse over time. I get these stomach pains every day. Does the stomach pain come with nausea and vomiting? Question 07/05/20 10:28 PM CDT No, I don?t feel nauseous. does your pain cause vomiting? (No matching questions found.) Question 07/05/20 10:29 PM CDT does the pain cause vomiting? (No matching questions found.) Question 07/05/20 10:29 PM CDT is your abdomen tender? Question 07/05/20 10:30 PM CDT No. My stomach pain?s not tender like that. any cramping? Question 07/05/20 10:30 PM CDT Yeah, I get cramps pretty bad. Is your pain associated with gas? Question 07/05/20 10:31 PM CDT I don?t think so. I haven?t been gassy lately. are you passing gas? Question 07/05/20 10:31 PM CDT No. How is your bowel? Question 07/05/20 10:31 PM CDT I guess I normally go once a day, or sometimes every other day. What the bowel colour? (No matching questions found.) Question 07/05/20 10:32 PM CDT What is your typical breakfast? Question 07/05/20 10:33 PM CDT I usually have either cereal or toast, or if I pick something up on my way to work, I?ll get a muffin or some pumpkin bread. what is your usual lunch? Question 07/05/20 10:33 PM CDT I usually either make a sandwich and bring it with me, or I get a sandwich somewhere. And I have chips or pretzels with it. Or *maybe* French fries, but I try not to get them too often. Try and avoid fatty foods such as chips and french fries, they are not healthy. Educate 07/05/20 10:35 PM CDT That makes sense. any flatus after eating? (No matching questions found.) Question 07/05/20 10:35 PM CDT How often do you eat spicy foods? Question 07/05/20 10:36 PM CDT Well, I used to eat spicy food sometimes, but in the last few weeks I can?t. It makes my stomach pain too bad. Spicy foods can irritate the stomach lining. Educate 07/05/20 10:36 PM CDT Alright, thanks for letting me know. Are you having stomach pain now? (Clarified to Do you have stomach pain right now?.) Question 07/05/20 10:37 PM CDT Only a little. (Clarified to if I have stomach pain right now.) what tome of the day is the pain the worst? Question 07/05/20 10:37 PM CDT I don?t think it?s a particular time of day. It just hurts the worst right after I eat. Do you have allergies? Question 07/05/20 10:39 PM CDT Yeah, I?m allergic to cats. Do you have gastrointestinal disease? Question 07/05/20 10:39 PM CDT I don?t have like, diseases. But I?ve had this stomach pain for like, a month. have you ever had gastrointestinal surgery? Question 07/05/20 10:40 PM CDT No. any past history of appendicitis? Question 07/05/20 10:40 PM CDT No. have you ever had cholecystitis? Question 07/05/20 10:41 PM CDT Not that I?ve heard of. Any history of stomach cancer? Question 07/05/20 10:42 PM CDT No. what about liver disease? (No matching questions found.) Question 07/05/20 10:42 PM CDT Any history of liver disease? Question 07/05/20 10:43 PM CDT No, I?ve never had any problems with my liver. any history of ulcers? Question 07/05/20 10:43 PM CDT No. any history of bladder disease? Question 07/05/20 10:43 PM CDT No, I never have. do you experience pain during bowel movements? Question 07/05/20 10:44 PM CDT No. Any bloody or tarry stools? Question 07/05/20 10:44 PM CDT Um, no. any mucus ins stool? (Clarified to Have you had mucus in your stool?.) Question 07/05/20 10:44 PM CDT Ew. No. (Clarified to if there has been mucus in my stool.) Any changes in bowel movements pattern? Question 07/05/20 10:45 PM CDT No, everything?s been normal in that department. Do you have increased urination? Question 07/05/20 10:45 PM CDT Yeah, but I?ve been drinking more water. drinking water is good for you Educate 07/05/20 10:46 PM CDT That makes sense. What is the colour of your urine? Question 07/05/20 10:46 PM CDT Um, light yellow or almost clear? The regular color. Do you have pain during urination? Question 07/05/20 10:47 PM CDT No. do you experience nocturia? (No matching questions found.) Question 07/05/20 10:48 PM CDT do you experience nocturia?do you urinate more than usual at night? Question 07/05/20 10:49 PM CDT Yeah, but I?ve been drinking more water. does your urine have blood? Question 07/05/20 10:50 PM CDT I don?t think so? My pee hasn?t been red or anything. when was your last period? Question 07/05/20 10:51 PM CDT I think it was just about a month ago. do you have stomach pain during you periods? Question 07/05/20 10:51 PM CDT Yeah, I get cramps pretty bad. are you sexually active? Question 07/05/20 10:52 PM CDT Um, not right now. when was your last meal? Question 07/05/20 10:52 PM CDT This morning, I had breakfast at home. what did you have for breakfast? Question 07/05/20 10:53 PM CDT This morning, I had toast with butter and honey, and some orange juice. what did you have for dinner yesterday? Question 07/05/20 10:53 PM CDT Last night we had baked potatoes with broccoli and cheese soup on them. what did you have for lunch yesterday? Question 07/05/20 10:53 PM CDT I had a piece of pizza. It was someone?s birthday at work, so they ordered pizza for all of us. what was your breakfast yesterday? Question 07/05/20 10:54 PM CDT I had a small bowl of cereal. What is your typical diet? Question 07/05/20 10:55 PM CDT It?s pretty good, I think. I?m not a huge health nut or anything. what is your typical breakfast? Question 07/05/20 10:55 PM CDT I usually have either cereal or toast, or if I pick something up on my way to work, I?ll get a muffin or some pumpkin bread. what is your typical dinner? Question 07/05/20 10:55 PM CDT Oh, we try to make something easy. We eat a lot of frozen chicken breasts. We do hamburgers that we make at home every so often. We make sure we have a vegetable, and we eat a lot of potatoes. And we usually have rolls or something. what is your typical lunch? Question 07/05/20 10:56 PM CDT I usually either make a sandwich and bring it with me, or I get a sandwich somewhere. And I have chips or pretzels with it. Or *maybe* French fries, but I try not to get them too often. how many meals do you have in a day? Question 07/05/20 10:56 PM CDT I try to eat breakfast, lunch, and dinner. I usually have a snack somewhere in there. Do you take alcohol? (No matching questions found.) Question 07/05/20 10:56 PM CDT Do you drink alcohol? Question 07/05/20 10:57 PM CDT Not lately, but I do every so often. how often do you drink alcohol? Question 07/05/20 10:57 PM CDT Very rarely. how many beers do drink per sitting? Question 07/05/20 10:57 PM CDT Never any more than 2 or 3. That moderate drinking which is ok Educate 07/05/20 10:58 PM CDT Thanks for telling me. Do you take soda? (No matching questions found.) Question 07/05/20 10:58 PM CDT Do you drink soda? Question 07/05/20 10:58 PM CDT Yeah, I drink diet Coke. How many glasses of water do you take daily? Question 07/05/20 10:59 PM CDT Probably? 6 or 8 glasses? I drink a lot of water. Have you had food poisoning? Question 07/05/20 10:59 PM CDT I?ve had food poisoning when I was a kid, and this isn?t anything like that. Have you had recent travel? Question 07/05/20 11:00 PM CDT No. I?ve been here in Shadowville working my butt off! Do you use illicit drugs? Question 07/05/20 11:00 PM CDT Well, I used to smoke pot. . . but I don?t do that anymore. do you smoke cigarette Question 07/05/20 11:00 PM CDT No, I?ve never smoked a cigarette in my life. Great! Smoking and drugs are not good for you Educate 07/05/20 11:01 PM CDT OK, I understand. are you bloated? Question 07/05/20 11:01 PM CDT No, I don?t feel bloated. Do you have sore throat? Question 07/05/20 11:02 PM CDT No, my throat doesn?t hurt. Are you coughing? Question 07/05/20 11:02 PM CDT No, I haven?t been coughing. do you have difficulty breathing? Question 07/05/20 11:02 PM CDT No, my breathing has been fine. do you have chest pain? Question 07/05/20 11:02 PM CDT No, I?m not having chest pain. The pain I?m feeling is lower, like right in the middle of my torso. . . above my stomach, but below my ribs. has you sense of taste changed? Question 07/05/20 11:03 PM CDT No, I can taste everything fine. Any family history of colon cancer? Question 07/05/20 11:03 PM CDT Um, Grandpa Jones died of colon cancer. am sorry to hear that Empathize 07/05/20 11:05 PM CDT Thanks. do you have a family history of GERD? Question 07/05/20 11:05 PM CDT No. Do you have a family history of ibs? Question 07/05/20 11:06 PM CDT No, I haven?t heard anything about that. Do you have a family history of Cholecystitis? Question 07/05/20 11:06 PM CDT Not that I?ve heard of. Any family history of liver disease? Question 07/05/20 11:06 PM CDT No, nobody?s had anything happen with their liver that I know of. Any family history of bladder disease? Question 07/05/20 11:07 PM CDT Not that I?ve heard of. Any family history of kidney disease? Question 07/05/20 11:10 PM CDT No, nobody?s had that. What are your allergies? Question 07/05/20 11:10 PM CDT I?m allergic to cats. what happens when you are around cats? Question 07/05/20 11:11 PM CDT Whenever I?m around cats, I start sneezing, my eyes get itchy. . . and my asthma starts to act up. Are you allergic to dust? Question 07/05/20 11:11 PM CDT Well. . . I don?t know if it?s allergies, but sometimes my asthma acts up around dust. are you allergic to penicillin? Question 07/05/20 11:12 PM CDT Yes. what do you take for asthma? Question 07/05/20 11:13 PM CDT I have my Proventil inhaler, and then my daily Flovent inhaler, too. what is the dosage of the proventil? Question 07/05/20 11:13 PM CDT I haven?t used my rescue inhaler in three months ? not since I started the daily Flovent one. when did you last use you flovent? (No matching questions found.) Question 07/05/20 11:14 PM CDT how consistent are your bowel movements? (Clarified to How often do you have a bowel movement?.) Question 07/05/20 11:15 PM CDT Usually every other day. (Clarified to how often I have a bowel movement.) Do you get up in the middle of the night to urinate? Question 07/05/20 11:16 PM CDT Yeah, I definitely get up more than once during the night. how many meals do you typically eat in a day? Question 07/05/20 11:17 PM CDT I try to eat breakfast, lunch, and dinner. I usually have a snack somewhere in there. what did you have for dinner last night? Question 07/05/20 11:17 PM CDT Last night we had baked potatoes with broccoli and cheese soup on them. ok. such a heavy meal may upset your stomach Educate 07/05/20 11:18 PM CDT Sure, I think I understand what you mean. when did you last drink alcohol? Question 07/05/20 11:19 PM CDT At least 2 weeks ago. I have been staying at from it. do you smoke pot? Question 07/05/20 11:19 PM CDT No, not since? not in like 6 or 7 years. its good that you quit Educate 07/05/20 11:20 PM CDT That makes sense. Any fever? Question 07/05/20 11:20 PM CDT No. No fever. Any chills? Question 07/05/20 11:20 PM CDT No, no chills. Any fatigue? Question 07/05/20 11:20 PM CDT No, I don?t feel tired. any night sweats? Question 07/05/20 11:20 PM CDT No. do you have anxiety? Question 07/05/20 11:20 PM CDT Not too much ? I can get a little anxious and stressed because I?m busy and I work hard. I might have some anxiety lately. Especially since I?d like to get this heartburn fixed. am sorry to hear that Empathize 07/05/20 11:21 PM CDT I appreciate you telling me that. any feelings of stress? Question 07/05/20 11:21 PM CDT Ha. Yeah, I do feel stressed out. I?m almost done with school in a few months, and so I?m job-hunting. Plus I work. It?s a lot right now. And I?d like to figure out what?s going on with my stomach, too. How do you cope with your stress? Question 07/05/20 11:21 PM CDT I just keep my head down and work on one thing at a time. I try to get a lot of sleep, too, if I?m especially stressed. And my mom is really supportive, so just talking with her always makes me feel better. we should help you get off stress and anxiety Educate 07/05/20 11:22 PM CDT Thanks for telling me. Any nausea? Question 07/05/20 11:22 PM CDT No, I?m fine. Any vomiting? Question 07/05/20 11:22 PM CDT No. Any constipation? Question 07/05/20 11:23 PM CDT I don?t have that problem. any medications that you use? Question 07/05/20 11:24 PM CDT I have a daily inhaler. And I?ve been taking antacid chews sometimes for my stomach, too. what is your highest level of education? Question 07/05/20 11:24 PM CDT Well, I?m finishing up my Bachelor?s degree right now. what course are you pursuing? (No matching questions found.) Question 07/05/20 11:24 PM CDT what is your major? Question 07/05/20 11:25 PM CDT I?m going to get my bachelor?s in accounting. Are you working? Question 07/05/20 11:25 PM CDT I?m a supervisor at Mid-American Copy & Ship. I?ve been working there since high school, and I?ve just kept moving up. great, how is the work environment? (Clarified to How is work going?.) Question 07/05/20 11:25 PM CDT I like my job now, but once I graduate I?d really like to get a job at an accounting firm. I want my job to teach me new things and allow for real advancement. (Clarified to how work is.) who do you live with? Question 07/05/20 11:26 PM CDT Right now I live back at home with my mom and my sister. Tested skin turgor on forearm Exam Action 07/05/20 11:27 PM CDT Inspected right side of abdomen Exam Action 07/05/20 11:29 PM CDT Inspected front of abdomen Exam Action 07/05/20 11:29 PM CDT Inspected left side of abdomen Exam Action 07/05/20 11:29 PM CDT Auscultated breath sounds in anterior right middle lobe Exam Action 07/05/20 11:30 PM CDT Auscultated breath sounds in anterior right upper lobe Exam Action 07/05/20 11:30 PM CDT Auscultated breath sounds in anterior right lower lobe Exam Action 07/05/20 11:30 PM CDT Auscultated breath sounds in anterior left mid-chest (upper lobe) Exam Action 07/05/20 11:30 PM CDT Auscultated breath sounds in anterior left upper lobe Exam Action 07/05/20 11:30 PM CDT Auscultated breath sounds in anterior left lower lobe Exam Action 07/05/20 11:30 PM CDT Auscultated breath sounds in posterior left lower lobe on side Exam Action 07/05/20 11:30 PM CDT Auscultated breath sounds in posterior left lower lobe near spine Exam Action 07/05/20 11:30 PM CDT Auscultated breath sounds in posterior left lower lobe Exam Action 07/05/20 11:30 PM CDT Auscultated breath sounds in posterior left mid-back (lower lobe) Exam Action 07/05/20 11:30 PM CDT Auscultated breath sounds in posterior left lower lobe near spine Exam Action 07/05/20 11:30 PM CDT Auscultated breath sounds in posterior right mid-back (lower lobe) Exam Action 07/05/20 11:30 PM CDT Auscultated breath sounds in posterior right lower lobe near spine Exam Action 07/05/20 11:30 PM CDT Auscultated breath sounds in posterior right lower lobe on side Exam Action 07/05/20 11:31 PM CDT Auscultated breath sounds in posterior right upper lobe Exam Action 07/05/20 11:31 PM CDT Auscultated breath sounds in posterior left upper lobe Exam Action 07/05/20 11:31 PM CDT Auscultated breath sounds in posterior right lower lobe Exam Action 07/05/20 11:31 PM CDT Auscultated aortic area with the bell Exam Action 07/05/20 11:31 PM CDT Auscultated tricuspid area with the bell Exam Action 07/05/20 11:31 PM CDT Auscultated mitral area with the bell Exam Action 07/05/20 11:31 PM CDT Auscultated Erb?s point with the bell Exam Action 07/05/20 11:31 PM CDT Auscultated pulmonic area with the bell Exam Action 07/05/20 11:32 PM CDT Auscultated right upper quadrant Exam Action 07/05/20 11:32 PM CDT Auscultated left lower quadrant Exam Action 07/05/20 11:32 PM CDT Auscultated left upper quadrant Exam Action 07/05/20 11:32 PM CDT Auscultated right lower quadrant Exam Action 07/05/20 11:32 PM CDT Auscultated aorta in abdomen Exam Action 07/05/20 11:32 PM CDT Auscultated right lower quadrant Exam Action 07/05/20 11:35 PM CDT Auscultated right upper quadrant Exam Action 07/05/20 11:35 PM CDT Auscultated left upper quadrant Exam Action 07/05/20 11:35 PM CDT Auscultated aorta in abdomen Exam Action 07/05/20 11:35 PM CDT Auscultated left renal artery Exam Action 07/05/20 11:36 PM CDT Auscultated right renal artery Exam Action 07/05/20 11:36 PM CDT Auscultated left iliac artery Exam Action 07/05/20 11:36 PM CDT Auscultated right iliac artery Exam Action 07/05/20 11:36 PM CDT Auscultated right femoral artery Exam Action 07/05/20 11:36 PM CDT Auscultated left femoral artery Exam Action 07/05/20 11:37 PM CDT Auscultated right femoral artery Exam Action 07/05/20 11:37 PM CDT Percussed right upper quadrant Exam Action 07/05/20 11:38 PM CDT Percussed left upper quadrant Exam Action 07/05/20 11:38 PM CDT Percussed right lower quadrant Exam Action 07/05/20 11:38 PM CDT Percussed left flank for CVA tenderness Exam Action 07/05/20 11:38 PM CDT Percussed right flank for CVA tenderness Exam Action 07/05/20 11:38 PM CDT Percussed spleen Exam Action 07/05/20 11:39 PM CDT Percussed for liver span: 7 cm in the mid-clavicular line Exam Action 07/05/20 11:39 PM CDT Palpated right lower quadrant with light pressure: No tenderness reported; no masses, guarding, or distension Exam Action 07/05/20 11:40 PM CDT Palpated left lower quadrant with light pressure: No tenderness reported; no masses, guarding, or distension Exam Action 07/05/20 11:40 PM CDT Palpated right upper quadrant with light pressure: No tenderness reported; no masses, guarding, or distension Exam Action 07/05/20 11:40 PM CDT Palpated left upper quadrant with light pressure: No tenderness reported; no masses, guarding, or distension Exam Action 07/05/20 11:40 PM CDT Palpated right upper quadrant with deep pressure: No masses Exam Action 07/05/20 11:41 PM CDT Palpated left lower quadrant with deep pressure: No masses Exam Action 07/05/20 11:41 PM CDT Palpated right upper quadrant with deep pressure: No masses Exam Action 07/05/20 11:42 PM CDT Palpated left upper quadrant with deep pressure: No masses Exam Action 07/05/20 11:42 PM CDT Palpated right lower quadrant: with deep pressure: No masses Exam Action 07/05/20 11:42 PM CDT Palpated liver: Palpable 1 cm below right costal margin Exam Action 07/05/20 11:42 PM CDT Palpated for spleen: Not palpable Exam Action 07/05/20 11:43 PM CDT Palpated for right kidney: Not palpable Exam Action 07/05/20 11:43 PM CDT Palpated for left kidney: Not palpable Exam Action 07/05/20 11:43 PM CDT
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