Assignment: Abdominal Bruits Assignment: Abdominal Bruits Assignment: Abdom

Assignment: Abdominal Bruits

NOW F OR AN ORIGINAL PAPER ASSIGNMENT:Assignment: Abdominal Bruits

Teeth in good repair, no cavities noted. Neck supple.

Anterior and posterior cervical lymph nontender to palpation. No lymphadenopathy. Thyroid

midline, small and firm without palpable masses.

CV: S1 and S2 RRR without murmurs or rubs.

Lungs: Clear to auscultation bilaterally, respirations unlabored.

Abdomen- soft, round, nontender with positive bowel sounds present; no organomegaly; no

abdominal bruits. No CVAT.

Musculoskeletal: full ROM both knees. Nontender to palpation bilaterally. Gait normal.

Apr 19 CCK, CU 041419MT

GU: bladder nontender upon palpation

Labwork: (fasting labs drawn this morning)

CBC: UA:

WBC 6,300/mm3 pH 5

Hgb 12.8 gm/dl SpGr 1.010

Hct 42% Leukocyte

esterase

negative

RBC 4.6 million nitrites negative

MCV 93 fl Glucose 1+

MCHC 34 g/dl Protein negative

RDW 13.8% ketones negative

CMP:

Sodium 136 Hemoglobin

A1C

6.6%

Potassium 4.4

Chloride 100 TSH 2.31

CO2 29 Free T 4 0.9 ng/dL

Glucose 127 Cholesterol:

BUN 12

Creatinine 0.7 TC 215 mg/dl

GFR est non-

mL/min/1.73

LDL 144 mg/dl

GFR est AA 101

mL/min/1.73

VLDL 36 mg/dl

Calcium 9.4 HDL 32mg/dl

Total protein 7.6 Triglycerides 229

Bilirubin, total 0.5 EKG:

Alkaline

phosphatase

normal sinus rhythm

AST 25

ALT 29

Anion gap 8.10

Bun/Creat 17.7

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