A 48 year old male complains of abdominal discomfort after meals, especially, high fat meals. At those times he also has aching in his right shoulder and back. An ultrasound of the upper abdomen revealed cholelithiasis. A consult with a gastroenterologist determined that cholelithotripsy was considered but it was decided that a laparoscopic cholecystectomy would be the first procedure attempted. If complications were encountered then an open cholecystectomy would be performed. Significant medical history: patient had a coronary angiography performed at age 46 following suspected myocardial infarct. 1. What is the diagnosis (the patient's current medical problem)? 2.Did the procedure performed to aid in the diagnosis involve use of X-rays? 3. Was a specialist appropriate to the diagnosis consulted? 4. What treatments were considered?
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The patient's symptoms, especially experiencing discomfort after high-fat meals and having aching in the right shoulder and back, combined with the findings from the ultrasound of the upper abdomen, lead to the diagnosis of cholelithiasis. Cholelithiasis is the Show more…
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