Findings of a doctor.

1. Patient has high blood pressure and needs to monitor and manage it with medication and lifestyle changes.
2. Patient has a broken bone that requires surgery to repair.
3. Patient has a viral infection and needs rest and fluids to recover.
4. Patient has a chronic illness that requires long-term medication and regular check-ups.
5. Patient has a vitamin deficiency that needs to be addressed through dietary changes or supplements.
6. Patient has a suspicious mole that needs to be biopsied to check for skin cancer.
7. Patient has a heart condition that requires further testing and treatment.
8. Patient has a bacterial infection that requires antibiotics to clear up.
9. Patient has a mental health condition that requires therapy and/or medication.
10. Patient has a genetic predisposition to a certain disease and needs to be monitored closely for symptoms.

Chief Complaint:

- Abdominal pain

History of Present Illness:

- The patient reports experiencing intermittent, sharp, stabbing pain in the right lower quadrant of the abdomen for the past two days.
- The pain typically lasts for several minutes at a time and resolves spontaneously.
- The patient also reports nausea and vomiting.
- No associated fevers, chills, or urinary symptoms.

Past Medical History:

- No significant past medical history.

Medications:

- None currently.

Social History:

- The patient is a 22-year-old female college student.
- She denies any drug or alcohol use.
- She lives in a dormitory with multiple roommates.

Physical Examination:

- Abdomen:
- Examination reveals tenderness to palpation in the right lower quadrant.
- No distension or masses.
- Bowel sounds are present and normal.
- Other:
- No lymphadenopathy or rash.
- Temperature is 98.6 degrees Fahrenheit.

Laboratory Tests:

- Complete blood count: Normal
- Comprehensive metabolic panel: Normal
- Urinalysis: Normal

Imaging Studies:

- Abdominal ultrasound: Shows a 1.5 cm cyst on the right ovary.

Diagnosis:

- Right ovarian cyst

Differential Diagnoses:

- Appendicitis
- Pelvic inflammatory disease
- Ectopic pregnancy
- Gastroenteritis

Treatment Plan:

- Observation and supportive care
- Ibuprofen for pain relief
- Ondansetron for nausea
- Follow-up in two weeks for re-examination

Prognosis:

- The prognosis is excellent. Ovarian cysts are typically benign and may resolve spontaneously.

Instructions:

- The patient is instructed to return for follow-up in two weeks.
- If the pain worsens or persistent, she is instructed to seek medical attention sooner.
- She is also advised to avoid strenuous exercise and heavy lifting for the next few days.