AHN 554 Mod 2-GI Exam Study Guide
2024
Causes of severe aminotransferase elevations > 15xnormal - Ans:-Acute viral hepatits (A-E, herpes)
Meds/toxins
Ischemic or Autoimmune hepatitis
Wilson disease
Acute bile duct obstruction
Acute Budd Chiari syndrome
Hepatic a. ligation
EUS - endoscop...
HAV IgM - Ans:✔✔-acute infection - peak at 1st week of clinical dx and disappear w/in 3-6 mo.
HAV IgG - Ans:✔✔-hepatitis A recovery or vaccination - "gone"
HEV IgM - Ans:✔✔-acute Hep E
HEV IgG - Ans:✔✔-recovery of Hep E
HBeAg - Ans:✔✔-Active viral replication and infectivity
Most common cause of vital hepatitis world wide - Ans:✔✔-Hep A
Clinical signs and symptoms of appendicitis - Ans:✔✔-Early - vague, colicky periumbilical or epigastric
pain. W/in 12 hrs - pain shifts to RLQ - steady ache worsened by walking or coughing.
Assoc: nausea w/ 1-2 episodes of vomiting.
(Protracted vomiting, or vomiting before pain suggests alt dx.)
-Sense of constiaption, some diarrhea.
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