Reference no: EM133789693

Question

A 55-year-old Caucasian female is complaining of right upper quadrant pain for the past 5 hours. She reports having had two or three similar episodes in the past; however, they only lasted 1 hour, and the pain was not as severe as with this episode. She thought the prior episodes were due to heartburn, and she has taken over-the-counter antacids with some relief, but this time she has not had any relief. The episode is rated an 8 of 10 scale (0 no pain, 10 severe pain). The pain is constant and does not radiate. She says the pain started a few hours after she had lunch (states she ate a fast-food burger). She feels nauseated but has not vomited. She has been getting chills but also feels sweaty. She feels warm but does not know if she has a fever as she has not checked her temperature. Past medical history: type 2 diabetes mellitus and dyslipidemia Medications: metformin 1,000 mg 1 tablet twice daily; atorvastatin 10 mg 1 tablet per day; and estrogen/ progestin hormone replacement therapy 0.3 mg/1.5 mg 1 tablet per day Social history: does not smoke or drink alcohol; works as a cashier in a grocery.