Cook with Cholelithiasis: Marcia Brown is a 42-year-old Pima Indian who works as a cook in a casino in Arizona. She has just been diagnosed with cholelithiasis. She is 5'4" tall and once weighed 210 pounds. One year ago, she underwent gastric bypass

surgery and has lost 75 pounds. For several months, she had been experiencing episodes of pain in the right upper part of her abdomen. The pain usually began after eating and lasted for several hours. Lately she began to experience nausea and vomiting with the pain and began to run a fever. What are Marcia's risk factors for cholelithiasis?


Pima Indian, female, gastric bypass surgery, rapid weight loss.

Nutritional Science

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