Case 6: Introduction

History of Present Illness (HPI)


A 44-year-old gentleman with a history of ruptured appendicitis (6 years prior to presentation) presented to the emergency room with a week of nausea with vomiting, and two days of right upper quadrant pain. In addition, his family had noticed a yellow discoloration of his eyes. Upon questioning he reflects that his urine has been darker in color and his stool has looked paler. He reports mild decrease in PO intake. Denies fevers and chills. Denies melena and hematochezia. Denies prior such episodes.

He is not on any prescription medications. He denies alcohol or tobacco use.

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