Thank you for referring <PATAGE> year old <PATFIRSTNAME> <PATLASTNAME> who was seen in the office today. He presented with history of [<pxlocll.checkbox>|<pxloclu.checkbox>|<pxlocrl.checkbox>|<pxlocru.checkbox>] abdominal pain that he has been having for <pxonset.combopxweek.checkboxpxmonth.checkboxpxyears.checkbox>. The pain has been [<pxchar1.checkbox>|<pxchar2.checkbox>|<pxchar3.checkbox>|<pxchar4.checkbox>|<pxchar5.checkbox>|<pxchar6.checkbox>|<pxchar7.checkbox>], radiating to the [<pxrad1.checkbox>|<pxrad2.checkbox>|<pxrad3.checkbox>].<pxscore.checkbox> <pxscore1.combo> There is associated [<pxassocnauseayes.checkbox>|<pxassocvomityes.checkbox>|<pxassocjaunyes.checkbox>|<pxassocfeveryes.checkbox>|<pxassocchillsyes.checkbox>|<pxassocitchyes.checkbox>|<pxassocfatyes.checkbox>|<pxassocstoolyes.checkbox>|<pxassoc_urine_yes.checkbox>] when the pain is really bad. [There is no history of|null] [<pxassocnauseano.checkbox>|<pxassocvomitno.checkbox>|<pxassocjaunno.checkbox>|<pxassocfeverno.checkbox>|<pxassocchillsno.checkbox>|<pxassocitchno.checkbox>|<pxassocfatno.checkbox>|<pxassocstoolno.checkbox>|<pxassoc_urine_no.checkbox>]. He gets relief from his pain [<px_relief_vomit_yes.checkbox>|<px_relief_analgesics_yes.checkbox>|<px_relief_emerg_yes.checkbox>|<px_relief_text.textarea>]. [There is no relief|null] [<px_relief_vomit_no.checkbox>|<px_relief_analgesics_no.checkbox>|<px_relief_emerg_no.checkbox>].

Past medical history consistent with [<pmxdiabyes.checkbox>|<pmxhypertensionyes.checkbox>|<pmxihdyes.checkbox>|<pmxcholesyes.checkbox>|<pmx_thy_yes.checkbox>|<pmxcopdyes.checkbox>|<pmxdepyes.checkbox>|<pmxstrokeyes.checkbox>|<pmxhepyes.checkbox>|<pmxepiyes.checkbox>|<pmxmrsayes.checkbox>|<pmxhivyes.checkbox>|<pmxbmi.checkbox>] with no history of [<pmxdiabno.checkbox>|<pmxhypertensionno.checkbox>|<pmxihdno.checkbox>|<pmxcholesno.checkbox>|<pmx_thy_no.checkbox>|<pmxcopdno.checkbox>|<pmxdepno.checkbox>|<pmxstrokeno.checkbox>|<pmxhepno.checkbox>|<pmxepino.checkbox>|<pmxmrsano.checkbox>|<pmxhivno.checkbox>].

Past surgical history: <psxnosurgery.checkbox>[<psx1.checkbox>|<psx2.checkbox>|<psx3.checkbox>|<psx4.checkbox>|<psx5.checkbox>|<psx6.checkbox>|<psx7.checkbox>|<psx8.checkbox>|<psx9.checkbox>|<psx10.checkbox>|<psx11.checkbox>|<psx12.checkbox>|<psx13.textarea>].

Personal history: He is <persx_smoker_yes.checkbox<persxsmoke2.combo<persx_smoke_no.checkbox>.<persx_alcohol_yes.checkbox<persx_alcohol_yes_combo.combo<presx_alcohol_no.checkbox>.persx_drugs_yes.checkboxpersx_drugs_no.checkbox

Drug Allergies: <Drugallergy1.checkbox>[<Drugallergy2.checkbox>|<Drugallergy3.checkbox>|<Drugallergy4.checkbox>|<Drugallergy5.checkbox>|<Drugallergy6.textfield>].

Current Meds: <medsnone.checkbox>[<meds1.checkbox>|<meds2.checkbox>|<meds3.checkbox>|<meds4.checkbox>|<meds5.checkbox>|<meds6.checkbox>|<meds7.checkbox>|<meds8.checkbox>|<meds9.checkbox>|<meds10.checkbox>|<meds11.checkbox>|<meds12.checkbox>|<meds13.checkbox>|<meds14.checkbox>|<meds15.checkbox>|<medsother.textfield>]

On examination, inspection of his abdomen showed [<exam_abdo_inspect_1_yes.checkbox>|<exam_abdo_inspect_1_no.checkbox>]. There was no obvious [<exam_abdo_inspect_2_no.checkbox>|<exam_abdo_inspect_3_no.checkbox>|<Exam_abdo_inspect_4_no.checkbox>]. <exam_abdo_inspect_2_yes.checkbox<exam_abdo_inspect_3_yes.checkbox<Exam_abdo_inspect_4_yes.checkbox<exam_abdo_inspect_masses_no.checkbox<exam_abdo_inspect_masses_yes.checkbox>

His abdomen palpations showed there was [<exam_abdo_palpation_1_yes.checkbox>|<exam_abdo_palpation_2_yes.checkbox>|<exam_abdo_palpation_3_yes.checkbox>|<exam_abdo_palpation_1_no.checkbox>|<exam_abdo_palpation_2_no.checkbox>|<exam_abdo_palpation_3_no.checkbox>].<exam_abdo_auscultation_1_normal.checkbox<exam_abdo_auscultation_1_diminished.checkbox<exam_abdo_auscultation_2_absent.checkbox<exam_abdo_auscultation_2_present.checkbox> General examination found no evidence of [<exam_general_1_absent.checkbox>|<exam_general_2_absent.checkbox>|<exam_general_3_absent.checkbox>|<exam_general_4_absent.checkbox>|<exam_general_5_absent.checkbox>]. [There was evidence of|null] [<exam_general_1_present.checkbox>|<exam_general_2_present.checkbox>|<exam_general_3_present.checkbox>|<exam_general_4_present.checkbox>|<exam_general_5_present.checkbox>|null]exam_general_textfield.textarea

<Diag1.checkbox<diag1options.combo>diag3.textfield>

I discussed treatment options in the form of <plan_surgery.checkboxplan_no_surgery.checkbox> <treat1.checkbox<treat2.checkbox<treat3.checkbox<treat4.checkbox>[<treat5.checkbox>|<treat6.checkbox>|<treat7.checkbox>|null] as well as the rare risks involved in the procedure like [<risk1.checkbox>|<risk2.checkbox>|<risk3.checkbox>|<risk4.checkbox>]. Informed consent was <consent1.checkbox<consent2.checkbox> and we will be in touch with <PATTITLE> <PATLASTNAME> when we have a definitive date for surgery.<consent3.checkbox>