Chapter 22, Problem 1AYKA

Summary Introduction

Case summary:

Mr. Williams has abdominal pain in the right upper quadrant and the pain increases when he eats fatty meals. The stool also shows unusual clay color.

Characters in the case:

Mr. Williams

Adequate information:

The ultrasound performed on Mr. Williams showed that his common bile duct is blocked by gallstones in his abdomen. Due to this blockage, the bile is not entering the duodenum.

To determine:

a. The symptoms appeared when a high-fat meal was consumed. The symptoms get worse or lessen when the consumption of a carbohydrate-rich meal occurs.

b. The explanation of the high amount of undigested fats found in the stool.

c. The reason behind the color of feces being clay colored and not normal brown.