patient for acute cholecystitis1-3
TRANSCRIPT
-
8/10/2019 Patient for Acute Cholecystitis1-3
1/4
BioDat
Janet Smith
40 y/o female
Lives in Rodney Bay, Saint Lucia
Teacher
Complainin of!
"#dominal pain $/%
&ausea '/%
(omitin '/%
"#dominal pain
Started at upper )uadrant/epiastric reion referred pain near scapula*
Started $ days ao after eatin a +entucy fried chicen -ith french fries
Been avoidin reasy food cause it maes her sic*
.as sharp crampin dull achin pain and in no- more painful and
constant
Taen Tylenol for pain and dran reen tea to alleviate stomach
discomfort*
.hen couh, sneee or touch the area the pain ets -orse
The pain is constant #ut has otten -orse since it started
The pain -as 1/20 and has #ecome 3/20
have #ecome a #it #loated*
&ausea
Started ' day ao
t starts every time eat fried food so #een avoidin reasy foods*
t lasts for fe- hours*
t has otten -orse
have lost my appetite too
(omitin
t started 2 day ao
t came shortly after the nausea setin and
vomited t-ice only
The vomitin hasn5t not otten -orst, it is constant*
f eat feel nauseous then vomit* haven5t eaten aain so 5ve lost my
appetite, #ut since 5ve stopped eatin the vomitin has stopped #ut still
feel nauseous
-
8/10/2019 Patient for Acute Cholecystitis1-3
2/4
6789
5m mostly healthy: see my doctor once a year*
-as hospitalied #efore for CSection*
Lost -eiht in the past fe- months*
8ave had surery* ; CSection
-
8/10/2019 Patient for Acute Cholecystitis1-3
3/4
@#s/yn 89
6L"D
2/'/2/2/0
7iscarriae at -ees*
' Csection delivery, "6"R -as 3/20 and then 20/20
>irst period -as 2' years old
Reular 7enses, '3 day cycle for 4 days
Last period -as ' -ees ao
8istory of ?rinary tract infection*
See the ynecoloist once a year,
R@S
8 fine
fine
fine
& fine
T fine
Resp
>ine
C(S
>ine
T
Lost my appetite
Bloatin E flatulence
>ine
?rinary
>ine
7usculoseletal
>ine
Differential Dianosis
-
8/10/2019 Patient for Acute Cholecystitis1-3
4/4
6ancreatitis6eptic ?lcer
ntestine o#structionLiver a#scessCholedocholithiasis