i-Human Case Study: Acute Abdominal Pain in a 54-Year-Old Female Acute Right Upper Quadrant Abdominal Pain in a 54-Year-Old Female: An i-Human Emergency Case Clinical Assessment and Management of Acute Calculous Cholecystitis

i-Human Case Study: Acute Abdominal Pain
in a 54-Year-Old Female Acute Right Upper
Quadrant Abdominal Pain in a 54-Year-Old
Female: An i-Human Emergency Case Clinical
Assessment and Management of Acute
Calculous Cholecystitis




i-Human Case Study

,Patient Name: Virginia Lee
Age: 54 years
Sex: Female
Height: 5’6” (168 cm)
Weight: 165 lb (75 kg)
BMI: ~26.6 kg/m² (Overweight)
Setting: Emergency Department (Full imaging and
laboratory capabilities)
Mode: Learning Mode
Reason for Encounter: Abdominal Pain



Chief Complaint (CC)
“I’ve been having severe abdominal pain that won’t go
away.”



History of Present Illness (HPI)
Virginia Lee is a 54-year-old female who presents to the
emergency department with acute abdominal pain that
began 12 hours prior to arrival. The pain started
gradually and has progressively worsened.

 Location: Right upper quadrant (RUQ), radiating to
the epigastric area

,  Quality: Sharp, cramping
 Severity: 8/10
 Timing: Constant with intermittent worsening
 Aggravating factors: Eating fatty foods, deep
palpation
 Relieving factors: Minimal relief with rest
 Associated symptoms:
o Nausea

o One episode of non-bilious vomiting

o Low-grade fever

o Decreased appetite

 Denies:
o Chest pain

o Shortness of breath

o Diarrhea

o Hematemesis

o Melena


No recent travel or sick contacts.



Past Medical History (PMH) – Expanded
 Hypertension – Diagnosed 10 years ago; moderately
controlled on amlodipine
 Hyperlipidemia – Diagnosed 6 years ago; on statin
therapy