1. Mrs. Jacobs is having pain in her right upper quadrant.
2. The fact that she does not have jaundice rules out a disorder of the liver.
3. A Murphy's test is performed in patients with suspected cholecystitis during the abdominal examination in a seated position. The patient is asked to take in a deep breath and hold a deep breath while the right subcostal area is palpated. If there is pain on inspiration, when the gallbladder comes into contact with the examining physician’s hand, Murphy's sign is said to be positive.
4. She is scheduled for an ultrasound examination.
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