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Assignment:
SOPE note: Case Presentation A 59-year-old man with a history of heavy alcohol use presented to the emergency department for evaluation of abdominal swelling and abdominal discomfort. He also reported scleral icterus, which had developed over the prior two days, and denied recent fever, chills, hematemesis, melena, chest pain, shortness of breath, or change in bowel habits.
What other questions / medical history would you obtain?
This case: He drank six twelve-ounce beers daily for the past 30 years and denied any history of intravenous drug abuse, acetaminophen use, homemade tattoos, or blood transfusions. He was taking no prescribed medications.
What would your focused abdominal assessments include? Any patient teaching?
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