Contributed to the development of her current diagnosis

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Reference no: EM133867214

Question

Mrs. Ford is a 49 year old Caucasian female with a PMHx of Type 2 DM, HTN, morbid obesity, and HLD who presented to the ER with severe abdominal pain, subjective fever, nausea, and vomiting. She localizes her pain to the right upper quadrant of her abdomen and states it radiates to her right shoulder. She woke up today in her usual state of health, for lunch she had a slice of pizza and reports the pain began 1 hour after this shortly followed by nausea and vomiting. She states she has had pain like this before on 2 prior occasions but never this severe and the symptoms typically resolved within a few hours which is not the case today. On exam, her vital signs are 100.8, RR 23, BP 156/95, o2 98%, HR 113. On exam, she has RUQ tenderness and a positive Murphy's sign. The remaining physical exam is unremarkable. Current Meds: baby aspirin, Glucophage, captopril No known allergies.

1. What is Mrs. Ford single most likely diagnosis and explain the pathophysiology of this diagnosis.

2. What are the risk factors that Mrs. Ford has that may have contributed to the development of her current diagnosis.

Reference no: EM133867214

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