How Well Do You Know the Exam Findings of Cholecystitis?

Welcome to the next episode of The Reveal where we take you inside the mind of a test-taker to deconstruct and connect the dots of a board-style question so you can become a better student, transform how you learn, and excel not only on high-stakes exams, but also in your general medical knowledge. Let’s get started.

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A 44-year-old woman presents to the Emergency Department with one week of crampy abdominal pain that is worse after she eats. She denies alcohol consumption or tobacco abuse. On physical examination, she is overweight and has epigastric and right upper quadrant abdominal tenderness to palpation. Which of the following examination findings is most consistent with cholecystitis?

A) Epigastric rebound tenderness

B) Gray-Turner sign

C) Inspiratory arrest with right upper quadrant palpation

D) Right scapular tenderness

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