A 43-year-old woman presents to the Accident and Emergency department with an 8-hour history of severe right upper quadrant pain and vomiting. She says that the pain exacerbates on breathing and is radiating to her right scapula. On examination, she is pale and mildly jaundiced. Her pulse rate is 104/min and temperature is 38.8º C. Abdominal examination reveals a tender mass over the right hypochondrium. She says that she used to get this type of pain following a fatty meal, although not this severe. Serum amylase is not elevated. From the options below choose the ONE which you think is the most likely diagnosis in this patient: (Please select 1 option) Acute appendicitis Acute cholecystitis Acute pancreatitis Cirrhosis of the liver Gall stones
Posted on: Mon, 15 Dec 2014 16:43:36 +0000
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