- A 34-year-old female presents with the complaint of sudden excruciating pain in her back and points to her flank area on the right side. She rates the pain as 10 on a scale of 1 to 10, with 10 being the worst. She also complains of nausea with the pain. She states that she has never had anything like this before, and the pain is subsiding a little now.
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Obesity is a disease process which has reached epidemic proportions in the United States and impacts millions of adults around the world. The causes of obesity are complex and include an interplay between genetics, environment, psychologic factors and chronic diseases. As such, we must look at obesity as a chronic