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35 yr alcoholic nausea vomiting pain to the back

2 45 moderate obese nv and epigastric pain to scapula

378 white 3 day gradually worsening lt quadrant pain no bleeding no wt loss



55 yr with occ blood positive looss of wt

25 yr occult blood positive with 15 yr hx of ulcerarive colitis

25 yr loss of wt anemia pain rt iliac fossa

2 yr old intermittent pain with leg pulling and lethargy and mucoid red stool

hpylori and never malignant ulcer

painless jaundice with palpable gall bladder

jaundice with fever pain diminished mental status shock

first inv is ercp

investigat by ct 1st

alt is more increase than ast

benign jaundice increased during stress

went to mexico got jaundice

lamivudine interferon alfa

vaccination not avalaible for this cirrosis and hepaticca causing hepatitis

allcoholic with hx of bleeding now with spider angioma ascites what inv you do ct tips alcohol level or para centesis

saag more than 1.5
saag less than 1
24 yr with swallowing problem with liquid and ba too much dilated esophagus
dysphagia with xray narrow rattail deformity


after completing vaccine for hepatitis b what you get in serum which antibody

if you are having current hepatitis what you get in serum

if you have persistent or ch what u get

40 with jaundice and pruritus with fenale


70 yr with long hx of diverticulitis now hav elevated alkaline phosposatase and rt q pain

30 yr male hx of ulcerative colitis now has liver prob name it

40 yr du 200pg gastrin multiple ulcer even in jejunum
what investigation

40 yr white weakness hyperpigmentation arthritis of hip mtp
blood sugar 189

african uti rx gets hemolysis

60 jaundice very pale stool

young nv anorexia recent jaundice travel hx

32 yr old bloating relieved by defecation rest normal


35 recurrent alcohol pancreatis despite rx loosing wt bulky stool pancreatic calcification

amylase diagnosis or prognostic

rxed with ampicillin now has diarrea watery





CHOICES

ESOPHAGEAL CA
ACALASIA GASTRITIS
DU
GASTRINOMA SECRETIN TEST
CROHN
ULCERATIV COLLITIS
PARACENTESIS ERCP

DIVERTICULITIS

ANTI Hbsag

anti hcab
anti heab

hemochromatosis ch pancreatitis
pancreatic ca
g6pd deficiency cholangitis

nephrotic syndrome

hepatitis c

hepatitis a

b

irritable bowel syndrome

please try these answer. april

will we get this style of Q in exam?

-55 yr with occ blood positive looss of wt--------no choice of Colon CA ??
-25 yr occult blood positive with 15 yr hx of ulcerarive colitis
-25 yr loss of wt anemia pain rt iliac fossa-------?
-2 yr old intermittent pain with leg pulling and lethargy and mucoid red stool---- intuseptus-->necrotizing
-hpylori and never malignant ulcer---duodenal ulcer
-painless jaundice with palpable gall bladder---Pancrea CA
-jaundice with fever pain diminished mental status shock---Cholangitis
-first inv is ercp
-investigat by ct 1st
-alt is more increase than ast----hepatitis
-benign jaundice increased during stress ??
-went to mexico got jaundice----hep A
-lamivudine interferon alfa----Hep C?
-vaccination not avalaible for this cirrosis and hepaticca causing hepatitis---hep C
-allcoholic with hx of bleeding now with spider angioma ascites what inv you do ct tips alcohol level or para centesis

saag more than 1.5?
saag less than 1?
-24 yr with swallowing problem with liquid and ba too much dilated esophagus”AChALASIA??
-dysphagia with xray narrow rattail deformity”esophageal CA
-after completing vaccine for hepatitis b what you get in serum which antibody-----antiHBs

if you are having current hepatitis what you get in serum--------

if you have persistent or ch what u get---------HBeAg?

40 with jaundice and pruritus with fenale--------
70 yr with long hx of diverticulitis now hav elevated alkaline phosposatase and rt q pain”
(do u mean he has hx of diverticulOSIS ?)

30 yr male hx of ulcerative colitis now has liver prob name it-------PSclerosisCholangitis
-40 yr du 200pg gastrin multiple ulcer even in jejunum
what investigation---------- GASTRINOMA SECRETIN TEST

-40 yr white weakness hyperpigmentation arthritis of hip mtp
blood sugar 189------------ hemochromatosis
-african uti rx gets hemolysis ---- g6pd deficiency
-60 jaundice very pale stool---- pancreatic ca ( biliary obstruction)
-young nv anorexia recent jaundice travel hx---- hepatitis a
-32 yr old bloating relieved by defecation rest normal----- irritable bowel syndrome
-35 recurrent alcohol pancreatis despite rx loosing wt bulky stool pancreatic calcification”chronic pancreatitis
-amylase diagnosis or prognostic--------- prognostic
-rxed with ampicillin now has diarrea watery----pseudomembrane colitis??

well done april i will ans after some time for better revision . q are not good but ans were good.

yes we get this style of q uestion lot of choices and you have to pick one of them,

i agre that lot of other q are not in style

90% of these are from a source10% are from my mind but on the basis of source

let us keep the show running

I add some to April's ans

-25 yr loss of wt anemia pain rt iliac fossa-------
-first inv is ercp----stone in common bile duct
-investigat by ct 1st----acute diverticulitis
-benign jaundice increased during stress ??------Gilbert
-if you are having current hepatitis what you get in serum-----HbsAg, Hbc Ab,
-40 with jaundice and pruritus with fenale--------PBC

THANKS CADY

IAM ENCOURAGED,

35 yr alcoholic nausea vomiting pain to the back- pancreatitis

2 45 moderate obese nv and epigastric pain to scapula- ????

378 white 3 day gradually worsening lt quadrant pain no bleeding no wt loss- pyelonepdritis



55 yr with occ blood positive looss of wt- ca colon

25 yr occult blood positive with 15 yr hx of ulcerarive colitis “ ca colon

25 yr loss of wt anemia pain rt iliac fossa-????

2 yr old intermittent pain with leg pulling and lethargy and mucoid red stool- intuseception

hpylori and never malignant ulcer- duodenal ulcer

painless jaundice with palpable gall bladder- ca pancreas

jaundice with fever pain diminished mental status shock-ascending cholangitis

first inv is ercp-obstructive jaundice

investigat by ct 1st-

alt is more increase than ast- viral hepatitis

benign jaundice increased during stress - ??

went to mexico got jaundice- hepatits a

lamivudine interferon alfa- treatment of hepatitis a

vaccination not avalaible for this cirrosis and hepaticca causing hepatitis- hepatitis c

allcoholic with hx of bleeding now with spider angioma ascites what inv you do ct tips alcohol level or para centesis- parscentesis

saag more than 1.5- alcoholic cirrhisis
saag less than 1
24 yr with swallowing problem with liquid and ba too much dilated esophagus- acalasia
dysphagia with xray narrow rattail deformity- ca esophagous


after completing vaccine for hepatitis b what you get in serum which antibodyantibody ti hbsag

if you are having current hepatitis what you get in serum- hbsag, anti hbcantibody,

if you have persistent or ch what u get- hbsag, anti hbc antibody igg type

40 with jaundice and pruritus with fenale-????


70 yr with long hx of diverticulitis now hav elevated alkaline phosposatase and rt q pain-????

30 yr male hx of ulcerative colitis now has liver prob name it- primary sclerosing cholangitis

40 yr du 200pg gastrin multiple ulcer even in jejunum
what investigation- gastin levels for gastrinoma

40 yr white weakness hyperpigmentation arthritis of hip mtp
blood sugar 189- hemochromatosisi

african uti rx gets hemolysis “ g6pd deff

60 jaundice very pale stool- obstructive jaundice

young nv anorexia recent jaundice travel hx- hepatitis a

32 yr old bloating relieved by defecation rest normal- irritable bowel syndrome


35 recurrent alcohol pancreatis despite rx loosing wt bulky stool pancreatic calcification- chronic pancreatitis

amylase diagnosis or prognostic- prognostic

rxed with ampicillin now has diarrea watery- pseudomembranous colitis