A 40 year old woman with known gall stone disease and recurrent biliary colic presents to casualty early in the morning

Question Number 0115

Question:
A 40 year old woman with known gall stone disease and recurrent biliary colic presents to casualty early in the morning. She has severe right upper quadrant pain increasing in severity over the previous night accompanied by severe nausea and vomiting The next appropriate step would be

a) CT scan of the abdomen
b) blood culture
c) serum alcohol level
d) serum amylase
e) ultrasound of the abdomen


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