Hurt - JMO

60F presenting with 4/7 epigastric, RUQ pain, radiating to back

Nausea
Nil vomiting
Anorexia – last oral intake this morning
?Subjective fevers – feeling a bit hot / sweaty during episodes
Bowels – last opened this morning, loose but otherwise unremarkable, still passing wind,

PMHx:

Medications

Atorvastatin 40mg nocte

Pantoprazole 40mg PRN

Valsartan 80mg mane

Mylanta PRN

Allergies:

Social:

O/E:

Looks systemically well, slightly uncomfortable

Pulse 98, resp. rate 18, SpO2 99%, temp: 37.7

Abdomen Soft- tender RUQ- Murphy positive

Ix:

WBC 11.6

ALT 32

ALP 160

Bili normal

CRP 6.9

Impression:

Likely biliary colic

Ddx- cholecystitis, gastritis

Plan: reviewed with Dr McDonald

Addit:

Tried gen surg x2. Will continue to try.

Discussed with gen surg reg on call Dr Chan

Addit: