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Exam (elaborations)

AHN 554 MOD 2-GI QUESTIONS AND CORRECT DETAILED ANSWERS |ALREADY GRADED A+ LATEST UPDATE |

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AHN 554 MOD 2-GI QUESTIONS AND CORRECT DETAILED ANSWERS |ALREADY GRADED A+ LATEST UPDATE |

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Uploaded on
December 3, 2024
Number of pages
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Written in
2024/2025
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AHN 554 MOD 2-GI QUESTIONS AND
CORRECT DETAILED ANSWERS
|ALREADY GRADED A+ LATEST
UPDATE | 2024-2025
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 - endoscopic ultrasonography

Ans

✓ most sensitive test for detecting small lesions of the ampulla or pancreatic head and for
detecting portal vein invasion by pancreatic cancer. It is also accurate for detecting or
excluding bile duct stones.




Hep A - essentials of dx


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Ans

✓ Prodrome of anorexia, N/V, malaise, aversion to smoking.

✓ Fever, enlarged and tender liver, jaundice

✓ Norm to low WBC, markedly elevated aminotransferases




Hep A virus transmission

Ans

✓ fecal oral route

✓ person to person or contaminated food/water




Acute Hep B essentials of dx

Ans

✓ prodrome of anorexia, N/V malaise, aversion to smoking

✓ Fever, enlarged and tender liver, jaundice

✓ Norm to low WBC, markedly elevated aminotransferases early in the course

✓ Liver bx - hepatocellular necrosis and monomuclear infiltrate, but is rarely indicated.




Hep B transmission

Ans




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✓ blood or blood products

✓ sexual -saliva, semen and vaginal secretions.

✓ HBsAg pos mothers may transmit at delivery - high risk of chronic infection in infant.




HBsAg

Ans

✓ first evidence of infection, appears before biochemical evidence of liver dx, persists through
clinical illness.

✓ Persistence for more than 6 months after acute illness signifies Chronic hep B




Anti-HBc

Ans

✓ IgM anti-HBc appears shortly after HBsAg is detected.

✓ Indicates acute Hepatitis B

✓ Can persists for 3-6 mo or longer




HAV IgM

Ans

✓ acute infection - peak at 1st week of clinical dx and disappear w/in 3-6 mo.




HAV IgG

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