Sandwiched

Gastrointestinal System


{"ops":[{"insert":"Diagnosis and reasoning"},{"insert":"\n","attributes":{"header":1}},{"insert":"The acute abdomen is one of the most common presentations encountered in the emergency department; it is also one of the more concerning, potentially heralding serious disease.\n\nIn these individuals, the location of the pain is the first and most important pointer towards the likely underlying etiology; when considered along with the other characteristics, a targeted differential diagnosis can often be achieved.\n\nThe lady in this case has presented with pain in the upper quadrant, with radiation to the right shoulder; at first glance, this raises suspicion of biliary colic.\n\nHowever, note several atypical features: first of all, the pain is colicky in nature; despite the name, the pain of biliary colic is constant. Furthermore, biliary coli"}]}

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