,HISTORY OF PRESENT ILLNESS:, The patient is a 45yo Mexican man without significant past medical history who presents to the emergency room with complaints of mid-epigastric and right upper quadrant abdominal pain for the last 14 days. 
,HISTORY OF PRESENT ILLNESS : , The patient is a 45yo Mexican man without significant past medical history who presents to the emergency room with complaints of mid - epigastric and right upper quadrant abdominal pain for the last 14 days .