Left-sided Abdominal Pain in a 45-yr-old Man

Review of Systems

  • General: Has otherwise felt well before onset of his current symptoms. Denies fevers, chills, weight loss, and fatigue.

  • Skin: Denies rashes, itching, and any lesions.

  • HEENT: Noncontributory

  • Pulmonary: Noncontributory

  • Cardiovascular: Denies palpitations and chest pain. No lower-extremity edema.

  • Gastrointestinal: Reports nausea when pain is at its most intense but no vomiting. No constipation or diarrhea. Last bowel movement yesterday; no hematochezia or melena. No appetite; he has not eaten since the pain began.

  • Genitourinary: No dysuria, hematuria, urinary frequency or urgency, or increased volume of urine. States urine appears "dark."

  • Musculoskeletal: Occasional low back pain with strenuous activity

  • Neurologic: Noncontributory

  • Psychiatric: Noncontributory