Cholecystitis Expert Verified Questions And Answers 100% Pass

CHOLECYSTITIS A 45-year-old female presents with a complaint of abdominal pain for the past 3 days. She localizes the pain to her epigastric area and states that it radiates to her right upper quadrant. She notes that it became markedly worse after eating dinner last night. She recalls a past history of similar pain, but has never had any diagnostic workup. Her past medical history is significant for hypertension and hypercholesterolemia. She is status post a total abdominal hysterectomy 1 year ago. She does not smoke, drink alcohol, or use drugs. Her ROS is positive for abdominal pain, nausea, one episode of vomiting, and a subjective fever. Her VS are BP 155/90, HR 110, RR 14, T 100.6, SpO2 98% on RA. Her physical exam reveals an overweight woman in no acute distress. Her chest and cardiovascular exams are normal except for mild tachycardia. Her abdominal exam is significant for tenderness to palpation to her epigastric and right upper quadrants without rebound tenderness. Bowel sounds are normal. You order basic blood work, fluids, and an anti-pyretic. You are contemplating ordering a CT and decide to attempt to visualize her right upper quadrant via ultrasound at the bedside. You see the