Today's Case A 44-year-old female presents to the emergency department with acute onset epigastric pain for the past 2 days, constant, with radiation to the back. Her eyes and skin “turned yellow” 1 day ago. She denies any fevers. The patient drinks one or two beers per week, does not smoke, denies nonsteroidal antiinflammatory drug (NSAID), use and is not on glucocorticoids. She denies any heartburn or acid reflux symptoms. She had right upper quadrant (RUQ ) abdominal pain that was colicky and worsened with food intake 1 week before, which resolved spontaneously after 1 day and she therefore did not seek medical attention. Today's Reader Jared Fehlman is an Internal Medicine Resident at Huntington Health Hospital in Pasadena, California. About Dr. Raj Dr Raj is a quadruple board certified physician and associate professor at the University of Southern California. He was a co-host on the TNT series Chasing the Cure with Ann Curry, a regular on the TV Show The Doctors for the past 7 seasons and has a weekly medical segment on ABC news Los Angeles. More from Dr. Raj The Dr. Raj Podcast Dr. Raj on Twitter Dr. Raj on Instagram Want more board review content? USMLE Step 1 Ad-Free Bundle Crush Step 1 Step 2 Secrets Beyond the Pearls The Dr. Raj Podcast Beyond the Pearls Premium USMLE Step 3 Review MedPrepTGo Step 1 Questions MedPrepTGo Step 2 Questions Learn more about your ad choices. Visit megaphone.fm/adchoices

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“What did the council decide on item 42?” — answered with the speaker and the moment.

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