MDM //

Patient presents with abdominal pain and ultrasound demonstrates visible gallstones. Given exam and history, suspect likely uncomplicated_ biliary colic. Patient is afebrile without overt thickening of the gallbladder wall, CBD dilation or pericholecystic fluid suggests the absence of acute cholecystitis or acute biliary obstruction. Patient is tolerating PO_ and suspicion for acute pancreatic involvement is low. After serial abdominal exams, history and observation, low suspicion at this time for other acute intraabdominal processes, including aortic aneurysm, atypical appendicitis, diverticulitis, or bowel obstruction. Given resolution of pain and no peritoneal signs on serial exams, will discharge patient home with general surgery follow up and strict return precautions.



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