Complete the following sentences by choosing the most likely options for the missing information from the lists of options provided.
Patient: Michael Carter, 45-year-old male
Setting: Urgent Care Clinic
Chief Complaint: Severe abdominal pain (Possible acute pancreatitis)
History of Present Illness:
Michael presented to the clinic with a 48-hour history of sudden onset, sharp, and persistent pain in the upper abdomen.
The pain seems to
and is aggravated by eating, especially after consuming
He notes that the pain is somewhat relieved when he
or
Over the last 24 hours, Michael has also experienced nausea and has vomited twice.
Past Medical History:
Michael admits to
on weekends.
He also mentions a history of biliary disease about two years ago but hasn't faced any complications from them since.
Physical Examination:
Upon physical examination, Michael's abdomen is tender to the touch in the
.
He has a
and shows signs of dehydration. His skin and sclera of his eyes have a faint yellowish tinge, suggesting jaundice.
Labs:
Preliminary blood tests reveal a
and lipase. Liver enzymes are slightly raised, and there's a moderate elevation in bilirubin levels.
Clinical Impression:
Given the history, clinical presentation, and laboratory findings, Michael is suspected to have acute pancreatitis, likely due to a combination of
.
Immediate hospitalization for supportive care and further diagnostic evaluation is recommended.
