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WESTWARD HOSPITAL 591 Chester Road Masters, FL 33955 PATIENT: HARRINGTON, ROSA DATE OF ADMISSION: 01/15/24 DATE OF DISCHARGE: 01/17/24 DIAGNOSIS: Appendicitis Attending Physician: Dennis Beckham, MD HISTORY OF PRESENT ILLNESS: This is a 39-year-old previously healthy female. She awoke this morning with pain in her abdomen. Her pain continued, periumbilical, and apparently now has traversed to the right lower quadrant. On a 1 to 10 pain scale she states a 7 for pain. She has had some nausea and vomiting. No history of inflammatory bowel disease, colon cancer, abdominal operations, or bleeding. No urinary tract symptomatology. PAST MEDICAL HISTORY: Noncontributory. MEDICATIONS: None. ALLERGIES: None. SOCIAL HISTORY: No smoking. FAMILY HISTORY: Unremarkable. REVIEW OF SYSTEMS: As per ER intake chart. PHYSICAL EXAMINATION: HEENT: No scleral icterus. NECK: Unremarkable. HEART: No findings. LUNGS: No findings. ABDOMEN: Exquisite right lower quadrant tenderness. Positive focal rebound. No masses. RECTAL: Unremarkable. EXTREMITIES: Unremarkable. LABORATORY AND DIAGNOSTIC STUDIES: White blood count is 25, otherwise unremarkable. An ultrasound of the appendix was performed. The patient has clear-cut possible retrocecal appendicitis. RECOMMENDATIONS/PLAN: The patient has received antibiotics. The patient has consented to a laparoscopic, possible open, appendectomy. She was counseled concerning the benefits and risks of the surgery, including but not limited to bl
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