11/23/98 00:49
Caldwell_Alexander
Problem: Abdominal pain.
Subjective: Crampy diffuse abdominal pain. Steady right lower quadrant pain. Has had diarrhea.
Objective: Weight: 140 Height: 65 BP 120/80 Temp: 98.6 Resp: 15
Tender right lower quadrant.
Assesment: RLQ pain, possible appendicitis.
Plan: Admit for further observation. CBC, panel 12, lipase, amylase.
Alexander Caldwell M.D.