RUQ pain, vomiting, & fever: one question, so much to learn

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Question at: https://go.amboss.com/0p0
Review top strategies to approach board-style questions and high-yield concepts about biliary conditions and risk factors by thinking through this AMBOSS Step 2 question with medical educator Dr. Zeb, Editor-in-Chief Emeritus.
Read about:
– Cholelithiasis: https://go.amboss.com/xfl
– Acute cholecystitis: https://go.amboss.com/c0a
– Choledocholithiasis: https://go.amboss.com/wh6
– Acute cholangitis: https://go.amboss.com/b5r

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Timestamps
0:00 – Intro to USMLE question walkthrough
0:13 – First steps: task & key info
0:49 – Consider differentials for RUQ & shoulder pain
1:53 – Narrow down the diagnosis: acute cholecystitis (Murphy sign) vs cholangitis (cholestasis)
2:38 – Lab findings of biliary disease
3:15 – Pathophysiology of acute cholecystitis: calculous (due to gallstones) vs. acalculous
4:38 – Risk factors of cholesterol gallstones
5:40 – Correct answer & pathophysiology of cholesterol gallstones
6:48 – Alcohol consumption & acute pancreatitis
7:19 – Hepatitis A
7:53 – Fitz-Hugh-Curtis syndrome
8:28 – Mechanical, paralytic, & gallstone ileus
9:01 – Pyelonephritis
9:21 – High-yield associations: further risk factors, diagnostics, & management
11:00 – Key takeaways
11:24 – Outro: Keep it up. Stay positive. You got this!

NOTE: The best approach to answering questions can vary among different question types and individuals. Find what works best for you and stay tuned to more AMBOSS question walkthrough videos.

Disclaimer: The content of this video is for informational or educational purposes only and does not substitute professional medical advice or consultation. See the AMBOSS disclaimer for more details: https://bit.ly/3NS3MHK

#AMBOSSMed #USMLE #Step2 #Step1 #Step2CK #Step3 #CHF #COMLEX #shelfexam #shelfexams

Music:
“Dawn” by Sappheiros is licensed under a Creative Commons License (CC BY 3.0): creativecommons.org/licenses/by/3.0/
soundcloud.com/sappheirosmusic/dawn

Visuals:
Animations created with BioRender.com.
Stock footage by videezy.com and rawpixel.com.
Emojis “Thumbs up” at https://bit.ly/3MmyAjo by Twemoji, “Emojione 1F50A” & “Emojione 1F696” by Emoji One at https://bit.ly/3d3DkON & https://bit.ly/3QcsMef, respectively, are licensed under CC BY 4.0 (http://creativecommons.org/licenses/by/4.0/).
“Jaundice08” by James Heilman, MD at https://bit.ly/3d0CAKb & “HIDA” by Myohan are licensed under CC BY 3.0 (https://creativecommons.org/licenses/by/3.0/).
“Rolling Stones” by Michael Conen at https://bit.ly/3SkMJBn is licensed under CC BY-SA 2.0 (https://creativecommons.org/licenses/by-sa/2.0/).
“Gallstones from gall bladder” by Sacud at https://bit.ly/3bqnmh8 & “Depiction of a man suffering from a Kidney Infection” by https://www.myupchar.com/en at https://bit.ly/3PSg9p6 are licensed under CC BY-SA 4.0 (https://creativecommons.org/licenses/by-sa/4.0/).
“Cholelithos” by Graphophile at https://bit.ly/3zsUUTA & “HAV prevalence 2005” by Nanoxyde are licensed under CC BY-SA 3.0 (https://creativecommons.org/licenses/by-sa/3.0/)
Other visuals from amboss.com, Dr. Zebulon Tolman, or public domain.

RUQ pain, vomiting, & fever: one question, so much to learn

Alcoholic Ketoacidosis Amboss, RUQ pain, vomiting, & fever: one question, so much to learn.

Will I Like The Medifast Diet Plan? Ideas And Advice To Help You Decide

The lower your cholesterol levels after the age of 55, the greater the chance of cancer! So, you can quickly incorporate this in your household’s meal. Instead rest, choose a walk, and practice breathing exercises.

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Does Medifast Work? (Best For Hectic Mamas And Overweight Ladies)

The Medifast Diet Currently Does Rev Your Metabolism: Here’s the important things. In this state, the brain is informing your body to reserve glucose for emergency situations just. There is a snack list from which you have to pick.

How numerous people do you know that can eat as much as they desire, however never seem to get any weight? However when you appear to eat the exact same things, you put weight on? Having a sluggish metabolic rate impacts many individuals. This can be changed with a mix of a correct workout routine (that mainly targets substance muscle groups), a healthy diet plan and even with the use of Hypnosis.

Using these strips will be your source of the level of ketones being launched. This is the gauge by which you will understand if you are effectively keeping your carb intake to the needed level to facilitate about fasting and ketosis. Don’t fret if you are not at the dark purple level. Different individuals have various levels. Just view the scale and if you are dropping weight, you are pretty much ok!

“God is love”. We can not live with hatred, anger, criticism or judgmental thinking and establish our spiritual capabilities or live a long and healthy life. When it is in a harmful environment, cellular biologists ketogenic diet today have discovered that a cancer cell is malignant. This is not a matter of genetics as we as soon as thought. A malignant cell will become normal when gotten of the sick body and put in a life sustaining petri meal.

Keeping the with the “fat loss zone” theory would imply that the very best activity to burn the most calories from fat would be to sit completely still. Because at rest your body uses fat as the primary fuel source. If this worked we would all be thin as the average American moves less and less each year. The problem here is that while fat might be the primary fuel source the caloric expense is extremely low and there is no raised metabolic state.

nutritional ketosis diabetes A lot of weight reduction plateaus are triggered by absolutely nothing more than “calorie creep”-that is, consuming more calories than you think. This, combined with an ever-slowing metabolism, is an ensured formula for stagnancy.

Modify your diet, slightly. Considering that Dietrine is a carbohydrate blocker you can safely include a few various varieties of intricate carbs without needing to fret about inducing weight gain.

Intermittent fasting is the best method to balance your fat loss and workout regimens. There is no much better method than periodic fasting of getting maximum weight loss with using a full workload.

This suggests completion of the rebound weight-gain you have most likely experienced often times previously. Nevertheless, many people discover some sped up weight reduction.

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Category: Alcoholic Submitted by: Cynthia Chris

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