SAOP Note: Hispanic Female Who Presents To The Clinic With An Abdominal Pain Complaint

A 53-year-old Hispanic female presents to the clinic with a complaint, “I’ve been experiencing abdominal discomfort over the past one week, and the pain has worsened over the past few days.

The patient is a 53-year-old Hispanic female who presents to the clinic with an abdominal pain complaint. The patient has been experiencing abdominal pain/discomfort and nausea for the past week, which has worsened over the last few days. She rates the abdominal pain as a 6/10. Seven years ago, she had a C-section has a history of hypertension and anemia. She denied the existence of allergies to drugs, the environment, or any toxic habits.

Family History: Both parents are alive. The father has a history of gout and diabetes mellitus. The mother has a history of hypertension.

Both the parents are alive, and the patient does not engage in toxic habits.

The patient is 25-years old. No fever, chills,

Regular rhythms, no murmurs, no chest pain, edema, or other discomforts. Elevated blood pressure,

The skin is dry, warm, and intact,

No shortness of breath or cough.

No blurred or double vision, no visual loss or yellowing of the sclerae.

Normal bowel sounds.

Abdominal pain and nausea noted.

Ears; nor hearing loss or pain.

No burning during urination odor or odd colors were reported.

Nose; no runny nose, sneezing, or congestion. Throat; no sore throat reported.

No joint stiffness or joint pain was reported.

No masses, lumps, or skin color changes were noted. The breasts were symmetrical.

There are no headaches, tingling in the hands or legs, dizziness, paralysis, slurring of speech, or ataxia. No changes in bladder and bowel movements.

No reports of sweating, heat intolerance, polyuria, or polydipsia. No enlarged lymph nodes. No bruising, anemia, or bleeding.

No mental issues were identified.