Create a scenario of Acute Cholecystitis on female 62 years old, Height: 5’ 8”, Weight: 258 lbs, with a BMI of 41.46.

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Scenario: Acute Cholecystitis in a 62-year-old Female

Patient Profile:Name: Mrs. JohnsonAge: 62 years oldGender: FemaleHeight: 5’8” (173 cm)Weight: 258 lbs (117 kg)BMI: 41.46 (obese)

Medical History:Mrs. Johnson has a medical history of obesity, hypertension, and type 2 diabetes. She has been struggling with weight management and has experienced occasional bouts of indigestion and abdominal discomfort in the past. She has been taking medication for her hypertension and diabetes, but her weight has remained largely unchanged.

Presenting Symptoms:Mrs. Johnson arrives at the emergency department with severe right upper abdominal pain that started suddenly and has been worsening over the past few hours. She describes the pain as sharp and constant, radiating to her right shoulder. She also reports nausea, vomiting, and a low-grade fever.

Physical Examination:Upon examination, Mrs. Johnson appears visibly uncomfortable and is unable to find a comfortable position. Her vital signs show an elevated heart rate and blood pressure. Her abdomen is tender to touch, particularly in the right upper quadrant, and she experiences pain when the doctor performs a deep palpation.