case 5. a 55 year-old woman presents to the emergency room complaining of the sudden onset of rigt upper abdominal pain. Her pain started after eating a hamburger for lunch. She is nauseated and vomited twice at home. She denies diarrhea. Her temperature is 102,2F, BP 140/90mmhg, Pulse is 110/min. she appears anxious and distressed. she is not jaundiced. Abdominal examination reveals normal bowel sounds. while you are palpitating under her right costal margin, the patient abruptly arrests her inspitaion and pulls away because of sharp pain. which of the following is the most appropriate next step in management? a. abdominal radiograph b. ultrasound of the abdomen c. HIDA scan d. MRI of the abd e. upper endoscopy.
Posted on: Wed, 17 Jul 2013 13:00:19 +0000
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