The document discusses a patient named Kalilu Jammeh who arrived at the hospital emergency room from the Gambia at around 10:45pm. He was seen by Dr. Bueno for complaints of abdominal pain since that morning. His vital signs and physical exam were normal except for some tenderness in his abdomen. Lab tests and x-rays did not show any abnormalities. After several hours of observation, his symptoms had not improved so he was admitted to the hospital for further evaluation and treatment.

1. 

     
    
   
      
      
     
      
            
           
           
           
           
          
         
           
            
           
          
            
           
        
         
           
         
         
   
    
         
                      
         
         
                      
                          
                        
                           
                        
                      
                             
                            
                           
                      
                       
                        
                        
                    
                 
                       
                    
        
       
          
              
                   
                   
                    
                  
                    
                  
               
            
       
            
           
                 
             
              
                
                  
              
                 
                    
                
              