]> 2026-07-31T07:53:12+00:00 WBR0561 0 en Discharge the patient '''Incorrect:''' The patient should not be discharged without diagnosis and treatment of his pain. Helicobacter pylori titer Abdominal ultrasound Electrocardiogram '''Correct:''' See explanation. Hemoglobin A1c Emergency Room A 40-year-old man presents to the ER with abdominal pain in the right upper quadrant for the past 3 days. It is sharp pain of moderate severity that makes it difficult to breathe. He also reports frequent nausea, belching, and generalized malaise. He has been "partying" all weekend despite the pain. He has a past medical history of type II diabetes mellitus for which he takes metformin. He admits to being non-compliant with his medication. His social history is positive for smoking and alcohol and he is an ex-cocaine abuser. On physical examination, his temperature is 98.4°F, HR is 90/minute, BP is 148/92 mm Hg, and RR is 18/minute. His cardiovascular and respiratory exams are normal. Abdominal examination shows tenderness in the right upper quadrant area. What should be the most appropriate next step in the management of this patient after taking his blood and urine for analysis? D Cardiovascular Gastrointestinal Hepatology 2020-10-28T00:58:07Z 2459150.5403588 WBR0561