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Nurs550 Midterm Questions with Detailed
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gallbladder disease risk factors
Ans: family hx, diet-fatty foods, female,
Gallbladder disease- subjective symptoms
Ans: pain in RUQ which radiates to R Shoulder, report of N/V, subjective fever
Gallbladder disease- objective symptoms
Ans: + Murphys sign, fever, jaundice
Gallbladder disease diagnostics
Ans: RUQ ultrasound (first), HIDA scan- if negative U/S but symptoms persist,
elevated liver enzymes/lipase/amylase/leukocytosis
Pancreatitis risk factors
Ans: ETOH abuse, some diabetic meds, older patients, HLD, renal transplant
patients
Pancreatitis subjective findings
Ans: severe RUQ pain/or-epigastric pain and radiates to the back
Pancreatitis objective findings
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Ans: Abdominal tenderness, abdominal distension, hypoactive bowel sounds.
s/s-shock poor prognosis
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
normal lipase
Ans: 0-160
Lipase levels in acute pancreatitis
Ans: 3-4x normal level
Normal WBC count
Ans: 4,000-11,000
Leukocytosis
Ans: Abnormally high WBC count, greater than 11k
AST
Ans: Typically the range for normal AST is reported between 10 to 40 units per
liter
ALT
Ans: ALT between 7 to 56 units per liter.
GERD (gastroesophageal reflux disease) risk factors