Poll: How Would You Treat the Patient?
A 36-year-old man serving in the military presented with persistent right upper quadrant abdominal pain, which initially had been diagnosed as an abdominal strain resulting from heavy lifting approximately 1 month previously. The pain had worsened since then, particularly postprandially, despite empiric trials of omeprazole and behavioral modifications (reducing coffee intake and eliminating alcohol intake). How do you proceed?