06-07-2008, 03:36 PM
A 48-year-old woman (gravida 3, para 3) is evaluated because of right upper quadrant pain. She has had three discrete episodes of moderate to severe right upper quadrant pain that radiates to the right scapula and lasts 4 to 5 hours. The last of these episodes occurred 72 hours ago. These attacks occur 30 minutes to 90 minutes after eating and are associated with nausea, but not vomiting. Her medical history is otherwise unremarkable. Physical examination reveals moderate obesity, and abdominal examination is normal. She takes no medications.
Which of the following is the best test to confirm the diagnosis?
( A ) CT scan of abdomen
( B ) Ultrasonography
( C ) Hepatoiminodiacetic acid (HIDA) scan
( D ) Oral cholecystography
( E ) Upper endoscopy
Which of the following is the best test to confirm the diagnosis?
( A ) CT scan of abdomen
( B ) Ultrasonography
( C ) Hepatoiminodiacetic acid (HIDA) scan
( D ) Oral cholecystography
( E ) Upper endoscopy