Gastrointestinal System

{"ops":[{"insert":"Diagnosis and reasoning"},{"insert":"\n","attributes":{"header":1}},{"insert":"The acute abdomen is one of the most common presentations in clinical practice, with a spectrum of causative etiologies ranging from self-limited disease to life-threatening conditions.\n\nThe location of the abdominal pain is key towards guiding the diagnostic reasoning in this situation; note that pain in the right upper quadrant is usually due to pulmonary, renal, hepatobiliary, or pancreatic disease.\n\nIn this particular patient, the presence of a 3-year history of pain in the same location provides an important clue; when considered along with the current presentation, this brings up four main possibilities: recurrent biliary colic, recurrent acute cholecystitis, acute recurrent pancreatitis, or nephrolithiasis.\n\nUnfortunately, the examin"}]}

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