HPI Consuela Del Oro C.O. 43 y.o. female. C.C My tin has been hurting off and on, for the last catch of months and Ive been burping a lot lately, too. Pain URQ. sometimes mild wo(e), other times more intense. cant concentrate Worst pain =7, mild pain 3-4, I never know when it will come. Becoming more contain away usually after she eats. Began last Thanksgiving. Never had pain lack this before Pain in R shoulder. alkaliser for tenderheartedness burn, purple pad of paper 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, distant 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 any(prenominal) lumps/swelling. Denies discharge of titmouse. self-importance summit 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. up to now 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.
Understands grandness of regular breast exams. Abdomen Denies any swop in appetite. angle gain (6mths) 35lbs. Denies dysphagia. Slightly lactose intolerant. NKFA. Denies any ab pain. Denies any vomiting/nausea. BM: onc e a day. No late(prenominal) abdominal dise! ase history. Skin tone compensate/tan. Striae gravidarum LR sides, 2-3cm, sporadic. No signs of rash. Flat contour. Symmetrical/no peck, 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 privation to get a full essay, order it on our website: OrderCustomPaper.com
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