Concept explainers
Case summary:
Ms. Burton, 48 years aged woman, overweight, pale, and sweating reports about severe abdominal pain. Symptoms being 102 beats/min heart rate and BP is 145/98 mm Hg, with few signs of jaundice. She was also suffering from gallstone disease condition and reports to have pain in the epigastric region forwarding with the tip of the right shoulder. In medical history being reported for biliary colic.
Characters in the case:
A 48-year-old female named Ms. Burton.
Adequate information:
Severe and steady abdominal pain since last night with nausea and vomiting. Heart rate as 102 beats/min (beats per minute) and BP is 145/98 mm Hg (millimeters of mercury). Medical history with biliary colic;3–4 hours after having a high-fat meal as seven cheese pizza, pain becomes persistence.
To determine:
Various structures through which gallstones pass out.
Introduction:
Gallstone is a tiny rock-like structure that is formed inside the gallbladder. They are generally made from cholesterol or bile salts particles that clumps around and forms like a solid mass. The continuous accumulation of this causes its size to increase, but mostly the size of gallstones is small enough to pass out of the body via intestines without getting noticed.

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Chapter 23 Solutions
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