Week 4 - Discussion Ethics in Practice: Whistleblower – An Ethical Dilemma   A whistleblower, by definition, is someone who brings an unethical, immoral, or illegal business practice to the public’s attention. Whistleblowers have a difficult time in doing this, and they often find their lives changed because of their actions. Sometimes they are shunned and receive death threats. It is common for the family members to feel the effects of a whistleblower’s behavior. Dr. Jeffrey Wigand became one of the best-known whistleblowers after his experience was turned into a movie, The Insider. He proved that tobacco companies were deliberately boosting the nicotine content of cigarettes, making them more addictive and cancer causing. However, like other whistleblowers, he suffered from tremendous stress and received death threats and other forms of intimidation for doing the right thing. How did Dr. Wigand show moral intelligence in this situation? Jeffrey Wigand put his economic future as well as coworkers and his family at risk to expose the tobacco companies. Would you have done the same thing? Your initial post should be at least 300 words in length. Resources Introduction: Ethics in Practice — Whistleblowers Whistle blowing refers to any time that a member of an organization (or a former member) tells someone else about an illegal, unethical, and/ or immoral practice, if the telling is done in the hopes that someone will do something to change the practice. In the great majority of cases, employees tell someone within the organization and don’t want to cause any bad publicity for the organization—this is sometimes called internal whistle blowing or internal reporting. Required References Ravishankar, L. (2003, February 4). Encouraging Internal Whistleblowing in Organizations [Web page]. Retrieved from https://www.scu.edu/ethics/focus-areas/business-ethics/resources/encouraging-internal-whistleblowing/ (Links to an external site.) Recommended References Associated Press. (2006, October 20) Mark Hodler; Exposed Scandal in Selection of Olympics’ Host Cities [Web page]. Retrieved from http://www.washingtonpost.com/wp-dyn/content/article/2006/10/19/AR2006101901725.html (Links to an external site.) BBC News. (2014, January 17). Edward Snowden: Leaks that exposed US spy programme [Web page]. Retrieved from http://www.bbc.com/news/world-us-canada-23123964 (Links to an external site.) Ellsberg, D. (n.d.). Daniel Ellsberg’s Website [Web page]. Retrieved from http://www.ellsberg.net/bio (Links to an external site.) Government Accountability Project. (n.d.). What is a whistleblower? [Web page]. Retrieved from https://www.whistleblower.org/what-is-a-whistleblower/ (Links to an external site.) O’Connor, J. D. (2005, July). “I’m the Guy They Called Deep Throat” [Web page]. Retrieved from https://www.vanityfair.com/news/politics/2005/07/deepthroat200507 Gastrointestinal APA n518- 4.docx by Doris Untalan Submission date: 13-Apr-2020 05:49PM (UTC-0400) Sub ...

1. Week 4 - Discussion
Ethics in Practice: Whistleblower – An Ethical Dilemma
A whistleblower, by definition, is someone who brings an
unethical, immoral, or illegal business practice to the public’s
attention. Whistleblowers have a difficult time in doing this,
and they often find their lives changed because of their actions.
Sometimes they are shunned and receive death threats. It is
common for the family members to feel the effects of a
whistleblower’s behavior.
Dr. Jeffrey Wigand became one of the best-known
whistleblowers after his experience was turned into a movie,
The Insider. He proved that tobacco companies were
deliberately boosting the nicotine content of cigarettes, making
them more addictive and cancer causing. However, like other
whistleblowers, he suffered from tremendous stress and
received death threats and other forms of intimidation for doing
the right thing.
How did Dr. Wigand show moral intelligence in this situation?
Jeffrey Wigand put his economic future as well as coworkers
and his family at risk to expose the tobacco companies. Would
you have done the same thing? Your initial post should be at
least 300 words in length.
Resources
Introduction: Ethics in Practice — Whistleblowers
Whistle blowing refers to any time that a member of an
organization (or a former member) tells someone else about an
illegal, unethical, and/ or immoral practice, if the telling is done
in the hopes that someone will do something to change the
practice. In the great majority of cases, employees tell someone
within the organization and don’t want to cause any bad
publicity for the organization—this is sometimes called internal
whistle blowing or internal reporting.

2. Required References
Ravishankar, L. (2003, February 4). Encouraging Internal
Whistleblowing in Organizations [Web page]. Retrieved from
https://www.scu.edu/ethics/focus-areas/business-
ethics/resources/encouraging-internal-whistleblowing/ (Links to
an external site.)
Recommended References
Associated Press. (2006, October 20) Mark Hodler; Exposed
Scandal in Selection of Olympics’ Host Cities [Web page].
Retrieved from http://www.washingtonpost.com/wp-
dyn/content/article/2006/10/19/AR2006101901725.html (Links
to an external site.)
BBC News. (2014, January 17). Edward Snowden: Leaks that
exposed US spy programme [Web page]. Retrieved from
http://www.bbc.com/news/world-us-canada-23123964 (Links to
an external site.)
Ellsberg, D. (n.d.). Daniel Ellsberg’s Website [Web page].
Retrieved from http://www.ellsberg.net/bio (Links to an
external site.)
Government Accountability Project. (n.d.). What is a
whistleblower? [Web page]. Retrieved from
https://www.whistleblower.org/what-is-a-whistleblower/ (Links
to an external site.)
O’Connor, J. D. (2005, July). “I’m the Guy They Called Deep
Throat” [Web page]. Retrieved from
https://www.vanityfair.com/news/politics/2005/07/deepthroat20
0507
Gastrointestinal APA n518-
4.docx
by Doris Untalan

3. Submission date: 13-Apr-2020 05:49PM (UTC-0400)
Submission ID: 1296817693
File name: Gastrointestinal_APA_n518-4.docx (22.7K)
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4.docx

5. Gastrointestinal Results | Completed
Advanced Physical Assessment - March 2020,
advanced_physical_assessment__td8__031720__sect1
Return to Assignment (/assignments/313476/)
App.shadowhealth.com is currently experiencing slow response
times. Our engineers are currently investigating the issue.
Documentation / Electronic Health Record
Document: Provider Notes
Student Documentation Model Documentation
Subjective
this 28 you African pleasant female, presents with complaints of
stomach pains that started a month ago. "feels like heartburn"
Relieved with antacids, but is getting worse. Pain 1-2 right now,
but
a 5/10 after eating. Eating makes it worse. Sitting up helps.
PMH: diabetes: no meds: Asthma: on proventil and albuterol:
controlled
Social hx: hx of THC use, none now. drinks 3-4 cans of soda in
a
day.
ROS: heart burn normal form of stools, no diarrhea or
constipation :
Denies mental health issues:
FMK PGF with colon cancer
Diet: lots of fried and fast food:
Exercise: limited

6. HPI: Ms. Jones is a pleasant 28-year-old African American
woma
who presented to the clinic with complaints of upper stomach pa
after eating. She noticed the pain about a month ago. She states
that she experiences pain daily, but notes it to be worse 3-4
time
per week. Pain is a 5/10 and is located in her upper stomach. Sh
describes it “kind of like heartburn” but states that it can be
shar
She notes it to increase with consumption of food and specifical
fast food and spicy food make pain worse. She does notice that
has increased burping after meals. She states that time generally
makes the pain better, but notes that she does treat the pain “ev
few days” with an over the counter antacid with some relief.
Social History: She denies any specific changes in her diet
recen
but notes that she has increased her water intake. Breakfast is
usually a muffin or pumpkin bread, lunch is a sandwich with
chip
dinner is a homemade meal of a meat and vegetable, snacks are
French fries or pretzels. She denies coffee intake, but does
drink
cola on a regular basis. She denies use of tobacco and illicit
drug
She drinks alcohol occasionally, last was 2 weeks ago, and was
drink. She does not exercise.
Review of Systems: General: Denies changes in weight and
gene
fatigue. She denies fevers, chills, and night sweats. • Cardiac:
De
a diagnosis of hypertension, but states that she has been told he
blood pressure was high in the past. She denies known history o

7. murmurs, dyspnea on exertion, orthopnea, paroxysmal nocturna
dyspnea, or edema.
• Respiratory: She denies shortness of breath, wheezing, cough,
sputum, hemoptysis, pneumonia, bronchitis, emphysema,
tuberculosis. She has a history of asthma, last hospitalization
wa
age 16, last chest XR was age 16. • Gastrointestinal: States that
general her appetite is unchanged, although she does note that s
will occasionally experience loss of appetite in anticipation of
the
pain associated with eating. Denies nausea, vomiting, diarrhea,
a
constipation. Bowel movements are daily and generally brown
in
color. Denies any change in stool color, consistency, or
frequenc
Denies blood in stool, dark stools, or maroon stools. No blood
in
emesis. No known jaundice, problems with liver or spleen.
Your Results Lab Pass
(/assignment_attempts/6541639/lab_pass.pd
Overview
Transcript
Subjective Data Collection
Objective Data Collection
Education & Empathy
Documentation
Document: Provider Notes

8. https://aspen.shadowhealth.com/assignments/313476/
https://aspen.shadowhealth.com/assignment_attempts/6541639/l
ab_pass.pdf
Student Documentation Model Documentation
Objective
Skin Turgor : no tenting
Lungs; CTA:
Heart: Normal S1, S2 sounds. no murmur
Abdominal : round, distended, discoloration, striae, no scars
noted,
symetrical. normal bowel sounds, no organomegly or rebound
tenderness
Liver palpable 1cm below right costal margin:
Liver percussion with 7cm span in the mid-clavicular line.
Spleen: not palpable: no tenderness
Kidney: No CVA tenderness, not palpable
General: Ms. Jones is a pleasant, obese 28-year-old African
American woman in no acute distress. She is alert and oriented.
maintains eye contact throughout interview and examination.
• Abdominal: Abdomen is soft and protuberant without scars or
s
lesions; skin is warm and dry, without tenting. Bowel sounds
pre
and normoactive in all quadrants. No tenderness to light or deep
palpation. Tympanic throughout. Liver is 7 cm at the MCL and
1
below the right costal margin. Spleen and bilateral kidneys are
no
palpable. No CVA tenderness.
• Cardiovascular: Regular rate and rhythm, S1 and S2 present, n

9. murmurs, rubs, gallops, clicks, precordial movements. No bruits
auscultation over abdominal aorta. No femoral, iliac, or renal
bru
• Respiratory: Chest is symmetrical with respirations. Lung
sound
clear to auscultation anteriorly and posteriorly without wheezes,
crackles, or cough.
Assessment
Heartburn
Possible GERD
Gastroesophageal reflux disease without evidence of esophagitis
Plan
Discuss diet and avoiding fried, spicy, and soda foods.
Exercise regimen encouraged
Daily activy encouraged
Take small frequent meals
Consider Zantac if needed
F/u in one week with above regimen.
consider h-phyloric IGG/IGM if persistent sx
Return to clinic if symptoms worsen, bloody stools
RT hospital if chest pain
Educate on lifestyle changes including weight loss, engagement
daily physical activity, and limitation of foods that may
aggravate
symptoms including chocolate, citrus, fruits, mints, coffee,
alcoh
and spicy foods. • Ms. Jones may elevate the head of her bed or
sleep on a wedge-shaped bolster for comfort or symptom reduc
• Encourage to eat smaller meals and to avoid eating 2-3 hours

10. before bedtime. • Educate on dietary reduction in fat to decrease
symptoms. • Trial of ranitidine 150 mg by mouth daily for two
we
If reduction in symptoms, Ms. Jones may continue therapy. If
symptoms persist, consider testing for helicobacter pylori, trial
o
proton pump inhibitor, or upper endoscopy. • Educate on when t
seek emergent care including signs and symptoms of upper and
lower gastrointestinal bleed, weight loss, and chest pain. • Retur
clinic in two weeks for evaluation and follow up.
Comments
If your instructor provides individual feedback on this
assignment, it will appear here.
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Gastrointestinal Results | Completed
Advanced Physical Assessment - March 2020,
advanced_physical_assessment__td8__031720__sect1

11. Return to Assignment (/assignments/313476/)
App.shadowhealth.com is currently experiencing slow response
times. Our engineers are currently investigating the issue.
Transcript
Started: Apr 08, 2020 | Total Time: 48 min
Gree
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Empathize
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Educate
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Your Results Lab Pass
(/assignment_attempts/6541639/lab_pass.pd
Overview
Transcript

12. Subjective Data Collection
Objective Data Collection
Education & Empathy
Documentation
Interview Questions (104) Statements (26) Exam Actions (52)
Hello Miss Jones my name is Doris and I'm here to see you
again
Hey.
Maya just verify your name and date of birth (Clarified to What
is your name and birthday?.)
My name's Tina Jones, and my birthday's February 17th.
(Clarified to what is my name and
date of birth.)
What brings you in today
I've been having this stomach pain for awhile. It keeps coming
back, and it really is starting to
bother me.
I'm sorry that must be hard for you
I appreciate you saying that.
Let's see what we can figure out here as I go to your history
Sure, I think I understand what you mean.

13. Me ask when did the pain start
Probably at least a month ago. Maybe longer. It started out
really minor so it took me awhile to
realize it was getting bad.
Is it getting worse
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Yeah, it's getting worse over time. I get these stomach pains
every day.
Can I ask how often are you having the pain
It's every time I eat.
How many episodes in a day (No matching questions found.)
IS THAT 3 TIMES A DAY (No matching questions found.)
Does this happen every day (No matching questions found.)
Is it pain daily
Yeah, I notice it every day. It seems like... 3 or 4 times a week,
I'll have an episode that's
worse.
How long does it pain last

15. For a few hours after I eat.
What makes it worse
Eating seems to cause it.
What makes it better
Talking to friends or family and going to church always help me
feel less stressed--just feeling
supported and like someone cares.
How strong is your pain from 1 to 10 (Clarified to How severe
is your pain?.)
Right now, I don't really notice anything, but it can get bad
after I eat. (Clarified to how severe
my pain is.)
From 1 to 10 10 being the worst what is it (Clarified to Can you
rate your current pain level on
a scale of 0 to 10?.)
Right now, it's like a 1 or 2. But after I eat, it's like a. . . 5?
(Clarified to how I would rate my
pain on a scale.)
Does it help when you're sitting up (Clarified to Does the pain
improve when you sit up?.)
Usually, yeah. (Clarified to if my pain improves when I sit up.)
Can you describe the pain

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Um, it feels like heartburn. But sometimes, if it's bad, it's
sharper than that.
Do you have chest pain
No, I'm not having chest pain. The pain I'm feeling is lower,
like right in the middle of my torso.
. . above my stomach, but below my ribs.
Does it feel cramping
No, it's not like stomach cramps.
Does it hurt to touch your belly
Yes. Every time I eat it hurts. I've been eating less because I
don't like being in pain.
Have you lost weight
No, I don't think so.
Where's the location of the pain
It's like... my upper stomach. Like right below my breastbone,
in the middle.
Does it radiate to your back (No matching questions found.)
Does it radiate to your SHOULDER (No matching questions
found.)

18. Does it radiate to your back (No matching questions found.)
DOES THE PAIN RADIATE TO YOUR ARM
No, it's right in the center of my stomach, like between my belly
button and my ribs.
Let's review your diet
Thanks for telling me.
May I ask what food do you eat (No matching questions found.)
Give me a diary of your food intake (No matching questions
found.)
Does the pain get worse with large meals (Clarified to Do large
meals make the pain worse?.)
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Yes, large meals make the pain worse. [AUDIO COMING
SOON] (Clarified to if large meals
make the pain worse.)
Do you eat spicy food
Well, I used to eat spicy food sometimes, but in the last few
weeks I can't. It makes my
stomach pain too bad.
Do you eat a lot of fried foods
Not too much. I mean, I like French fries and stuff, but I try not
to eat them too often.
How's your appetite
I haven't been wanting to eat lately.

20. Why don't you want to eat
It seems like if I eat too much, that's what makes my stomach
pain the worst.
Do you have any burping
Yeah, that's been happening after I eat.
What food are you eating
I don't have any food allergies that I know of.
What medication are you taking right now
I have a daily inhaler. And I've been taking antacid chews
sometimes for my stomach, too.
Are you taking any over-the-counter medication
I've been taking antacids lately -- chewable ones.
Does it help (Clarified to Does taking the antacids help?.)
Yeah, they help. I try to only take them when the pain seems
worse than usual. (Clarified to if
the antacids help.)
How often are you taking antacids
I take them every few days. Just if the heartburn gets bad.
Are you taking any ibuprofen

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Yeah, I still take it for cramps.

22. How often are you taking that (Clarified to How often do you
take over the counter
medication?.)
I take them every few days. Just if the heartburn gets bad.
(Clarified to how often I take over
the counter medication.)
Do you have drug allergies
Yeah, I'm allergic to penicillin.
What happens with Penicillin
I don't remember that well because the last time I had penicillin
I was pretty little. . . I think I
got a rash, like, hives. The doctor told me not to take it again
after that.
I'm glad you know that you're allergic to penicillin
Alright, thanks for letting me know.
Do you have any gastrointestinal problems
Yeah, I've had stomach pain for awhile now.
Have you had ulcers
No.
Have you had any GERD
I'm not really sure what GERD is. I've never been diagnosed
with it, or anything. [AUDIO
COMING SOON]

23. Have you had any GI surgery
No.
Have you had any appendicitis
No.
Have you had any problems with your gallbladder
No, as far as I know my gallbladder's never had any problems.
That's good to hear
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OK, I understand.
Have you had any stomach cancer (Clarified to Have you had
stomach cancer?.)
No. (Clarified to if I have had stomach cancer.)
Do you have family history of stomach cancer
The only cancer that I know of in our family is colon cancer--
Grandpa Jones died of that.
Have you any problems with your bladder
No, I never have.
How often do you have a bowel movement
Usually every other day.
Is your stool bloody

25. Um, no.
Do you have mucus in your stool
Ew. No.
What is the consistency of your stool (Clarified to Can you
describe your stool?.)
Uh... usually light or dark brown, I guess? (Clarified to what my
stool looks like.)
Do you have trouble peeing
No, I can pee fine.
Do you pee frequently
Yeah, I definitely get up more than once during the night.
Do you have painful urination
No.
Is your urine clear
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Um, light yellow or almost clear? The regular color.
Do you have accidentally pee on yourself (Clarified to Have you
ever peed yourself?.)
Definitely not. (Clarified to if I have ever had urinary
incontinence.)
When was your last menstrual period
I think it was just about a month ago.

27. Are you sexually active
Um, not right now.
Can you tell me what you have for breakfast (Clarified to What
did you eat for breakfast
today?.)
This morning, I had toast with butter and honey, and some
orange juice. (Clarified to what I
ate for breakfast today.)
Can you tell me your diet within the 24 hour period (Clarified
to What do you eat in an average
day?.)
Let's see. . . a muffin or pumpkin bread for breakfast, a
sandwich for lunch, and some kind of
meat with a veggie for dinner. (Clarified to what I typically eat
in a day.)
What did you have for lunch yesterday
I had a piece of pizza. It was someone's birthday at work, so
they ordered pizza for all of us.
What did you have for dinner
Last night we had baked potatoes with broccoli and cheese soup
on them.
Sounds like you have a lot of carbs in your diet maybe we
should talk about that later
That makes sense.

28. Do you drink alcohol
Not lately, but I do every so often.
How often do you drink alcohol
Very rarely.
How many drinks in a setting
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Never any more than 2 or 3.
Do you drink soda
Yeah, I drink diet Coke.
How often (Clarified to How often do you drink a soda?.)
I have 3 or 4 diet cokes a day. (Clarified to how often I drink a
soda.)
That's a lot of Coke in a day and it has lots of acid which may
cause your heartburn
OK, I understand.
Do you eat fast food
I probably have fast food a few times a week, usually when I'm
on campus. Sometimes I don't
bring a lunch, and I get so starving I have to get something from
one of the places around
campus.
Do you drink caffeine

30. Like diet Cokes? Yeah, I drink them a lot.
Do you have a fever
No. No fever.
Do you have chills
No, no chills.
Do you smoke cigarette
No, I've never smoked a cigarette in my life.
Do you take illicit drugs
Well, I used to smoke pot. . . but I don't do that anymore.
Do you feel fatigued
No, I don't feel tired.
Do you get night sweats
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No.
Do you have any mental health issues
No, definitely not.
Anxiety
Not too much -- I can get a little anxious and stressed because
I'm busy and I work hard. I
might have some anxiety lately. Especially since I'd like to get
this heartburn fixed.

32. Do you have nausea
No, I'm fine.
GI vomiting
I don't have like, diseases. But I've had this stomach pain for
like, a month.
Do you have diarrhea
No.
Are you gassy
No.
Do you have bloating
No, I don't feel bloated.
Sore throat
No, my throat doesn't hurt.
Any cough
No, I haven't been coughing.
Any difficulty swallowing
No, I can swallow my food and everything.
Do you have difficulty breathing

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No, my breathing has been fine.

34. Do you have palpitation
No, not right now.
Has your sense of taste changed
No, I can taste everything fine.
Do you have a family history of GERD
No.
Any family history of irritable bowel syndrome
No, I haven't heard anything about that.
Any family history of colon cancer
Um, Grandpa Jones died of colon cancer.
Anybody in your family with gallbladder disease
I don't think so.
Any family history of liver disease
No, nobody's had anything happen with their liver that I know
of.
Any problems with kidney disease (Clarified to Does kidney
disease run in your family?.)
No, nobody's had that. (Clarified to if kidney disease runs in my
family.)
Family history of bladder disease

35. Not that I've heard of.
Do you have any medical problems
Yeah. . . I have asthma and diabetes.
What do you take for your diabetes
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I don't take medicine for it anymore.
What medication are you on for asthma
I have my Proventil inhaler, and then my daily Flovent inhaler,
too.
Is it helpful
My daily inhaler has helped a lot, yeah. I haven't needed my
rescue inhaler since I started it a
few months ago.
And you mentioned no drug allergies
Sure, I think I understand what you mean.
It sounds like your diet had a lot of carbs which is not good for
diabetes, but also that your
food and liquids contain a lot of acid forming foods, and we
should review that

37. Alright, thanks for letting me know.
We're going to do our exam now
Thanks for telling me.
Do you exercise
I don't have the energy to go to a gym or anything after work. . .
I'm pretty exhausted by the
end of the day. But I'm on my feet all the time at work so I feel
like that's a little bit of exercise
most days at least.
Tested skin turgor on forearm
Inspected right side of abdomen
Inspected front of abdomen
Inspected left side of abdomen
Inspected front of abdomen
Inspected right side of abdomen
I was looking at your stomach to see if there's any rashes
That makes sense.
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I want to listen to breath sounds
Thanks for telling me.
Please breathe in and out when I move my stethoscope
OK, I understand.
Auscultated breath sounds in anterior right upper lobe
Auscultated breath sounds in anterior right middle lobe
Auscultated breath sounds in anterior right lower lobe
Auscultated breath sounds in anterior left upper lobe
Auscultated breath sounds in anterior left mid-chest (upper
lobe)
Auscultated breath sounds in anterior left lower lobe
Listen to your heart now
Alright, thanks for letting me know.

40. Auscultated aortic area with the bell
Just stay relaxed
That makes sense.
Auscultated pulmonic area with the bell
Auscultated Erb's point with the bell
Auscultated tricuspid area with the bell
Auscultated tricuspid area with the diaphragm
Auscultated mitral area with the diaphragm
Going to listen to your bowel sounds
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Sure, I think I understand what you mean.
Auscultated right upper quadrant
Auscultated right lower quadrant
Auscultated left lower quadrant

42. Auscultated left upper quadrant
Listen to your abdominal aorta
Alright, thanks for letting me know.
Auscultated aorta in abdomen
Great I don't hear abnormal sounds
Thanks for telling me.
I'm going to listen to your arteries that goes to your kidneys
Sure, I think I understand what you mean.
Auscultated right renal artery
Auscultated left renal artery
Auscultated right iliac artery
Auscultated left iliac artery
I'm just listening to all the blood flow of the arteries
That makes sense.
I'm going to listen to your femoral artery
OK, I understand.
Auscultated right femoral artery

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Auscultated left femoral artery
I'm going to tap around your abdomen
Sure, I think I understand what you mean.
Percussed right upper quadrant
Percussed right lower quadrant
Percussed right upper quadrant
Percussed left upper quadrant
Percussed left lower quadrant
I'm going to tap on your back
OK, I understand.

45. Percussed left flank for CVA tenderness
Percussed left flank for CVA tenderness
Percussed right flank for CVA tenderness
I'm going to feel for your spleen
Alright, thanks for letting me know.
Percussed spleen
Percussed for liver span: 7 cm in the mid-clavicular line
I'm going to press lightly into your abdomen
That makes sense.
Percussed right lower quadrant
Palpated right lower quadrant with light pressure: No
tenderness reported; no masses,
guarding, or distension
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Palpated right upper quadrant with light pressure: No
tenderness reported; no masses,
guarding, or distension
Palpated left upper quadrant with light pressure: No tenderness
reported; no masses,
guarding, or distension
Palpated left lower quadrant with light pressure: No tenderness
reported; no masses,

47. guarding, or distension
Palpated right lower quadrant: with deep pressure: No masses
Palpated right upper quadrant with deep pressure: No masses
Palpated left upper quadrant with deep pressure: No masses
Palpated left lower quadrant with deep pressure: No masses
I'm going to feel for your liver
Thanks for telling me.
Palpated liver: Palpable 1 cm below right costal margin
Palpated for spleen: Not palpable
Palpated for right kidney: Not palpable
Palpated for left kidney: Not palpable
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