Question 21 / 27:  A 25 year old man develops severe right upper quadrant abdominal pain that comes on 2 hours

after eating several slices of pizza. He has a prior history of diabetes and alcohol abuse. There is a

family history of spherocytosis. He develops a high fever and is eventually diagnosed with acute

cholecystitis. His gallbladder is removed and the pathologist notes pigment gallstones.

Which of the following most likely contributed to this patient’s gallstones?

A  Insulin dependent diabetes
B  Alcohol use
C  Hereditary spherocytosis
D  Male gender
E  Prior need for total parenteral nutrition
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Gastrointestinal Pathophysiology Exam 2005

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Attribution:  Laurence Scott Bailen, Tamsin Knox, Paul Abourjaily, Fredric D. Gordon,Marshall Kaplan,Andrew G. Plaut. PPY 222 Gastrointestinal Pathophysiology, Spring 2007. (Tufts University OpenCourseWare), http://ocw.tufts.edu/Course/47 (Accessed 3 May, 2014). License: Creative Commons BY-NC-SA
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