NRNP 6531-Evita Alonso iHuman - 48-year-oldHispanic female-case study-2022CASE I-HUMAN EVITA ALONSOUPDATEDEvita Alonso is a 48-year-old Hispanic female who presents to the clinic today with complaints of

abdominal pain. The pain is in the right upper quadrant of her abdomen, under the ribs, and radiates tothe right shoulder. The pain has been intermittent for many months now. About 2 weeks ago she startedhaving the pain again but over the past two days the pain is constant. The pain gradually increases

starting at a 2-3 and can get up to a 6-7. Pain is characterized as a cramping, gnawing, achiness andis

currently rated at a 3-4 on a scale of 0-10. E. A. believes that eating makes the pain worse, especiallyfast

food. Of note, she has been trying to stick to a weight loss program but sometimes she must eat fast

food due to busy schedule. Pain is persistent at rest and not worsened with dairy or wheat products. Sheis also experiencing nausea and vomiting as well as a subjective fever. Home use of antacids andibuprofen have not provided relief. Reports 3 episodes of emesis over the past 2 days, and only drinkingwater and Gatorade. Her emesis is clear and liquid with no evidence of coffee ground or dark tarry

stools.