What could be the underlying cause of these symptoms?

Scenario 2:

A 44-year-old obese female is admitted to the emergency room with fever and severe abdominal pain on the upper right side that radiates to the scapula. She states that she feels nauseated. She states that the pain began at a friend’s house during a party and is becoming more severe. You can see that she is quite uncomfortable.

  1. What could be the underlying cause of these symptoms?
  2. What examinations would you perform? Why?
  3. What laboratory tests would be needed to confirm possible differential diagnoses?
  4. What pharmaceutical drugs are approved for treating the diagnosis that you concluded for this case?

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