Patient Profile EC, 49/M from Cavite Married with 2 kids, works as a carpenter Chief complaint: Jaundice
History of Present Illness 1 month PTA, Pt started experiencing acute onset RUQ pain, VAS 5/10, worsened by activity and eating. (-) nausea, vomiting, fever, jaundice. RUQ pain persisted, no consult done, until… 4 days PTA, persistence of pain and onset of jaundice with tea-colored urine prompted consult at a local Cavite hospital. (-) n/v, fever. UTZ done, A > choledocholithiasis
History of Present Illness HBT UTZ done (Jan 3, 2012): non-visualized gallbladder, could be due to perihepatic/hepatic infection, physiologic contraction, sludge vs stone-filled lumen and small gb; choledoectasia 2 to DBD calculus or mass lesion, pressure effect 2 to inflamed pancreas; prominent hypoechoic pancreas, consider pancreatitis Persistence of sx prompted consult at PGH.