text:  ON ADMISSION  Temperature 98.8   heart rate 68   blood pressure 107  82   and oxygen saturation 99 on room air . CHEST  Clear to auscultation . HEART  Regular rate and rhythm with no murmurs . ABDOMEN  Soft   mildly distended   and tympanic with midepigastric tenderness to palpation and no rebound . The ostomy was pink with minimal fluid in the ostomy bag . It was guaiac negative . EXTREMITIES  No signs of edema and the patient had warm and palpable pulses distally .