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 You chose to request an abdominal X-ray!

Incorrect. You performed a thorough examination and noted a positive Murphy’s sign, indicating gallbladder inflammation. However, you decided to request an abdominal X-ray, which is not appropriate for diagnosing gallstones and is outside your scope as a PA.

When you discussed the case with your supervisor, they advised you to:

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

2. Provide analgesia, dietary advice, and safety netting as in Option 2.