Case 8

A 55 year old lady presents to the emergency department complaining of right upper quadrant pain for the last 12 hours. The pain initially started after she ate a fatty meal. She has had the pain intermittently over the last number of years but never this severe.

Question 1

What is the most likely diagnosis?

Question 2

What would you expect to find on physical exam?

Question 3

What investigations would you organise?

Question 4

What is the ED management for this patient?