Julia McMahon
49 year old female
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PC
Pain in upper right abdomen
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HPC
Started at 10 pm in the night, all over her tummy but more so in the upper right area
Constant dull pain
Began after eating takeaway with her girlfriend
Has been having similar episodes over the past 6 months but this one is especially bad and isn’t going away
Sometimes it radiates to her back
She has vomited once
No temperature
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PMH
PCOS (polycystic ovary syndrome)
Endometriosis
Fertility issues – has attempted IVF twice without success
Overweight (I’ve been trying to lose weight)
Has been told by GP she has prediabetes
DX
Aspirin 100mg once a day (prescribed by gynaecologist to help with pregnancy)
Folate tablet
No allergies
Family Hx
Sister – PCOS
Father – arthritis with shoulder replacements
Brother – cerebral palsy
Social Hx
Works as a secretary in a solicitor’s office
On holidays from England
Smokes 15 per day since she was 15
Drinks half a bottle of wine each evening
Lives with girlfriend