Emma Eastwood

40 y old female

 

PC       abdominal pain

HPC     localised in right upper

quadrant (RUQ)

            started today lunchtime

            colicky, on+off

            no radiation

            worse after food

            vomiting twice

PMH    gallstones

            hysterectomy 2000

            appendicectomy 1975

            depression

            frequent urinary tract

infections (UTI)

DH       antidepressants

            no known drug allergies (NKDA)

SH       lives with family

            works at supermarket

            non-smoker

            5 pints/week

FH   sister – diabetes mellitus (DM) type I