Q:

A 42 year old female who is obese comes with severe upper abdominal pain with a temperature 37.8C. She has 5 children. What is the most probable diagnosis?

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A 42 year old female who is obese comes with severe upper abdominal pain with a temperature 37.8C. She has 5 children. What is the most probable diagnosis?


  1. Ectopic pregnancy
  2. Ovarian torsion
  3. Hepatitis
  4. Biliary colic
  5. Cholecystitis

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The key is e. Cholecystitis. [Fat, female, fare, forty and fertile are the pnemonic for cholecystitis! Here the presentation of severe upper abdominal pain with fever along with the pnemonic features points towards the diagnosis of cholecystitis].

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