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 You chose to perform a focused physical examination and discuss findings with your supervisor!

Correct! Conducting a focused examination helps identify significant findings such as a positive Murphy’s sign, which strongly suggests gallbladder inflammation.

Discussing your findings with your supervisor ensures the patient receives appropriate investigations and management.

Outcome:

You and your supervisor agree on the following:

1. Request an urgent abdominal ultrasound to confirm the diagnosis.

2. Provide analgesia for pain relief.

3. Advise the patient to avoid fatty meals to reduce symptoms.

4. Safety netting: Advise the patient to go to A&E immediately if they develop severe pain, fever, or vomiting.