8. Abdomen : Abdomen flat, no distention, no visible peristalsis no dilated veins, no pulsations umbilicus located slightly below the center of the abdomen. No hernia, surgical s car 4 cm Rt lower quadrants, normal bowel sound q ten seconds (ถ้าเพิ่ม increase ถ้าลด decrease) normal abdomen tympany, no shifting dullness, no fluid thrill, spleen and liver not palpable (ถ้าคลำได้ enarge 2 F.B. with sorf or hard ) Murphy’s sigh negative, no tenderness at Rt or Lt costal margin or costovertebal angle rib 12 or Mc burney’s point, no guarding, no rebound tenderness, no rigidity, no mass.