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Read the following excerpt from a health record:
HPI Mrs. Roxana Collach presented to the ED with a 2-day history of increasing epigastric pain. She described the pain as constant and dull with radiation to her back. She also had progressive anorexia. She denied nausea, emesis, or diarrhea. She was febrile in the ED and had marked epigastric tenderness on exam with guarding. Her abdomen was slightly distended, and she was mildly jaundiced. Her elevated amylase and lipase confirmed the suspicion of acute pancreatitis. She was admitted for pain control and IVF. Which of the following statements is not true, given the health record information?
A. Mrs. Collach has a slight yellowing of the skin.
B. The lab results confirmed the patient has an inflamed pancreas.
C. The patient experienced pain in the upper center portion of the abdomen.
D. The patient is showing signs of icterus.
E. Upon examination the patient revealed tenderness in the lower center portion of the abdomen.

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Answer:

HPI

The not true statement, given the health record information of Mrs. Roxana Collach is:

E. Upon examination the patient revealed tenderness in the lower center portion of the abdomen.

Explanation:

Mrs Collach, according to the health records, experienced epigastric tenderness, which can typically cause some discomfort below her ribs in the area of her upper abdomen and not "in the lower center portion of the abdomen."  Icterus comes with slight yellowing of the skin, which is usually a symptom of other infections.

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