A 45 year old female presents with a complaint of ...

Physical Exam: Examine for wounds, bruises, abrasions and abdominal distention (late finding). Any penetrating wound from the neck to the knees may involve the abdomen (dependant on trajectory, ricochet, missile fragmentation, etc.). Any chest or groin injury may involve abdominal contents. Auscultate all four quadrants for bowel sounds. ................
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