Approach to biliary colic Quiz: Ace Your Exams
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A 45-year-old woman presents to the primary care clinic with three days of right upper quadrant abdominal pain and fever. The patient has previously had three to four episodes of right upper quadrant pain, occasionally with vomiting, that were worse after eating and resolved within two to three hours. Vital signs include temperature of 38.6 ºC (101.5 ºF), heart rate of 108/min, blood pressure of 140/75 mmHg, respiratory rate of 18/min, and SpO2 of 100% on room air. The patient is sent to the emergency department for bloodwork and imaging. Bloodwork shows leukocytosis. Which of the following findings on physical exam would be most suggestive of the underlying diagnosis?
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