What parts of the exam would you like to perform Circle the appropriate areas

General survey

Breasts and axillae

Vital signs

Female genitalia

Skin

Male genitalia

Head and neck

Anus, rectum, prostate

Thorax and lungs

Peripheral vascular/extremities

Cardiovascular

Musculoskeletal

Abdomen

Nervous system

What physical findings are you looking for to help determine the diagnosis?

These are the actual findings on physical examination:

General survey

ED; PLEASE PROVIDE.

Vital signs

BP 100/60 mm Hg; HR 110 bpm and regular; respiratory rate 18 breaths/min.; temperature 102°F

Cardiovascular

Good S1, S2; no S3, S4; no murmurs, or extra sounds

Abdomen

Protuberant with active bowel sounds.

Soft, tender to palpation in the right lower quadrant without rebound or guarding; no masses. Spleen, liver, and kidneys not felt. No costovertebral angle tenderness.

Anus, rectum, prostate

No perirectal lesions or fissures. External sphincter tone intact. Rectal vault without masses. Uterine cervix nontender. Tenderness to palpation in the right side of the rectal vault. Stool brown and hemoccult negative.

Based on this information, what is your differential diagnosis?

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