an 82-year-old from assisted living, is brought in to see you

 an 82-year-old from assisted living, is brought in to see you. She has deteriorated in the last 3 days and has become mildly confused, making mealtimes difficult, as the patient has begun refusing food. Sophie has a low-grade temperature. Her caregiver has noted that she frequently grabs at her abdomen and groans as if in pain, and there may have been blood in her last void, an hour ago. There is no one to confirm when the patient's last BM was. Sophie has been a relatively healthy lady. Her PMH is significant for lumbar disc disease, and PSH is positive for a cholecystectomy. Upon physical examination, you find that she has left, lower quadrant abdominal pain with palpation that appears to radiate to her left flank. By the time you assessed for CVA tenderness, Sophie was groaning with any attempted physical examination, even straight leg raises.


My questions is --You conduct a physical examination. Describe 2 body systems (vital signs don't count) that you would include in your assessment. Be specific when describing your exam and provide your rationale