10-13-2006, 12:50 PM
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
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