Seventeen year old patient with sever abdominal pain in the epigastric region and right upper quadrant goes to the right. She had similar episodes before and last time she went to ER where she was told that she had Gallbladder stone. The patient went away for 2 months and recurred 2 days ago associated with vomiting, more sever and longer in duration. No fever , not chills no diarrhea . Her weight is the same for 4 years. No change in urine color , no appreciated jaundice by patient or family.
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