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Seek immediate medical attention (emergency department or call 911) if you experience: Severe, persistent abdominal pain lasting more than a few hours, particularly in the right upper quadrant Abdominal pain accompanied by high fever (temperature above 101F or 38.3C) Jaundice (yellowing of the skin or whites of the eyes) Severe nausea and vomiting preventing fluid intake Abdominal pain with confusion, rapid heartbeat, or signs of shock These symptoms may indicate acute cholecystitis, choledocholithiasis with cholangitis, or gallstone pancreatitisconditions requiring urgent evaluation and treatment
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(4) with missing information of the diagnosis date, education level, and birth country
