RUQ Pain: Expedited Work-Up with POCUS

A 42-year-old female presents to her primary care clinic with intermittent, crampy abdominal pain for four months. The pain typically follows fatty meals, occasionally radiates to her right shoulder, and can last for several hours. She denies fever, vomiting, or diarrhea. Vital signs are normal. On exam, she has mild tenderness to palpation in the right upper quadrant without rebound or guarding. There is no jaundice, and laboratory studies, including AST and ALT, are within normal limits.