Acute cholecystitis Quiz: Ace Your Exams
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A 24-year-old woman comes to the clinic due to right-sided abdominal pain for the past two hours. She states the pain started after she had lunch, which consisted of a burger and fries. She describes the pain as dull and 5/10 in intensity. Medical history is significant for Crohn disease diagnosed 3 years ago. Medications include methotrexate and ustekinumab. Temperature is 37.0°C (98.6°F), pulse is 80/min, and blood pressure is 125/80 mmHg. Abdominal examination shows sensitivity to touch in the right upper quadrant. An abdominal ultrasound reveals multiple stones within the gallbladder. Which of the following is most likely responsible for this patient’s presentation?
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