Exam questionKROK 2Medicine · 2025
A 53-year-old woman complains of nausea, vomiting bile, and acute pain in the right hypochondrium. The pain occurred 2 hours after a dinner. According to the patient's history, the symptoms appeared 18 hours ago. Objectively, the patient is agitated and fidgets in the bed, pulse 98/min, the tongue is moist and coated with white deposits. Body temperature 38.2°C. Palpation detects that the right half of the chest lags behind of breathing, muscle tension and tenderness can be observed in the right hypochondrium. Phrenicus symptom and Grekov-Ortner sign are positive. Signs of peritoneal irritation are negative. What is the most likely diagnosis in this case?
Answer options
- Acute pancreatitis
- Perforated stomach ulcer
- Acute cholecystitis
- Acute appendicitis
- Intestinal obstruction
Correct answer
Acute cholecystitis
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