WALDEN NRNP 6560 I-HUMAN WEEK 9 | ACUTE CHOLECYSTITIS CASE - FULL CLINICAL ASSESSMENT, PATIENT BIODATA, HPI QUESTIONS & ANSWERS, RATIONALES, DIAGNOSES TABLE & MANAGEMENT PLANNRNP 6560 - Week 9 i-Human Case Study Patient Profile Initials: M.L. Age: 48 years Sex: Female Ethnicity: Not specified Setting: Outpatient primary care clinic with diagnostic capability Chief Complaint: I have had worsening abdominal pain for the past three days. History of Present Illness (HPI) M.L. is a 48-year-old female who presents with acute-onset abdominal pain that began approximately 3 days ago. The pain initially started as a dull, poorly localized discomfort around the periumbilical region and progressively migrated to the right lower quadrant (RLQ). She describes the pain as sharp, constant, and currently rated 7/10, worsened by movement and coughing, and minimally relieved by rest. Associated symptoms include nausea, loss of appetite, and low-grade fever. She denies vomiting, diarrhea, constipation, melena, hematochezia, dysuria, urinary frequency, or vaginal discharge. Last bowel movement was yesterday and normal. Last menstrual period was 2 weeks ago; cycles are regular. She denies possibility of pregnancy. Past Medical History (PMH) Hypertension 6 years Hyperlipidemia Past Surgical History (PSH) Cesarean section 1 (20 years ago) Medications Lisinopril 10 mg PO