31st July 2023

A 67-year-old woman attends A&E with sudden onset epigastric pain, worsened by eating

A 67-year-old woman attends A&E with sudden onset epigastric pain, worsened by eating. Her observations are stable. On examination, her RUQ is tender on palpation. You ask the patient to breathe in and notice she winces whilst you are palpating her RUQ.

What is your next step in the investigation of this patient?

Select the SINGLE most appropriate option from the list below. Select ONE option only.