A 26-year-old woman at 29 weeks' gestation experienced epigastric pain following the consumption of ...

ANS: a
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a. The progesterone-induced prolonged emptying time of bile from the gallbladder, combined with elevated blood cholesterol levels, may predispose the pregnant woman to gallstone formation (cholelithiasis). Pain in the epigastric region following ingestion of a high-fat meal constitutes the major symptom of these conditions. The pain is self-limiting and usually resolves within 2 hours.
b. The symptoms described are not associated with influenza.
c. The symptoms described are not associated with urinary tract infection.
d. Prolonged emptying time of bile from the gallbladder, combined with elevated blood cholesterol levels, make cholelithiasis a more probable diagnosis than indigestion.