Question

A 46-year-old overweight woman presents with sudden onset right upper quadrant pain radiating to the right shoulder, associated with fever and vomiting. Examination shows right upper quadrant tenderness and a positive Murphy sign. What is the most likely diagnosis?

Accepted Answer

Acute cholecystitis

Answer

Biliary colic

Answer

Acute pancreatitis

Answer

Peptic ulcer disease

Answer

Acute appendicitis

Practice question

A 46-year-old overweight woman presents with sudden onset right upper quadrant pain radiating to the right shoulder, associated with fever and vomiting. Examination shows right upper quadrant tenderness and a positive Murphy sign. What is the most likely diagnosis?