Acute Cholecystitis In A 45-Year-Old Female Presenting With Ri

ACUTE CHOLECYSTITIS IN A 45-YEAR-OLD FEMALE PRESENTING WITH RIGHT UPPER QUADRANT ABDOMINAL PAIN: A COMPREHENSIVE OUTPATIENT CASE ANALYSISPatient: Karen Floyd Age: 45 years Gender: Female Setting: Outpatient Clinic Chief Complaint: Ive been having abdominal pain. I. DEMOGRAPHIC DATA Name: Karen Floyd Age: 45 years Sex: Female Ethnicity: Caucasian Marital Status: Married Occupation: Administrative assistant Insurance: Private Source of History: Patient (reliable historian) II. CHIEF COMPLAINT (CC) Ive had pain in my upper abdomen for the past two days. III. HISTORY OF PRESENT ILLNESS (HPI) Karen Floyd is a 45-year-old female presenting with a 2-day history of abdominal pain. Using OLDCARTS format: Onset: Began suddenly 2 days ago after eating a fried chicken dinner. Location: Right upper quadrant (RUQ). Duration: Intermittent but worsening; episodes last 1-2 hours. Character: Sharp, cramping pain. Aggravating factors: Eating fatty or greasy foods. Relieving factors: Mild relief when sitting upright and avoiding food. Radiation: Radiates to right shoulder blade. Timing: Worse in the evening. Severity: 7/10 at worst. Associated symptoms: Nausea One episode of vomiting Mild bloating Low-grade fever (reported 100.4F at home) Denies: Diarrhea Constipation Blood in stool Chest pain Shortness of breath Urinary symptoms No prior similar severe episodes, though she reports indigestion after