**Case Study: Diagnosis of Acute Cholecystitis**A 43-year-old female presents with concerns of a change in upper right quadrant (RUQ) pain that is most noticeable after each meal with a sudden onset but used to subside gradually over the last six months. Now her symptoms are steady, persistent, and aching. The pain is associated with vomiting and nausea. During a careful history, the patient shares that she mostly eats fast food due to her busy lifestyle.**Clinical Question:**Which physical exam technique, when positive, triples the likelihood of acute cholecystitis?**Answers:**A. Asking the patient to take a deep breath and palpating the right lower quadrant (RLQ)B. Deeply palpating the RUQ at the location of the patient's pain, asking them to take a deep breathC. Applying the "hooking" techniqueD. Palpating the epigastrium on both sides of the aorta**Note:** This educational material is intended to guide healthcare professionals in diagnosing acute cholecystitis through physical examination techniques. Understanding the symptoms and appropriate diagnostic methods is crucial to patient care.

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