She is alert and cooperative. She is uncomfortable, but she does not appear to be in severe pain. Heart regular without murmur. No chest tenderness. Her abdomen is soft and non-tender on palpation.
Bowel sounds are normoactive.
There is no rebound tenderness. Her back is very tender over her mid lumbar spine and this is somewhat worse over her right flank. Her distal pulse are good. She is able to move all her extremities well and she speaks well. A urine dipstick is positive for blood.