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Question
Mr. Max Fisher is a 77-year-old male presenting to the office after having several days of abdominal pain. He has lived independently in his home for 45 years. He has been a widow for three years and now lives alone. CC: "I have stomach pain." HPI: Max started feeling pain in his abdomen three days ago. He generally has normal, regular bowel movements. He has been experiencing cramping abdominal pain, nausea, and now some vomiting. PMH: gastroesophageal reflux disease (GERD), hypertension (HTN), and a pacemaker placed ten years ago for third-degree heart block. He presents today with a complaint of abdominal pain. You suspect a bowel obstruction in Max, with complaints of cramping abdominal pain, nausea, and vomiting for three days.
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