Coconut Research Center. The Weston A. Price Foundation. The Blog of Michael R. Eades, M.D. One of the first patients I saw as a medical student was a nice lady, who presented to the university hospital outpatient clinic with colicky, cramping abdominal pain.
She described the pain as coming on after a meal, and said that it doubled her over with pain. The pain came and went, but had gotten worse over the past few days. I took a long history from her and performed a physical exam, which included examining her abdomen. When I pushed on her right upper quadrant, she all but yelped and grabbed at my wrist. At that point in my medical education, I knew just enough to be dangerous, so I excused myself, left the exam room and presented this lady’s case to the medical resident running the clinic that day.