A patient presenting with atypical cholecystitis in primary care: reflections on a case study
Evidence and practice    

A patient presenting with atypical cholecystitis in primary care: reflections on a case study

Gavin Callander Trainee advanced nurse practitioner, NHS 24, Glasgow, Scotland

Why you should read this article
  • To recognise the challenges of diagnosing patients with atypical presentations in primary care

  • To consider the complexities of decision-making by advanced nurse practitioners

  • To enhance your knowledge of how to reflect on your practice and learn from it

Advanced nurse practitioners (ANPs) need to be equipped with the skills to assess, investigate, diagnose, treat and discharge patients with a variety of clinical presentations. As a trainee ANP working in a primary care centre under the supervision of a GP, the author of this article encountered a female patient who presented with intermittent abdominal pain and was eventually diagnosed with cholecystitis. The patient’s presentation was atypical and mild, which led to a short inconsequential delay in her referral to secondary care for imaging and consideration of surgery. Using this patient’s case as an example of how complex decision-making can be for ANPs, the author conducts an in-depth reflection on his practice, putting the case in the context of the existing guidelines and considering professional and ethical issues.

Primary Health Care. doi: 10.7748/phc.2021.e1751

Peer review

This article has been subject to external double-blind peer review and checked for plagiarism using automated software

Correspondence

gcallander@dundee.ac.uk

Conflict of interest

None declaredS

Callander G (2021) A patient presenting with atypical cholecystitis in primary care: reflections on a case study. Primary Health Care. doi: 10.7748/phc.2021.e1751

Published online: 24 November 2021

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