patient for acute cholecystitis1-3

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  • 8/10/2019 Patient for Acute Cholecystitis1-3

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    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

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    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

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    @#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

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    6ancreatitis6eptic ?lcer

    ntestine o#structionLiver a#scessCholedocholithiasis