ABDOMINAL HISTORY 32 year old female abdominal history GASTROINTESTIANL: Pt denies any nausea, vomiting, previous abdominal disease,

constipation, diarrhea, or black stools. Pt states she has a bowel movement every other day and she describes them as firm and brown. Pt denies any use of OTC or prescription medications such as antacids, laxatives, or frequent use of acetamenaophin. Pt states she eats a normal diet due to no health problems and states she eats around 1800-2000 calories a day. She denies any recent weight loss or gain and has maintained her weight for the last 3-4 years. She denies any heartburn, indigestion, allergies to food, or jaundice. She denies any abdominal pain or difficulty swallowing.

ABDOMINAL PHYSICAL EXAM GASTROINTESTINAL: Hands reveal no koilonychias, leukonychia, or clubbing. Conjunctiva reveal no pallor and sclera reveal no jaundice. No ulcers found in the mouth and tongue is normal and shows no sign of anemia. Supraclavicular lumpy nodes are not swollen. No abdominal scaring or distention noted. Bowel sounds heard and are normal in all quadrants. Liver margins are normal no enlargement of the spleen noted. No shifting dullness found with percussion. No pain or tenderness with palpation of all nine segments. No enlargement of the kidneys noted.

Jarvis, C. (2012). The Complete Health History. In Physical examination & health assessment (p. 62). St. Louis, MO: Elsevier/Saunders.

Focused exam: http://www.youtube.com/watch?v=9ds45VBHMeM