Open Question: Gallbladder disease clinical case scenario questions…what are the answers?
These are the questions that had been published in the BMJ article of October ‘09. The answers are no longer available online for free as it has a time limit and it has surpassed its time limit now. There’s no way for me to check my answers to these questions I attempted only recently!
If you are a Medical professional/student who can answer these questions, please help me out with them! And the possible reasons as to why you came to those conclusions.. short explanations to your answers would be very helpful!
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Presentation 1: A 48 year old woman is referred as an emergency with severe right upper quadrant pain. On examination she has a fever and a tender, palpable right subcostal mass with local peritonism.
Presentation 2: A 43 year old obese, multiparous woman seen in the emergency department reports a first episode of right upper quadrant pain and nausea. The pain settled completely by the time the casualty officer has her blood results back. She does not have a fever and has only minimal right subcostal tenderness.
Presentation 3: A 54 year old woman is admitted with severe epigastric pain and vomiting. She has a long history of recurrent right upper quadrant pain. An upper abdominal ultrasound arranged by her general practitioner had shown gallstones but the patient had not been referred. On examination she has marked epigastric tenderness.
Presentation 4: A 47 year old woman has had recurrent episodes of biliary colic. She is admitted with severe right upper quadrant pain associated with a fever of 38
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