17th July 2020

A 65-year-old woman presents to you, her GP, with a 4 day history of abdominal pain in the epigastric region

A 65-year-old woman presents to you, her GP, with a 4 day history of abdominal pain in the epigastric region that radiates through to her back. She has also reported nausea and vomiting and has had a reduced appetite. On further questioning she tells you that for the past 6 months she has had multiple episodes of right upper quadrant pain, she has noticed that they have occurred most often after she has eaten. 

On examination she is markedly tender on palpation of her epigastric region and she has dry mucus membranes. 

Oxygen Saturations- 98% on air, RR 15, HR 95, Temperature 37.6°C.

Please select the SINGLE most likely diagnosis. Select ONE option from the list above.