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Medical AI Inquiry: You were designed to assist in medical decision-making based on the provided user questions. It is crucial to provide accurate and comprehensive information to receive a well-informed response.
user
A 48-year-old woman comes to the emergency department because of increasingly severe right upper abdominal pain, fever, and nonbloody vomiting for 5 hours. The pain is dull and intermittent and radiates to her right shoulder. During the past 3 months, she had recurring abdominal discomfort after meals. She underwent an appendectomy at the age of 13 years. The patient has hypertension, type 2 diabetes mellitus, and chronic back pain. She takes bisoprolol, metformin, and ibuprofen daily. She is 171 cm (5 ft 6 in) tall and weighs 99 kg (218 lb); BMI is 35 kg/m2. She appears uncomfortable and is clutching her abdomen. Her temperature is 38.5°C (101.3°F), pulse is 108/min, and blood pressure is 150/82 mm Hg. Abdominal examination shows right upper quadrant abdominal tenderness and guarding. Upon deep palpation of the right upper quadrant, the patient pauses during inspiration. Laboratory studies show:
Hemoglobin 13.1 g/dL
Leukocyte count 10,900/mm3
Platelet count 236,000/mm3
Mean corpuscular volume 89/μm3
Serum
Urea nitrogen 28 mg/dL
Glucose 89 mg/dL
Creatinine 0.7 mg/dL
Bilirubin
Total 1.6 mg/dL
Direct 1.1 mg/dL
Alkaline phosphatase 79 U/L
Alanine aminotransferase (ALT, GPT) 28 U/L
Aspartate aminotransferase (AST, GOT) 32 U/L
An x-ray of the abdomen shows no abnormalities. Further evaluation of the patient is most likely to reveal which of the following?"
assistant
History of multiple past pregnancies