Chronic Right Upper Quadrant Abdominal Pain In A 54-Year-

CHRONIC RIGHT UPPER QUADRANT ABDOMINAL PAIN IN A 54-YEAR-OLD WOMAN: AN EVIDENCE-BASED, PATIENT-CENTERED APPROACH TO THE DIAGNOSIS AND MANAGEMENT OF SYMPTOMATIC CHOLELITHIASIS Virginia Lee - A 54-Year-Old Female with Chronic Abdominal PainPATIENT HEADER Field Data Patient Name Virginia Lee Age 54 years old Gender Female Race/Ethnicity Asian American (Chinese descent) Date of Birth 02/08/1972 Encounter Date April 22, 2026 Encounter Time 10:00 AM Location Outpatient Gastroenterology Clinic (affiliated with academic medical center) Chief Complaint "I've had this pain in my belly for over a year now, and it's getting worse. I'm tired all the time." Source Patient (alert, oriented, articulate) Mode of Arrival Self-driving SECTION 1: SUBJECTIVE DATAThis section contains verbatim and paraphrased information reported by the patient. The interview is conducted with attention to therapeutic communication, cultural sensitivity, and holistic assessment. History of Present Illness (HPI) Virginia Lee is a 54-year-old female of Chinese descent who presents to the gastroenterology clinic with a chief complaint of chronic abdominal pain that has persisted for approximately 14 months. She describes a long and frustrating journey through the healthcare system, having seen her primary care provider twice and an urgent care provider once, with no clear diagnosis or lasting relief. Chronology of