Acute Pancreatitis 62m | Severe Abdominal Pain, Vomiting, L

ACUTE PANCREATITIS 62M | SEVERE ABDOMINAL PAIN, VOMITING, LABS, SOAP, OSCE, SIMULATION, MCQS, HIGH-RISK COMPLICATIONS Comprehensive i-Human Case Analysis - Week #10 (2026)Patient: David Chen, 62-year-old male Setting: Outpatient Clinic with Laboratory Capabilities Presenting Complaint: Severe abdominal pain and vomiting 1. Chief Complaint Severe abdominal pain with persistent vomiting for the past 6 hours. 2. Patient Demographics Name: David Chen Age: 62 Sex: Male Occupation: Retired accountant Medical Setting: Outpatient clinic with lab support Week: 10, NR 2026 3. History of Present Illness (HPI) Mr. Chen presents with sudden onset, severe abdominal pain located in the epigastric region radiating to the back, associated with nausea and multiple episodes of vomiting. Timeline & Characteristics: Pain began ~6 hours ago, constant, sharp, and 8/10 in intensity Vomitus is non-bloody, non-bilious Denies diarrhea No prior similar episodes Reports fever and chills onset 2 hours ago Aggravating Factors: Eating did not relieve pain Lying down worsens discomfort Relieving Factors: Leaning forward slightly eases pain HPI Questions & Answers Table - David Chen, 62-Year-Old Male with Acute Pancreatitis HPI Question Patients Response / Answer Clinical Rationale / Teaching Point When did your pain start? ~6 hours ago Acute onset suggests acute process, helps differentiate chronic