Shannon, a 32-year-old mother of two, comes into your office with complaints of recent abdominal pain. She presents with pain in her right upper quadrant (RUQ), which is tender to palpation, and with the patient guarding in that area. She also complains of emesis (which was light in color) with the onset of pain not long after her BBQ dinner. Her stool this morning was chalky in appearance.
1. What exam would you perform for this patient?
2. What would be your diagnosis?
3. What diagnostic exam would be needed?
4. What would the pharmacological treatment and educational plan be?