Laura is a 48-year-old woman who recently appeared at the clinic complaining of RUQ pain that worsens after eating. From her rec
ords, you see that Laura has been in poor health for some time. She is obese and leads a sedentary lifestyle. Past medical history shows prolonged alcohol abuse, although Laura reports she has been attending Alcoholics Anonymous meetings "on and off" for the past 2 years. She states that when she stops attending AA meetings, she has "at most" two to three alcoholic drinks, two to three times per week.
Murphy's sign is is considered positive if pain is elicited on the right side, but not the left side. A positive test may indicate cholecystitis. Cullen and Grey Turner signs may be present in pancreatitis, whereas Chvostek's and Trousseau signs appear with abnormal calcium levels.
Considering the total body, there are six elements of fitness: aerobic capacity, body structure, body composition, balance, muscular flexibility and strength.
