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If your institution subscribes to this resource, and you don't have a MyAccess Profile, please contact your library's reference desk for information on how to gain access to this resource from off-campus. Abdominal symptoms are common; the history and physical examination are the basis for differential diagnosis and efficient use of laboratory and imaging studies. History must delineate the character and sequence of the symptoms. Familiarity with the anatomy and pathophysiology is essential for interpretation of abdominal findings. Repetition of the examination allows correlation of sequential findings with the evolution of symptoms. The abdominal cavity is a shallow oval basin with a rigid W-shaped bottom of vertebral column and back muscles.

The slatted door clattered against its frame and Penny slammed her hand on the large green button. With a jolt and an electrical whine, the lift began its methodical ascent. Without prompting and with a giggle, she kicked off her heels, pulled her dress up over her head and threw it down. She was completely naked. Not wanting to be outdone, he frantically eschewed his clothes and sandals and he was naked too. A mutual fit of giggles threatened to incapacitate them both.

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