Question

A 40-year-old-woman, who leads a sedentary lifestyle with a BMI of 38.6, comes to the emergency room with the sudden onset of abdominal pain. The pain developed immediately following her dinner. The patient reports that she earned a promotion at her job that day in the morning and she decided to “treat” herself with a modestly lavish dinner. She had a 14-inch local specialty superior-cheese pizza that features a premium 3-inch topping of multiple cheese varieties. The patient also reports that she has had similar symptoms in the past and recalls an episode several months ago when she attended the Texas State Fair. In the State Fair, she enjoyed all the fried food, especially the fried ice-cream and fried Oreos. As a physician, you think the patient developed this pain because of gall bladder contractions (i.e., gall bladder colic). Based on the knowledge learned in this course, provide a detailed explanation listing the steps that occurred following the patient’s dinner to the development of gall bladder colic.

Answer 1

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