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in what order would you prioritize care for these four

in what order would you prioritize care for these four patients? Chief Informant:Patient Chief Complaint:Acute right lower quadrant abdominal pain, anorexia, nausea, vomiting History of Current Problem:The patient, a 40-year-old female, presented to the emergency department today at 0530 with periumbilical pain 12 hours ago that lasted a few hours and then migrated to right lower abdominal quadrant. Has experienced nausea and vomiting for the past 12 hours, along with fever and chills. She reports generalized malaise over the past day or two, nonspecific. Denies recent travel, recent illness, or exposure to illness. Reports normal bowel pattern, no changes in urinary routine. States that she has not vomited since 0300. Last bowel movement Thursday morning. No history of major illness. No previous surgeries. Gravida 2, para 2, both vaginal deliveries. Last Pap 2 weeks ago; normal. Exam in emergency department found McBurney’s point tenderness and Rovsing’s sign. Negative for psoas or obturator sign. Abdomen is tender, with muscle guarding. Pelvic exam completed in emergency department normal, without abnormal discharge; culture specimens obtained and sent to lab.Allergies:No known allergies Family History:Father, age 65, has hypertension. Mother, age 62, is healthy. Two siblings, ages 35 and 38, both healthy. Past Medical History

 
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