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History

Patient is a 68 yo F with h/o hypertension, hypercholesterolemia, and paroxysmal atrial fibrillation recently worked up for biliary colic 3 months ago.Workup at that time revealed a normal EGD and UGISBFT as well as a DISIDA scan consistent with acalculous cholecystitis. Patient underwent lap chole with complete resolution of symptoms.

Patient now presents with 4 days of abdominal pain. Pain is described as colicky in nature. It is most severe in left lower quadrant and left mid abdomen and is not associated in any way to food intake. Pain has become more severe over past 24 hrs. There is no radiation of pain to the back. There are no alleviating or exacerbating factors. Patient reports low grade fevers to 100.2 @ home. Patient reports mild nausea, however there has been no vomiting. There has been no changes in bowel habits. Denies dysphagia, odonyphagia, BRBPR or melena.

PMH: HTN, Hypercholesterolemia, Paroxysmal afib
Surgical Hx: Laparoscopic cholecystectomy for acalculous cholecystitis
Medication: Procardia, toprol, zocor, coumadin, aspirin
Family Hx: mother-diabetes Father-HTN No family history of colon CA, IBD, or PUD.
Social: occasional etoh. No tobacco. No IVDU.
All: NKDA