Gallbladder disorders Quiz: Ace Your Exams
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A 40-year-old woman is brought to the emergency department due to acute onset of abdominal pain, intense sweating, and vomiting. The pain is sharp, constant, 8/10 in intensity and radiates to the right shoulder blade. The patient has 2 children who were both delivered by cesarean section. Medical history is significant for diabetes mellitus type 2 and obesity. Temperature is 37.0°C (98.6°F), pulse is 70/min, and blood pressure is 135/85 mmHg. BMI is 37 kg/m2. ECG shows no abnormalities. An abdominal ultrasound is inconclusive due to body habitus. Further testing is performed, and the laboratory results are shown below:
Which of the following is the most likely diagnosis?
| Laboratory value | Result |
| Hemoglobin | 14.5 g/dL |
| Leukocyte count | 8000 mm3 |
| Platelet count | 230,000 mm3 |
| Mean corpuscular volume | 85 μm3 |
| Serum | |
| Creatinine | 0.6 g/dL |
| BUN | 10 mg/dL |
| Bilirubin | |
| Total | 0.8 mg/dL |
| Direct | 0.2 mg/dL |
| Alanine aminotransferase (ALT, GPT | 15 U/L |
| Aspartate aminotransferase (AST, GOT | 17 U/L |
| Amylase | 50 U/L |
| Lipase | 65 U/L |
| Alkaline phosphatase | 60 U/L |
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