You are a leading a snow mobile tour outside of Glacier Park in northwestern Montana when one of your clients, a 62 y/o man in apparently good health, tells you in a worried tone that he has a deep pulsing sensation with mild pain (a 3 on the ten scale) in his upper abdomen. He says it started suddenly a few moments ago during the break. On exam, his upper abdomen is slightly tender. He reports that he is current with Rx medication prescribed to lower his blood pressure. His pulse is 88 & regular, his respirations are 20 and easy, his skin is pink, warm, & dry, and his oral temperature is 97.6º F; his blood pressure and O2 Sat were not taken.
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