Human Anatomy & Physiology (11th Edition)
11th Edition
ISBN: 9780134580999
Author: Elaine N. Marieb, Katja N. Hoehn
Publisher: PEARSON
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Chapter 23, Problem 2CCS
48-Year-Old Female with Gallstones
Ms. Burton, 48, presents at the clinic complaining of abdominal pain. She is a middle-aged woman, overweight, pale and sweating, with jaundice (yellowish skin and sclerae). Her heart rate is 102 beats/min and BP is 145/98 mm Hg. She describes the pain as “severe” and “steady” over the past night, accompanied by nausea and vomiting. She sits leaning forward and indicates that the pain is in the epigastric region radiating up to the tip of the right shoulder.
Ms. Burton’s medical history shows that she has had several episodes of biliary colic (pain caused by gallstones going through the bile duct). She says her current pain is "sort of like that, but it’s lasted longer." She says her last meal was a seven-cheese pizza the previous night, and that the pain began 3–4 hours after eating. She denies drinking or smoking.
2. Why would pain related to gallstones begin after a high-fat meal?
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Chapter 23 Solutions
Human Anatomy & Physiology (11th Edition)
Ch. 23 - Prob. 1RQCh. 23 - 2. Obstruction of the hepatopancreatic sphincter...Ch. 23 - 3. The lamina propria forms part of the (a)...Ch. 23 - 4. Carbohydrates are acted on by (a) peptidases,...Ch. 23 - 5. The parasympathetic nervous system influences...Ch. 23 - 6. The digestive juice product containing enzymes...Ch. 23 - 8. Someone has eaten a meal of buttered toast,...Ch. 23 - 9. The site of production of cholecystokinin is...Ch. 23 - 10. Which of the following is not characteristic...Ch. 23 - 11. The gallbladder (a) produces bile, (b) is...
Ch. 23 - 12. The sphincter between the stomach and duodenum...Ch. 23 - 13. The protein molecule will be digested by...Ch. 23 - 14. The protein molecule must be digested before...Ch. 23 - 15. The products of protein digestion enter the...Ch. 23 - Prob. 17RQCh. 23 - Prob. 18RQCh. 23 - Prob. 19RQCh. 23 - Prob. 11RQCh. 23 - Prob. 20RQCh. 23 - Prob. 12RQCh. 23 - 25. Describe the two phases of swallowing, noting...Ch. 23 - Prob. 22RQCh. 23 - 27. Describe the regulation of the cephalic,...Ch. 23 - Prob. 24RQCh. 23 - Prob. 25RQCh. 23 - Prob. 26RQCh. 23 - Prob. 27RQCh. 23 - Prob. 28RQCh. 23 - Prob. 29RQCh. 23 - 4. Troy Francis, a middle-aged salesman, complains...Ch. 23 - Prob. 31RQCh. 23 - Prob. 32RQCh. 23 - Prob. 1CCSCh. 23 - 48-Year-Old Female with Gallstones Ms. Burton, 48,...Ch. 23 - Prob. 3CCSCh. 23 - Prob. 4CCSCh. 23 - Prob. 5CCS
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