Gastrin is a hormone that inhibits bicarbonate secretion into the duodenum

A 32 yr old female presented to your office complaining of abdominal pain. She states this pain started yesterday and increased over the course of a couple of hours. It is mostly in the epigastric region and does radiate at times to the RUQ. She states it has been constant since then. Currently rates it at a 7/10. She has never had pain like this before. Denies any vomiting but does complain of nausea. She denies any diarrhea or constipation. Denies any documented fevers but has felt a little chilled this am. Denies any abdominal bloating. She does state she drinks a glass of wine each evening. Denies any tobacco use or street drug use. Current labs WBC 13.2 Hgb 14.0 Hct 38.9 Plt 250 Na 142K 4.0BUN 26CR 1.2Total bilirubin 2.5 mg/dl AST 289 ALT 302Alk Phos 358 What does the AST/ALT ratio indicate for this patient  What if your AST/ALT ratio were >1. What would that suggest?

Discuss treatment for Esophageal and gastric varices. Make sure to explain each treatment.    List the drug therapy for esophageal and gastric varices.  Include the classification of the drug, adverse effects, and teaching for each drug.   Please, List your resource for each answer in APA format. Thank you.

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A 32 yr old female presented to your office complaining of abdominal pain. She states this pain started yesterday and increased over the course of a couple of hours. It is mostly in the epigastric region and does radiate at times to the RUQ. She states it has been constant since then. Currently rates it at a 7/10. She has never had pain like this before. Denies any vomiting but does complain of nausea. She denies any diarrhea or constipation. Denies any documented fevers but has felt a little chilled this am. Denies any abdominal bloating. She does state she drinks a glass of wine each evening. Denies any tobacco use or street drug use. Current labs WBC 13.2 Hgb 14.0 Hct 38.9 Plt 250 Na 142K 4.0BUN 26CR 1.2Total bilirubin 2.5 mg/dl AST 289 ALT 302Alk Phos 358   List 3 differential diagnoses for this patient and give the rationale for each one.  Use the most likely differential  for the gallbladder, liver and pancreas--3 diagnoses total.  What additional lab tests would you order and…

140. A 42-year-old man is brought to the emergency department by his wife because of a 24-hour history of severe abdominal pain. His wife says that he has been drinking excessive amounts of alcohol for the past 3 days. His blood alcohol concentration is 160 mg/dL. Physical examination shows scleral icterus and right upper quadrant tenderness of the abdomen. Microscopic examination of a liver biopsy specimen shows hepatocyte necrosis, bridging portal fibrosis, and macrovesicular steatosis. There are numerous Mallory bodies and neutrophilic infiltrates. Which of the following abnormalities is most likely in this patient? A) Globules of a-antitrypsin OB) Impaired synthesis of fatty acids C) Increased conjugation of bilirubin D) Increased generation of ATP by mitochondria E) Increased NADH/NAD* ratio F) Increased oxidation of fatty acids