This patient is a 64 year old male with a history of a pancreatic mass who presents with worsening jaundice and mild abdominal pain. Physical exam reveals normal vital signs, notable jaundice and scleral icterus and mild epigastric tenderness to palpation and a negative Murphy’s sign. Bedside right upper quadrant ultrasound is shown below.

64 yo female presents to the emergency department with periumbilical pain that was first noted yesterday after a meal. The pain subsequently moved to the RLQ. Patient has had intermittent vomiting since the pain started. Non bilious, non-bloody.  Reports a few episodes similar to this one in the previous months, but states that this episode […]