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Case Study Cook with Cholelithiasis: Marcia Brown Is a 42-Year-Old Pima Indian

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Case Study
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.
-Many lactose-intolerant individuals can tolerate up to 2 cups of milk a day when intake is divided throughout the day and taken with food.


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Groups within the United States that represent or serve the interests of the Jewish community through cultural, religious, or political initiatives.

Death Camps

Facilities established primarily during World War II by Nazi Germany for the systematic extermination of millions of people, mainly Jews, through mass killings.

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Government-directed strategies and regulations for the production of military equipment, supplies, and arms to support defense efforts.

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