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 You chose to send the patient home with over-the-counter painkillers, suspecting musculoskeletal pain!

Incorrect! Despite noting a positive Murphy’s sign during your examination, you attribute the pain to a musculoskeletal cause. The patient deteriorates overnight, developing fever and worsening abdominal pain. She is admitted to the emergency department the next day with acute cholecystitis.

Outcome

• You realise this could have been avoided by escalating the case and discussing the findings with your supervisor.

• Acute cholecystitis requires timely investigation and management to prevent complications like gallbladder perforation or sepsis.