What treatments or interventions would be the first line of protocol for your diagnosis?

DC comes to the emergency room complaining of acute abdominal pain. She states the pain came after dinner at an all-you-can-eat buffet and has been increasing steadily. The pain is located in her right upper quadrant and is “boring” into her back. She says she feels “gassy” and bloated.

What are your differential diagnoses? Include the pathological process involved with your diagnosis. What tests would you order to confirm your diagnosis?

What treatments or interventions would be the first line of protocol for your diagnosis?