States that the pain is sharp and shoots across his belly fi
S: Pt is a 44-year-old male who comes in with severe pair
been somewhat nauseated over the last 2 days.
examination. Comprehensive metabolic blood test, gener
O: Ht 5'9" Wt. 177 lb. R 21. T 101.6. BP 130/95. Abdomen
abdomen, angiography are taken. Results of all tests con
P: Pt to go to hospital immediately to be admitted for apr
TYLER EMERGENC
911 QUICK LANE ANYTOWN, F
GARLAN, BENJA
GARLBE001
12/01/18
Willard B. Reader
PATIENT:
ACCOUNT/EHR #:
DATE:
Attending Physician:
A: Acute appendicitis, w/o peritonitis
Willard B. Reader, MD
WBR/PW D: 12/01/18 09:50:16 T: 12/01/18 12:55:01