A woman with a history of gallstones complains of pain in the rib cage and constant nausea. What condition is she probably suffering from?
Question
A woman with a history of gallstones complains of pain in the rib cage and constant nausea. What condition is she probably suffering from?
Solution
The woman is likely suffering from a condition known as cholecystitis. This is an inflammation of the gallbladder that often occurs when a gallstone blocks the cystic duct, the tube through which bile flows from the gallbladder. The blockage causes bile to build up, which can lead to inflammation. Symptoms of cholecystitis can include pain in the upper right abdomen (which may extend to the right shoulder or back), nausea, vomiting, fever, and a tender abdomen. It's important that she
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A 24-year-old woman presented to the hospital with lower abdominal pain and vomiting. She reported that the symptoms had developed suddenly, approximately 45-min earlier. She had felt well earlier in the day and denied any other symptoms. She had eaten some toast for breakfast and nothing since. She had not experienced any diarrhoea and had no contacts with similar symptoms. Her past medical history included gastro-oesophageal reflux disease and a recent diagnosis of pulmonary tuberculosis, for which she was being treated currently. Her regular medications included: isoniazid, rifampin, pyrazinamide, omeprazole and the combined oral contraceptive pill. She worked as a salesperson and did not smoke, drink alco- hol or take recreational drugs.Examination The patient appeared pale and distressed. Her heart rate was 140 bpm and her blood pressure was 106/74 mmHg. Her abdomen was generally tender, with particularly pain over the right iliac fossa, with guarding present. Results Bloods: WCC 14.2, Hb 10.5, Plt 460, Na 135, K 3.8, Creat 60, CRP 122 Urine dip: positive for leucocytes, and positive for the beta subunit of human chorionic gonadotropin (hCG) 1. What diagnoses should be considered for this young woman presenting with sudden-onset right iliac fossa pain? *1 pointa. Appendicitisb. Ectopic pregnancyc. Ovarian cyst ruptured. Gastrointestinal issues (diverticulitis, inflammatory bowel disease, irritable bowel syndrome)e. Kidney stonesf. Meckel's diverticulitisg. Pelvic inflammatory disease (PID)h. Renal colici. Herniaj. Gynecological issues (ovarian torsion, endometriosis, adnexal pathology)
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What will happen if gall bladder of a person is removed? Whattype of food he has to avoid?
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