A 48 year old woman presents to your office for examination because she had “severe” abdominal pain yesterday.  Just when she was about to go to the emergency, the pain completely resolved.  She reports that the pain started abruptly and lasted about 90 minutes.  She denies that she had any associated symptoms of nausea, vomiting, fever, or malaise.  She says the pain was about a 8/10 on a pain scale.  On exam today: T- 98.2ºF; BP- 118/66; Pulse- 78 bpm; Respiratory rate- 18/min.  She does not have abdominal guarding and has a negative Murphy’s sign.  Her most likely diagnosis is:

   In order to meet the requirements for constipation, stool must meet which criteria for ≥ 25% of defecations in the last 3 months

In the documentary, Salaam Dunk, in some women’s basketballs clubs that are state funded, some female players are paid.

  A 40 y/o obese female presents to the emergency room with increased right upper quadrant pain 8/10 that has been consistent after large meals for the last 3 weeks. An abdominal ultrasound has shown that she has gallstones. She also c/o nausea and vomiting that is unrelieved with antiemetics. What is the next step you should take in this patient’s care?

_________ are influenced by specific social and political culture, how individuals behave, talk, act, dress and conduct themselves are based upon their anatomical or perceived sex. For example, girls and women are expected to like pink color, be obedient and like housework, while boys and men are expected to like blue color, be aggressive and like mechanics.

   A patient with Gastritis is found to be taking all four of these medications. Which medication is of cause for concern and should be discontinued?

    A pregnant woman at 16 weeks gestation complains of pain in the right upper quadrant of her abdomen.  The patient’s white blood count is elevated and she has a temperature of 38.9ºC (102ºF). The most appropriate next step is:

   The initial screening test for suspected cholelithiasis usually includes an abdominal:

 Most patients with chronic or acute cholecystitis have associated  cholelithiasis. (Hackley & Kriebs, 2017. Pg 678)

   A 37-year-old woman is noted to have gallstones on ultrasonography. She is placed on a low-fat diet. After 3 months she is noted to have severe right upper quadrant pain, fever to 102°F, and nausea. Which of the following is the most likely diagnosis?