General Appearance:

• Alert and oriented but slightly uncomfortable.
• Moderately distended abdomen, especially in the lower quadrants.
• Stable vital signs: BP 135/85 mmHg, HR 78 bpm, Temp 36.8°C, RR 16 bpm.

Abdominal Examination:

• Inspection: Moderate lower abdominal distension, no scars, bruising, jaundice, or ascites. Skin appears normal with no signs of spider naevi or palmar erythema.
• Palpation: Mild tenderness in the left lower quadrant. No rebound tenderness, guarding, or palpable masses. No hepatomegaly.
• Percussion: Tympanic in upper and central abdomen, dullness in lower quadrants.
• Auscultation: Reduced bowel sounds. No bruits or abnormal sounds.
• Special Tests: Negative for shifting dullness. Murphy’s sign negative.

She has not been sick or experienced any other symptoms

What is your impression?

What would you do next?

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