Episodes of severe right upper quardant pain - USMLE Forums
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  #1  
Old 11-23-2012
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Liver Episodes of severe right upper quardant pain

An obese 33-year-old woman has had four 12-hour episodes of severe, sharp, penetrating pain in the right upper quadrant of the abdomen associated with vomiting but no fever. She has no diarrhea, dysuria, or jaundice and is asymptomatic between episodes. There is slight tenderness to deep palpation in the right upper quadrant. Which of the following is the most appropriate next step in diagnosis?

A) Supine and erect x-ray films of the abdomen
B) Upper gastrointestinal series
C) Ultrasonography of the upper abdomen
D) CT scan of the abdomen
E) HIDA scan of the biliary tract
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Old 11-24-2012
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Its definitely the USG of the abdomen..
because the RUQ pain is quite close to the Biliary colic ( which should ideally be brought-on after taking a meal ) and self-limited when temporarily obstructing the cystic duct...


Anyone else??
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Old 11-24-2012
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yeah its biliary colic.....and the best initial test for gall stones is USG of the RUQ abdomen.....
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  #4  
Old 11-25-2012
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Ultrasonography of the upper abdomen
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  #5  
Old 11-25-2012
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C) Ultrasonography of the upper abdomen
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  #6  
Old 11-25-2012
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C usg upper abdomen
then confirm with hida scan.
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  #7  
Old 11-26-2012
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C) Ultrasonography of the upper abdomen
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Gastroenterology-, Step-2-Questions, Surgery-

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