A 22 y.o. male comes to the

A 22 y.o. male comes to the student health center clinic with complaint of RUQ pain for 48 hours, accompanied by nausea and anorexia. Pain started 8 hours after a drinking binge 2 days ago (approximately one-half liter of vodka). Pain has been worsening over the past 2 days from a 2 to a 5 on the pain scale. There was vomiting twice the morning after the binge, but no vomiting since. Patient reports emesis was clear/yellow with no blood and denies diarrhea. Patient has had this pain only one other time some months ago after drinking too much, but it was less severe and went away fairly quickly without any treatment. Patient is very concerned about this pain lasting so long. He is not sleeping at night due to the pain and worry over the cause. Patient admits to drinking binges approximately two times per week for the past 2 years. He denies stress from schoolwork or social relationships but states he has an anxiety disorder with panic attacks. He has only had a short course of Ativan (from TMH ER) about a year ago. He deals with the panic/anxiety attacks with marijuana or just “rides it out.” Past Medical History Denies surgeries or serious illnesses/hospitalizations No regular medications; had previously been on SSRI but has not been for a couple of years SCIENCE HEALTH SCIENCE NURSING NURSING 6510

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