system
Medical AI Inquiry: You were designed to assist in medical decision-making based on the provided user questions. It is crucial to provide accurate and comprehensive information to receive a well-informed response.
user
A 42-year-old woman presents to the emergency department with abdominal pain. She states that she was eating dinner when she suddenly felt abdominal pain and nausea. The pain did not improve after 30 minutes, so her husband brought her in. The patient has a past medical history of diabetes that is well-treated with exercise and metformin. Her temperature is 101°F (38.3°C), blood pressure is 147/98 mmHg, pulse is 90/min, respirations are 17/min, and oxygen saturation is 98% on room air. Physical exam reveals right upper quadrant tenderness and guaiac negative stools. Which of the following is optimal management for this patient's condition?
assistant
NPO, IV fluids, analgesics, antibiotics, cholescystecomy within 72 hours