Solve this exciting clinical case specific to your field of interest via Docplexus’ Clinical Case Challenge. Join your fellow doctors to discuss and answer today’s challenge. Case presentation A 31-year-old woman with no previous medical or surgical history presented with complaints of abdominal pain, vomiting, and diarrhea. Over the last two weeks, she complained of palpitations, tremors, sweating, anxiety, and sleep disturbances, as well as a 5 kg weight loss.

The patient also reported hair loss, lower limb edema, shortness of breath, and regular menstruation cycles. Clinical investigation HR: 98 bpm RR: 19 BP: 130/76 Temp: 36.7°C Radiographic findings Biliary sludge and a thick gallbladder wall were seen on an abdominal ultrasound (Cover image A) . The general laboratory investigation revealed that she had leukocytosis. The electrolytes, liver enzymes, amylase, and lipase levels were…