From Fatty Meal To Surgical Referral: Diagnosis And Manage

FROM FATTY MEAL TO SURGICAL REFERRAL: DIAGNOSIS AND MANAGEMENT OF ACUTE CHOLECYSTITIS IN PRIMARY CAREI. PATIENT DEMOGRAPHICS Name: Karen Floyd Age: 45 years old Gender: Female Race/Ethnicity: Caucasian Occupation: Restaurant Manager Marital Status: Married, lives with husband Code Status: Full Code Source of Information: Self (Patient is reliable and cooperative) II. CHIEF COMPLAINT (CC) "My stomach hurts." / "I've been having stomach pain that won't go away." III. HISTORY OF PRESENT ILLNESS (HPI) Karen Floyd is a 45-year-old female presenting to the outpatient clinic with a chief complaint of chronic, intermittent abdominal pain. She reports that she has experienced this pain for the past 10 years. She describes the pain as generally located in the lower half of her abdomen, without radiation to other areas. The quality of the pain is variable; she states it usually feels like a "bad cramp," but at times it can be a sharp, stabbing sensation. The severity ranges from mild and annoying to severe enough that it "stops me in my tracks." The pain is not constant; it comes and goes in episodes lasting from a few minutes up to an hour. Importantly, she notes that the pain never fully resolves between episodes, though