Mild Right Upper Quadrant in Surgery — 34yo Man | Trauma Surgery | SMLE Q#19038
SMLE Question #19038
Surgery
Trauma Surgery
Objective: OBJ-TRM-ABD-001
Last updated: March 2026
A 34-year-old man presents to an outpatient clinic 1 week after a fall from standing height. He has persistent mild right upper quadrant abdominal pain since the injury. He denies syncope, vomiting, hematemesis, melena, hematuria, dyspnea, or chest pain. Examination shows a soft abdomen with mild right upper quadrant tenderness and no guarding, rebound, or distension. The clinic cannot perform urgent CT imaging or prolonged observation. What is the most appropriate next step in management?
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