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Surgeon Note — ZZTEST Pipeline Tester

Status: Completed (surgeon done)

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Patient & visit (read-only)

Patient: ZZTEST Pipeline Tester
DOB: 1980-04-12
Visit date: 2026-07-18
Reason for visit: ZZTEST RLQ abdominal pain, r/o appendicitis
Referring doctor: ZZTEST Dr. Referral
Family doctor:

Front-desk / patient history (read-only context):

Patient Information

Patient Name:ZZTEST Pipeline Tester
DOB:1980-04-12
Date:2026-07-18
Referring Doctor:ZZTEST Dr. Referral
Reason for visit:ZZTEST RLQ abdominal pain, r/o appendicitis

Past Medical History

Past Medical History:Hypertension, GERD - reflux

Past Surgical History

No entries recorded.

Past Family History

No entries recorded.

Social History

No entries recorded.

Nurse assessment — vitals, medications, allergies (read-only context):

Vitals

Height:70 in
Weight:190 lb
BMI:27.3
Temperature:98.6 °F
Heart rate:78 bpm
Respiratory rate:16 /min
Blood pressure — systolic:128 mmHg
Blood pressure — diastolic:82 mmHg
SpO₂:98 %
Pain score:4 /10

Medications

Current medications:
  • Medication: Lisinopril · Dose: 10 mg · Frequency: once daily

Allergies

Allergies:
  • Allergen: Penicillin · Reaction: Hives · Severity: Moderate

Surgeon note

History of Present Illness

Narrative of the current problem: onset, location, duration, character, aggravating/relieving factors, prior workup.

Review of Systems

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General
Eyes
Gastrointestinal
Breast
Cardiovascular
Respiratory
Vascular
Genitourinary (Female)
Genitourinary (Male)
Wound
Dermatology
Neurological
Psychiatric
Endocrine
Heme
Musculoskeletal
Other

Physical Exam

Exam findings by system.

Assessment

Clinical impression / diagnoses.

Plan

Procedures, orders, medications, follow-up.