Question

question 40 (mandatory) (1 point)
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a 32 - year - old female patient presents with severe right upper quadrant pain, chills, and mild nausea. bilirubin is elevated in her blood and in her urine. which of the following is a sign/symptom that you would most likely see with this patient?
a) crystals in the urine
b) elevated glucose
c) grey colored stools
d) blood in the urine

Explanation:

• Crystals in urine (a): Usually related to kidney stone formation or metabolic disorders like gout, not directly associated with the presented symptoms (right upper quadrant pain, elevated bilirubin).
• Elevated glucose (b): Associated with diabetes mellitus (type 1 or 2), not with the symptoms of right - upper quadrant pain and elevated bilirubin.
• Grey - colored stools (c): Occur when there is a lack of bile in the gastrointestinal tract. Elevated bilirubin (in blood and urine) often indicates a biliary obstruction (e.g., gallstones blocking the bile ducts). Bile gives stools their brown color. If bile flow is blocked, stools can become grey (acholic stools).
• Blood in urine (d): Associated with urinary tract infections, kidney injuries, or bladder problems, not with the presented symptoms related to the biliary system.

Answer:

C. Grey colored stools