A 45-year-old female presents with a complaint

A 45-year-old female presents with a complaint of abdominal pain for the past 3 days. She localizes the pain to her epigastric area and states that it radiates to her right upper quadrant. She notes that it became markedly worse after eating dinner last night. She recalls a past history of similar pain, but has never had any diagnostic workup. Her past medical history is significant for hypertension and hypercholesterolemia. She is status post a total abdominal hysterectomy 1 year ago. She does not smoke, drink alcohol, or use drugs. Qa. What 5 pertinent questions will you ask in developing your history of present illness to help you arrive at a set of differential diagnoses? Qb. On physical exam, name 3 clinical signs that will be elicited to aid in the diagnosis. Qc. What investigative tests would you order to aid in the diagnosis of this disease? And why? Qd. How would you differentiate by physical assessment exam between acute cholecystitis, acute pancreatitis, acute diverticulitis, and acute appendicitis.

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