05-13-2004, 08:23 AM
abrar
A 42-year-old woman presents to the emergency room complaining of the sudden onset of right upper abdominal pain. Her pain started after she ate a hamburger for lunch. She is nauseated and vomited twice at home. She denies diarrhea. Her temperature is 102.2°F, blood pressure is 140/90 mmHg, and pulse is 110/min. She appears anxious and distressed. She is not jaundiced. Abdominal examination reveals normal bowel sounds. While you are palpating under her right costal margin, the patient abruptly arrests her inspiration 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 abdomen
E. Upper endoscopy
A 42-year-old woman presents to the emergency room complaining of the sudden onset of right upper abdominal pain. Her pain started after she ate a hamburger for lunch. She is nauseated and vomited twice at home. She denies diarrhea. Her temperature is 102.2°F, blood pressure is 140/90 mmHg, and pulse is 110/min. She appears anxious and distressed. She is not jaundiced. Abdominal examination reveals normal bowel sounds. While you are palpating under her right costal margin, the patient abruptly arrests her inspiration 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 abdomen
E. Upper endoscopy