Advanced Physical Assessment: Harvey Hoya (57-Year-Old Male)
Patient Profile
Name: Harvey Hoya
Age: 57 Gender:
Male Occupation:
Accountant
Chief Complaint:
"My stomach is
killing me, and the
pain is going
Pa tient: Harvey H
straight through to
my back."
History of Past Medical & Social History
Present Illness
(HPI)
• Onset: 4 hours • PMH: Hypertension, Hyperlipidemia, Cholelithiasis (diagnosed 2 years ago). • Social:
ago, following a Occasional alcohol (1-2 beers/week), non-smoker. • Family History: Father with CAD;
heavy dinner. • Mother with Type 2 Diabetes.
Location:
Epigastric region
radiating to the
back. • Intensity:
8/10 on numerical
scale. • Quality:
Sharp, constant
pressure. •
Associated
Symptoms:
Nausea, one
episode of non-
bilious emesis.
Clinical Pearl: Referred Pain
Radiation of pain from the epigastrium to the back is a classic clinical sign. In pancreatic pathology, the
pain often radiates directly through to the mid-back due to the organ's retroperitoneal position. In
Patient Profile
Name: Harvey Hoya
Age: 57 Gender:
Male Occupation:
Accountant
Chief Complaint:
"My stomach is
killing me, and the
pain is going
Pa tient: Harvey H
straight through to
my back."
History of Past Medical & Social History
Present Illness
(HPI)
• Onset: 4 hours • PMH: Hypertension, Hyperlipidemia, Cholelithiasis (diagnosed 2 years ago). • Social:
ago, following a Occasional alcohol (1-2 beers/week), non-smoker. • Family History: Father with CAD;
heavy dinner. • Mother with Type 2 Diabetes.
Location:
Epigastric region
radiating to the
back. • Intensity:
8/10 on numerical
scale. • Quality:
Sharp, constant
pressure. •
Associated
Symptoms:
Nausea, one
episode of non-
bilious emesis.
Clinical Pearl: Referred Pain
Radiation of pain from the epigastrium to the back is a classic clinical sign. In pancreatic pathology, the
pain often radiates directly through to the mid-back due to the organ's retroperitoneal position. In
