The document discusses a patient named Kalilu Jammeh who arrived at the hospital emergency room from the Gambia at around 10:45pm. He was seen by Dr. Bueno for complaints of abdominal pain since that morning. His vital signs and physical exam were normal except for some tenderness in his abdomen. Lab tests and x-rays did not show any abnormalities. After several hours of observation, his symptoms had not improved so he was admitted to the hospital for further evaluation and treatment.