PASSAGE: A 50 year old female complains of postprandial gastralgia and very mild dyspepsia,…

PASSAGE: A 50 year old female complains of postprandial gastralgia and very mild dyspepsia, especially after consuming meals high in fat content. Upon completion of a fatty meal, the patient complains of aching in her right shoulder. The patient denies emesis. The patient complains of constipation. Examination reveals ascites. An ultrasound of the upper abdomen revealed cholelithiasis. A consult with a gastroenterologist determined that cholelithiasis was considered but it was decided that laparoscopic cholecystectomy would be the first procedure attempted. If complications were

PASSAGE: A 50 year old female complains of postprandial gastralgia and very mild dyspepsia, especially after consuming meals high in fat content. Upon completion of a fatty meal, the patient complains of aching in her right shoulder. The patient denies emesis. The patient complains of constipation. Examination reveals ascites. An ultrasound of the upper abdomen revealed cholelithiasis. A consult with a gastroenterologist determined that cholelithiasis was considered but it was decided that laparoscopic cholecystectomy would be the first procedure attempted. If complications were encountered, then open cholecystectomy would be performed. Significant medical history: Four years ago, the patient had a myocardial infarct and had a coronary angiography performed. The patient also had chronic gastroesophageal reflux disease about 5 years ago. DIRECTIONS: Write the above passage in plain English by defining the underlined medical terms. At the conclusion of your re-written passage answer the following questions: What is the current diagnosis? Based on this diagnosis, do you think the right specialist was consulted? Is the patients past history relevant to todays complaints?

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