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25-year-old woman with severe abdominal pain.

A 25-year-old woman with history of appendicitis with perforation and subsequent adhesion.

Physical Exam

Normal blood pressure and heart rate. Heart and lung sounds normal. Abdominal distension is noted.

Listen

patient torso with stethoscope at aortic position

patient torso with stethoscope at aortic position
patient torso with stethoscope at Erb's Point position

patient torso with stethoscope at tricuspid position

Auscultation Observations











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