Oral mucosa sticky. Heart regular without murmurs. Guarding on the right. She points to the epigastrium as the site of her pain. However, most of the tenderness is elicited in the right lower quadrant.
Bowel sounds are hypoactive.
Color and perfusion are good. An abdominal series is ordered. Her abdominal series shows diffuse gaseous distention of the colon and small bowel compatible with an ileus or an early obstruction. The distribution of gas is good. No free air is visible under the diaphragm.