RUQ pain, vomiting, & fever: one question, so much to learn

Question at: go.amboss.com/0p0
Review top strategies to approach board-style questions and high-yield concepts about biliary conditions and risk factors by thinking through this AMBOSS Step 2 question with medical educator Dr. Zeb, Editor-in-Chief Emeritus.
Read about:
- Cholelithiasis: go.amboss.com/xfl
- Acute cholecystitis: go.amboss.com/c0a
- Choledocholithiasis: go.amboss.com/wh6
- Acute cholangitis: go.amboss.com/b5r
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Timestamps
0:00 - Intro to USMLE question walkthrough
0:13 - First steps: task & key info
0:49 - Consider differentials for RUQ & shoulder pain
1:53 - Narrow down the diagnosis: acute cholecystitis (Murphy sign) vs cholangitis (cholestasis)
2:38 - Lab findings of biliary disease
3:15 - Pathophysiology of acute cholecystitis: calculous (due to gallstones) vs. acalculous
4:38 - Risk factors of cholesterol gallstones
5:40 - Correct answer & pathophysiology of cholesterol gallstones
6:48 - Alcohol consumption & acute pancreatitis
7:19 - Hepatitis A
7:53 - Fitz-Hugh-Curtis syndrome
8:28 - Mechanical, paralytic, & gallstone ileus
9:01 - Pyelonephritis
9:21 - High-yield associations: further risk factors, diagnostics, & management
11:00 - Key takeaways
11:24 - Outro: Keep it up. Stay positive. You got this!
NOTE: The best approach to answering questions can vary among different question types and individuals. Find what works best for you and stay tuned to more AMBOSS question walkthrough videos.
Disclaimer: The content of this video is for informational or educational purposes only and does not substitute professional medical advice or consultation. See the AMBOSS disclaimer for more details: bit.ly/3NS3MHK
#AMBOSSMed #USMLE #Step2 #Step1 #Step2CK #Step3 #CHF #COMLEX #shelfexam #shelfexams
Music:
“Dawn” by Sappheiros is licensed under a Creative Commons License (CC BY 3.0): creativecommons.org/licenses/by/3.0/
soundcloud.com/sappheirosmusic/dawn
Visuals:
Animations created with BioRender.com.
Stock footage by videezy.com and rawpixel.com.
Emojis "Thumbs up" at bit.ly/3MmyAjo by Twemoji, "Emojione 1F50A" & "Emojione 1F696" by Emoji One at bit.ly/3d3DkON & bit.ly/3QcsMef, respectively, are licensed under CC BY 4.0 (creativecommons.org/licenses/b....
"Jaundice08" by James Heilman, MD at bit.ly/3d0CAKb & "HIDA" by Myohan are licensed under CC BY 3.0 (creativecommons.org/licenses/....
"Rolling Stones" by Michael Conen at bit.ly/3SkMJBn is licensed under CC BY-SA 2.0 (creativecommons.org/licenses/....
"Gallstones from gall bladder" by Sacud at bit.ly/3bqnmh8 & "Depiction of a man suffering from a Kidney Infection" by www.myupchar.com/en at bit.ly/3PSg9p6 are licensed under CC BY-SA 4.0 (creativecommons.org/licenses/....
"Cholelithos" by Graphophile at bit.ly/3zsUUTA & "HAV prevalence 2005" by Nanoxyde are licensed under CC BY-SA 3.0 (creativecommons.org/licenses/...)
Other visuals from amboss.com, Dr. Zebulon Tolman, or public domain.

[@De-Zay]

The said third time is a charm☺️☺️. I have finally pass my USMLE exam and am so so happy😇😇😇. for all my repeat test takers. keep moving and keep believing. you will make it some day 🎉🎉🎉✅✅👏👏👏

[@MetalMetalize]

Thank you! Amboss has really changed the way I learn and approach diseases. I'm having my residency admission exam in November. Thanks again for this content and greetings from 🇷🇴 Romania !

[@adrianadinatacandra2274]

Thank you for the new USMLE questions walk through

[@suhaib2789]

thank you!! please keep them coming

[@GatorAidMedical]

The jokes are so funny! Thanks for this question. I was leaning more towards pancreatitis

[@sarah_bahowerth]

Please do more vids very helpful thank you!!

[@mrehteshamjavaid]

Superb!

[@omarsantana4189]

Thanks!!

[@syedakiran223]

Thank you for this ....love from Pakistan 🇵🇰

[@dailydoseofmedicinee]

👍

[@pankajbhagat5737]

👍👍👍👍