Presented to ER on 8/12/14 c fever of 104 and abdominal pain, had a peg tube, endocutaneous abdominal fistula and colostomy bag in place. C/O Fever Admitting Dx: Small bowel obstruction , Sepsis PMHx: Back Problems, GERD, Hypothyroidism, Pancreatitis, Anemia Surgical Hx: Gallbladder, Hysterectomy, Current physician: Ratliff, Fadi, Wright Assessment: A&O x3 Pain 4/10 abdomen, “ dull constant pain” Speech clear and appropriate Skin very warm , feel feverish to the touch, dry and pink Temperature…
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