Snapshot A 50-year-old woman presents to her family medicine physician's office due to recurrent abdominal pain. She reports that this often occurs after a meal out, or when she takes her children to get burgers at a fast food chain. She reports that it is primarily in her right upper quadrant, and the pain episodes resolve after an hour. She has a history of hypertension but is otherwise healthy. On physical exam, there are no remarkable findings. She is sent for an ultrasound to evaluate for gallstones. Introduction Clinical definition login to view 2 more bullets Epidemiology login to view 25 more bullets Pathogenesis login to view 2 more bullets Associated conditions login to view 4 more bullets Presentation Symptoms login to view 7 more bullets Imaging Right upper quadrant ultrasound login to view 2 more bullets Magnetic resonance cholangiopancreatography (MRCP) login to view 2 more bullets Endoscopic retrograde cholangiopancreatography (ERCP) login to view 3 more bullets Studies Serum labs login to view 3 more bullets Differential Peptic ulcer disease login to view 3 more bullets Sphincter of Oddi dysfunction login to view 4 more bullets Treatment Conservative login to view 6 more bullets Medical login to view 6 more bullets Surgical login to view 7 more bullets Complications Cholecystitis Secondary infections