NRNP 6531-Evita Alonso iHuman - 48-year-old
Hispanic female-case study-2022
Evita 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 to
the right shoulder. The pain has been intermittent for many months now. About 2 weeks ago she started
having 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 and is
currently rated at a 3-4 on a scale of 0-10. E. A. believes that eating makes the pain worse, especially fast
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. She
is also experiencing nausea and vomiting as well as a subjective fever. Home use of antacids and
ibuprofen have not provided relief. Reports 3 episodes of emesis over the past 2 days, and only drinking
water and Gatorade. Her emesis is clear and liquid with no evidence of coffee ground or dark tarry
stools.
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