pelin espocially after ea 2. What common cause of lower right abdominal pain was the pediatrician trying to rule out with the fecal test? (Hint: if he had this condition, his body temperature would have been high.) 3. Why would Nicholas' hematocrit be lower than normal? 4. How is Meckel's diverticulum different from other types of diverticula?
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- 3. Why would Nicholas' hematocrit be lower than normal? 4. How is Meckel's diverticulum different from other types of diverticula? 5. How did the CT enterography and the technetium scan lead to the correct diagnosis? 6. What type of treatment is recommended for Nicholas?A 32 year old female complained of chronic cough and hoarseness. Upon interview, it was learned that she also had burning sensation in her chest usually after eating which is usually worse at night. She usually has this sensation of lump in her throat. 1. What is the probable diagnosis?2. What part/structure of the esophagus is involved in this disorder?3. Explain the pathophysiology of this disease.4. What factors can aggravate this disorder?5. Give some medications effective against this disease.1. Male, 30 years old, with sudden mid-upper abdominal knife-cutting pain for 3 hours to see a doctor. Physical examination: total abdominal tenderness, rebound pain, and muscle tension. An upright abdominal radiograph showed free air under the diaphragm. It is speculated that the cause of the patient's peritonitis is: Subphrenic abscess Intestinal abscess Pelvic abscess Rupture of the spleen Gastroduodenal perforation 2. Male, 50 years old, had undergone subtotal gastrectomy for gastric ulcer 20 years ago. In the recent half a year, he had upper abdominal distension after eating, black stool in the past 2 months, and wasting and fatigue. Physical examination: a 6×5cm mass can be reached under the xiphoid process. The texture is hard and can be pushed, accompanied by light tenderness. The first diagnosis considered is: Ulcer recurrence Postoperative input loop obstruction Output loop obstruction Remnant stomach cancer Gastric emptying disorder
- 2 Which is not a sign of severe acute pancreatitis? A Total abdominal tenderness B Courvoisier's.sign C Cullen's sign D Grey Turner's sign E Shifting duliness positive5-Explain type of necrosis after acute pancreatitis1. A 57-year-old man is admitted to the emergency department with complaints of acute onset of intense abdominal pain. On physical examination, the pain appears to be localized to the upper abdomen near the epigastric area and radiating to the back. While being examined, the patient experiences nausea and vomiting. The patient denies recent alcohol consumption and states that he has not been feeling well during the past few days. A. What diagnoses should be considered for the patient? B. What laboratory tests can aid in making a definitive diagnosis?
- Male, 30 years old, who was admitted to the emergency room with abdominal pain for 4 hours The patient felt upper abdominal discomfort after drinking and overeating 5 hours ago, and felt sudden acute pain under xiphoid process 4 hours ago, accompanied by nausea and vomiting of stomach contents for several times, abdominal pain spread to the right middle and lower abdomen 3 hours ago. The patient refused to press the abdomen because of pain, fidgeting坐立不安, cold sweat. PE: flat abdomen, extensive muscle tension, obvious tenderness under xiphoid process, right middle and lower abdomen, most prominent under xiphoid process, bowel sounds occasionally heard. For further diagnosis and treatment, she was admitted to the emergency department. Intermittent epigastric pain for 8 years, apparent hunger, without systematic diagnosis and treatment. PE: T37.6℃, P104 times/min, R24 times/min, BP90/60mmhg. Acute painful appearance, irritability, no obvious changes in cardiopulmonary examination, flat…Of the diseases that can cause pain listed in the prior question (pancreatits, GERD, Aortic Dissection, appendicitis). Which of these is immediately life threatening and what exam finding would raise your suspicion for it? 4. 1 point Pancreatitis, vomiting GERD, blood in the stools Aortic dissection, absent pulse in one foot Appendicitis, pain with urinationMale, 50 years old, was admitted to the emergency department with abdominal pain for 7 hours The patient overate 8 hours before and felt discomfort in the upper abdomen after drinking alcohol. 7 hours ago, there was sudden severe pain under the xiphoid process, accompanied by nausea and vomiting of stomach contents several times. 5 hours ago, abdominal pain spread to the right lower abdomen with onset of fever. The patient refused to press the abdomen due to pain, irritable, and had cold sweats. Physical examination: T38.6 °C, P104 /min, R24 /min, BP100/60mmHg. Acute painful appearance, irritability, no obvious lesions in cardiopulmonary examination, flat abdomen, no gastrointestinal and peristaltic waves, extensive abdominal muscle tension, tenderness in the subxiphoid area and right middle and lower abdomen, obvious rebound pain. The most prominent undershoot, liver and spleen are not reached, Murphy sign (-), shifting dullness (-). dullness (-). Bowel sounds are heard occasionally,…
- Match the terms in column A with the descriptions in column B. Column B1. activates protein-digesting enzyme trypsin2. causes emulsification of fats3. carries on phagocytosis in liver4. carbohydrate-digesting enzyme5. fat-digesting enzyme6. protein-digesting enzyme7. stimulates gallbladder to release bile8. stimulates pancreas to secrete fluids high in bicarbonate ions9. nucleic acid-digesting enzymeColumn Aa. amylaseb. bile saltsc. cholecystokinind. enterokinasee. Kupffer cellsf. lipaseg. nucleaseh. secretini. trypsin1. Why is the new diet prescribed? (What is believed to be his problem?)Mr. Gutteman’s problem continues despite the diet change. In fact, thefrequency of diarrhea increases and by the end of the next day, he iscomplaining of severe abdominal pain. Again, he is asked some questions to probe his condition. One is whether he has traveled outside the countryrecently. He has not, reducing the possibility of infection with Shigella bacteria, which is associated with poor sanitation. Other questions: ● Do you drink alcohol and how much? (Response: “Little or none.”) ● Have you recently eaten raw eggs or a salad containing mayonnaise at a gathering?(Response: “No.”) ● Are there certain foods that seem to precipitate these attacks? (Response: “Yes, when I have coffee and a sandwich.”) 2. On the basis of these responses, what do you think Mr. Gutteman’s diarrhea might stem from? How will it be diagnosed and treated?Jeanette is a 46-year-old woman who has visited her general practitioner (GP) today, brought in by her husband, Steve, with a 5-day history of nausea, mild abdominal pain and constipation. She decided to see the doctor today, as the pain and nausea were much worse when she woke up this morning and she has vomited twice in the past 3 hours. She also reports her abdomen feels distended and bloated. Jeanette says she had tried to drink more water and eat more fruit and was having bran for breakfast for the past 3 days, as she initially thought she was simply constipated. With the increased generalized abdominal pain and vomiting this morning, she thought she should get a medical opinion. Jeanette has a past medical history of hypercholesterolemia, hypertension, atrial fibrillation and type 2 diabetes mellitus (T2DM) and her BMI is 32 kg/m2. She experienced appendicitis 6 months ago,for which she had an appendectomy. Her current medications are simvastatin, warfarin, and metformin. The GP…