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Quiz: gallbladder disease risk factors
Ans: family hx, diet-fatty foods, female,
Quiz: Gallbladder disease- subjective symptoms
Ans: pain in RUQ which radiates to R Shoulder, report of N/V, subjective fever
Quiz: Gallbladder disease- objective symptoms
Ans: + Murphys sign, fever, jaundice
Quiz: Gallbladder disease diagnostics
Ans: RUQ ultrasound (first), HIDA scan- if negative U/S but symptoms persist, elevated
liver enzymes/lipase/amylase/leukocytosis
Quiz: Pancreatitis risk factors
Ans: ETOH abuse, some diabetic meds, older patients, HLD, renal transplant patients
Quiz: Pancreatitis subjective findings
Ans: severe RUQ pain/or-epigastric pain and radiates to the back
Quiz: Pancreatitis objective findings
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, Ans: Abdominal tenderness, abdominal distension, hypoactive bowel sounds. s/s-shock
poor prognosis
Quiz: Pancreatitis diagnosed by
Ans: CBC to rule out infection, Elevated amylase (3x higher than normal), increased lipase,
if leukocytosis- draw CRP-if positive think , sometimes elevated LFT, necrotizing
pancreatitis. Upright abdominal film, CT of abdomen
Quiz: normal lipase
Ans: 0-160
Quiz: Lipase levels in acute pancreatitis
Ans: 3-4x normal level
Quiz: Normal WBC count
Ans: 4,000-11,000
Quiz: Leukocytosis
Ans: Abnormally high WBC count, greater than 11k
Quiz: AST
Ans: Typically the range for normal AST is reported between 10 to 40 units per liter
Quiz: ALT
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in the number given.