A 26 year-old, moderately obese, Caucasian female that is 2-…
A 26 year-old, moderately obese, Caucasian female that is 2-month post-partum presents to the clinic with a CC: heartburn, flatulence and anorexia. During her pregnancy she had experienced similar symptoms, but they have become more severe in the last week and she vomited twice. She has intermittent pain in the epigastric and right upper quadrant area. She also thinks she pulled a shoulder muscle as she has an almost constant dull ache there. The patient has physical exam findings that are unremarkable, except for RUQ tenderness with deep palpation and a positive Murphy’s sign. Which of the following becomes your primary differential diagnosis?