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Pain location: right lower quadrant, periumbilical, may radiate to the right flank
Aggravations: movement or coughing
Positive tests: right psoas sign, Rovsing test, Blumberg test, McBurney test
Which of the following abdominal disorders fits best with the given description?
Acute diverticulitis: left lower quadrant
Acute pancreatitis: epigastric, can radiate to back, poorly localized, leaning forward may help alleviate pain, laying supine aggravates. May have positive Grey Turner's sign and Cullen's sign.
Acute cholecystitis: Right Upper Quadrant, Positive Murphy Sign, may radiate into right shoulder and scapula
Peptic ulcer: epigastric, may radiate to back, wakens patient at night, possible relief with certain foods, gnawing/aching pain, heartburn
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Jen has been having issues digesting gluten throughout her life. Her doctors tell her that she has celiac disease, which is an autoimmune disease that is causing her immune system to attack the brush border of her __________, which then prevents absorption and causes illness when she consumes gluten.
Celiac disease is an autoimmune response in which the body attacks the brush border of the small intestine and therefore prevents proper nutrient absorption. The small intestine's brush border is made of many small protrusions called villi and microvilli, which increase surface area in order to increase absorption area. Without these areas of absorption, the body cannot absorb a sufficient amount of necessary nutrients from the diet.
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