4.9 of 10 Ratings
A 42-year-old female with a history of obesity, diabetes, asthma, and hypertension presents to her primary care physician for a follow-up visit after being seen in the ED 1 week ago. She had presented to the ED with urinary urgency, dysuria, increased frequency and was diagnosed with a urinary tract infection, and ultimately discharged on appropriate antibiotic therapy. During her ED workup, an abdominal ultrasound was obtained which is demonstrated in Figure A. She currently denies a history of abdominal pain, nausea and vomiting, early satiety or any other abdominal complaints. She states that apart from her urinary tract infection, which has now successfully been resolved, she feels well. What is the appropriate management for the incidental findings observed in Figure A?
No further management at this time
Endoscopic retrograde cholangiopancreatography
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A 42-year-old woman presents to the emergency department with severe abdominal pain. She states the pain is 9/10 in severity, is sharp in quality, located primarily on her right side, and seems to radiate to her right shoulder blade. She states that she has had similar pain in the past and it always seems to be caused by ingestion of a large meal. On exam, the patient is well appearing and her vitals are shown as: T: 36 deg C, HR: 78 bpm, BP: 130/80 mmHg, RR: 10, SaO2: 100%. A CBC, BMP, and liver function tests are ordered, and all are within normal limits. The emergency physician performs an emergency medicine bedside ultrasound (EMBU) and observes the findings shown in Figure A. What is the cause of this patient's pain?
Viscous distension of gallbladder
Inflammation of gallbladder
Inflammation of common bile duct
Viscous distension of cystic duct
Inflammation of cystic duct
A 42-year-old obese female presents to the emergency room requesting a pregnancy test. On exam, blood pressure is 135/80 mmHg, heart rate is 79 bpm, respiratory rate is 18 bpm, and she is afebrile. Urine pregnancy test is found to be positive, and an abdominal ultrasound is ordered for staging. The technician inadvertently also scans the patient's right upper quadrant, and an image from this study is shown in Figure A. She denies present or history of episodic right upper quadrant pain. Which of the following is the next best step?