ter 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
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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
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- SCENARIO Identifying Data: This 72-year-old female presents with a biopsy proven adenocarcinoma of the sigmoid colon at 20 cm. History of Present Illness: The patient has been noted to have some bright red bleeding intermittently for approximately 8 months, initially presumable of a hemorrhoidal basis. She recently has had intensification of rectal bleeding but no weight loss, anorexia, or obstructive pain. No significant diarrhea or constipation. Some low back pain, probably unrelated. Recent colonoscopy by Dr. Scoma revealed a large sessile (attached by a broad base) polyp, which was partially excised at 20-cm level, showing infiltrating adenocarcinoma at the base. The patient is to enter the hospital at this time after home antibiotic and mechanical bowel prep, to undergo sigmoid colectomy and possible further resection. 1. Using the scenario above, answer the following questions: A. What chronic symptoms did this patient have? Describe the symptoms using medical…Topic: Cholecystitis 1. Definition of the disease 2. Signs and Symptoms1. 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
- Name of Condition Which specific part of the body is affected? What is the pathophysiology of this condition? What are the objective/subjective signs & symptoms? GERD Peptic Ulcer Disease Crohn’s Disease Ulcerative Colitis Appendicitis Diverticular Disease Hepatitis C Cirrhosis and Liver Failure CholecystitisA 7 years male presented with complaints of dwarfism and skeletal abnormalities.Upon examination the abdomen was distended with no hepatomegaly. The child was assessed and was found to be normal intelligence. Which mucopolysaccharidosis the child is most likely suffering from?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, 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…
- Answer by listing only the name of the disease. Some questions will require the name of the organism A 38 year old woman presents with a persistent fever and cramps that she says she's had for the last week days. Upon further evaluation, she tells you she's had bloody stool with mucus for the last few days. A colon biopsy shows destruction of colon cells, leaving areas of destruction and inflammation. You recommend the constant replenishing of fluids, as this is how death with this condition usually occurs. 2.A 40 year old patient presents with a low fever, tiredness and a persistent cough that the patient has had for a while now. You order a sputum test, which shows the presence of green, bloody sputum. A chest X-ray shows the presence of a large baseball sized mass in the lower left lung, which prompts the staff treating him to wear masks in his presence. You start the patient on treatment immediately, but warn him he might be on this medication for a long…A 37-year-old patient was hospitalized with the diagnosis "Infectious hepatitis". On examination: intensive icteric colour of the skin and mucous membranes is noted. In the blood is found an increase in indirect bilirubin, the fecal masses are discolored. Questions: 4. Describe the pathogenesis of patient's disorders in the pigment exchange. 5. What changes in hepatic transferase activity and bile acid concentration are characteristic for this pathology,Male, 29 year old, old, admitted to emergency department due with abdominal pain for 2 days. The patient had a sudden attack of total abdominal pain 2 days ago, especially in the right lower abdomen. It was paroxysmal colic, accompanied by intestinal ringing, and he vomited many times. The vomit turned from a green color to a fecal odor. In the past two days, he did not eat or drink with no flatus and defecation, and had little urine and no fever. He had an appendectomy three years ago. Physical examination: acute appearance, clear mind, BP 100/60mmHg, P 132/min, t 37.5 °C, no yellow dye, dry skin, poor elasticity. The heart and lungs are normal. The abdomen is distended, no intestinal type is found, the whole abdomen is soft by palpation, there is extensive slight tenderness, no rebound pain, no mass is touched, the liver and spleen are not enlarged, the bowel sounds are high. was was Auxiliary examination: HB 160g/L, WBC 10.6 × 10%L, negative urine routine test. X-ray showed multiple…
- An 8-year-old girl is brought to the physician with the concern of irregular low-grade fever and gradually increasing fatigue for the last 2 years. She has a history of hearing loss and has not been keeping well since birth. Physical examination shows short stature, frontal bossing, and hepatosplenomegaly. An X-ray shows multiple healed fractures, generalized increased bone density, and widening of the metaphyses of the ulna and radius. Laboratory studies reveal normocytic anemia and thrombocytopenia. Which of the following is the most likely underlying mechanism of these effects? Answers A - E A Decreased osteoblast activity B Impaired synthesis of collagen C Increased osteoclast activity D Inhibition of endochondral growth E Reduced resorption of the bone OA 63-year-ol woman presented with increasing darkening of the skin, dizziness, and easy fatigability, nausea with occasional vomiting and progressive weight loss over eight months prior to presentation. There were no headaches, blurred consciousness nor change in her bowel habit. The medical history and systemic review revealed no abnormality and were not significant as to the likely cause of her disease state. Physical examination revealed an elderly lady, pale, asthenic with generalized hyperpigmentation especially on the face, oral mucosa, palmar creases and knuckles. No features of malnutrition or hypovitaminosis. vision, and neither loss of There was no significant peripheral lymphadenopathy. Main findings in the systemic examination were a pulse of 106 bpm, regular and small; blood pressure 100/60 mmHg supine and 70/40mmHg sitting. She could not stand on account of severe postural dizziness. The apex beat was normal. Fundoscopy revealed a normal fundus. All other systems were…A 25 year old, previous)y healthy woman came to the emergency room for the evaluation of bloody diarrhea and diffuse abdominal pain of 24 hours' duration. She complained of nausea and had vomited twice. S reported no history of infammatory bowel disease, previous diarrhea, or contact with people with diarrhea. The symptoms began 24 hours after she had eaten an undercooked hamburger at a local fast food restaurant Rectal examination revealed watery stool with gross blood. Endoscopy tests showed diffuse mucosal erythema and petechia with a modest exudation but no ulceration or pseudomembranes. 1. Name the four genera of Enterobacteriaceae that can cause gastrointestinal disease. Which two can cause hemorrhagic colitis? 2. What virulenca factor causes the symptoms described in this clinical case? Describe the toxin mechanism of action. 3. Name the five groups of E coli that can cause gastroenteritis. What is the characteristic of each group? 4. What are the forms of Salmonella infection?…