Pain due to an injury can tell about the organ affected. The pain in the right shoulder refers to an injury of the liver organ, Thus, option d is correct.
Abdominal and genitourinary injuries are damages to the organs and tissues of the digestive and excretory system that mostly affects the liver, kidneys, spleen, etc.
The liver is an organ located in the right upper abdomen involved in various functions and bodily activities. Shoulder pains are associated with liver injuries as inflammation and discomfort affect the neck and shoulder region.
Therefore, option d. the liver is the affected organ.
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Your question is incomplete, but most probably your full question was, You should have an index of suspicion that a patient with pain referred to the right shoulder has an injury to which organ?