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HPI: You will type this in the EMR section of the case (NOT the problem statement) CC: Abdominal pain Evita Alonso is a 48-year-old Hispanic American female. She has had abdominal discomfort for two months off and on that has increased over the last two days and now is constant. She explained the pain is located in the right side of her upper abdomen, under her ribs with radiationto right shoulder. She describes the character of the pain as crampy, gnawing, and achiness that increases when she eats a meal and the pain in her shoulder as an ache. She rates her pain at 2-3, elevates to 6-7. She has also been experiencing nausea and vomiting for the last two days along with fever and chills for two days, she has not been able to keep any nutrients down. Over the last 2 moths she has noted some bloating, decreased appetite, and increase in symptoms when she eats fast food. She has tried using antacids to treat this discomfort with no symptom relief.
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