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Hereditary hemochromatosis. If iron saturation is greater than 45%, then check ferritin. Level greater than 400 in makes our 300 in females is diagnostic. Then check liver biopsy and genetics.
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HPI: 57 year old female presented with epigastric abdominal pain, nausea and vomiting.
Past Medical History: Diabetes mellitus
Medications: Lantus
Allergies:
Family History: No history of colon cancer
Social History: 1 pack of cigarettes per day
Review of Systems: heartburn, constipation
Physical Exam: Epigastric tenderness
Labs/Radiology/Procedures: Normal abdominal x-ray
Assessment/Plan: EGD
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<p>HPI: 57 year old female presented with epigastric abdominal pain, nausea and vomiting. <p>Past Medical History: Diabetes mellitus<p>Medications: Lantus<p>Allergies: <p>Family History: No history of colon cancer<p>Social History: 1 pack of cigarettes per day<p>Review of Systems: heartburn, constipation<p>Physical Exam: Epigastric tenderness<p>Labs/Radiology/Procedures: Normal abdominal x-ray<p>Assessment/Plan: EGD to evaluate for gastric outlet obstruction. If no gastric outlet obstruction, then gastric emptying study to evaluate for diabetic gastroparesis.
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[] year old female presented with epigastric[] pain for [] days, non-[]radiating, []worse with eating. Associated nausea/vomiting, fever, and chills[]. This is a template for a typical presentation of choledocholithiasis, which can be confirmed with an MRCP. The template is designed for Meditech. Treatment is with an ERCP with stone removal.
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