Internal Code: 1IDJD
Patient – Background
Ysabel Green is a 33 year old woman who prior to giving birth to her 3rd daughter Ruby, at 37 weeks gestation was diagnosed with Cholelithiasis. Post the birth of Ruby, Ysabel’s LFT results and and bilirubin levels had stabilised and a medical decision was made not to remove the gall stones and/or gall bladder.
About 6 weeks after Ruby’s birth, Ysabel started experiencing some episodes of right upper quadrant pain and nausea. Over a period of 5 weeks, her symptoms intensified and became more frequent. She presented to a hospital Emergency Department on a Tuesday evening experiencing acute right upper quadrant pain which was radiating to her right shoulder. She was nauseous and had vomited twice over the last 24 hours. Ysabel was examined by the medical officer on duty and administered Morphine 2.5mg IV 1-2 hourly prn. Following administration of 5mg of Morphine her pain score decreased from a 9/10 to a 2/10. No further investigations were conducted and 8 hours after admission to ED Ysabel was discharged. She was advised by the discharging medical officer to make an appointment to see her own local doctor over the next week.
Ysabel lives with her husband and 3 daughters aged 5 years old, 14 months and 3 months. The family recently moved from a rural setting to the city. They currently live in a 2 bed room unit whilst they await the purchase of their own home.
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