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A 42-year-old woman presents to the emergency room with 24 hours of severe epigastric pain radiating to her back, accompanied by nausea and vomiting. On physical exam, she is tachycardic with icteric sclerae and abdominal tenderness in the right upper quadrant and epigastrium. Differential diagnoses include peptic ulcer disease, cholecystitis, pancreatitis based on her history of similar episodes after heavy meals and physical exam findings of abdominal tenderness and icteric sclerae.

Author

carlos

Language

EN