For case 1
My diagnosis is cholelithiasis + acute chole-cystitis(angitis) with differentials of Acute pancreatitis, Acute hepatitis,
Reason.. Acute pain, fever, right sided chest pain radiating to the right shoulder, yellowness of skin.
Investments will include CBC, LET, urinalysis, Abd USS, CT, ERCP
Treatment is with analgesics, hydration, antibiotics, antiemetic, stone dissolution (oral bile salt therapy, extracorporal Shockwave lithotripsy) or surgery( cholecystectomy).