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- A 49 year old woman underwent total gastrectomy for treatment of a bleeding gastric ulcer and recovered uneventfully 15 years ago. she is now at increased risk for developing which of the following disorders? a. diarrhea due to decreased vasoactive intestinal polypeptide production b. fat malabsorption due to decreased bile acid production c. fat malabsorption due to increased cholecystokinin production d. hypertension due to increased norepinephrine production e. megaloblastic anemia due to decreased vitamin B12 (cobalamin) absorption.Mr. Gergin, 45 years old, works as a manager in a company, has a habit of smoking for 20 years. He went to the health institution with complaints of indigestion, distension, burning in the left upper epigastrium and back region; there is a doubt to "PEPTIC ULCER." (10s) Which tests may help to confirm the diagnosis of Peptic Ulcer? What is the leading cause of the peptic ulcer? What are the complications of the peptic ulcer if left untreated? In patient education, what should be recommended to this case? Write four items.Mrs. Vera W. is a 60-year-old white woman, who emigrated from Germany to the United States at the age of 18. She has come to her primary care physician's office with her daughter. She tells you, "My daughter made me come here because I have had bad stomach pains for about 6 weeks." After you ask about the character, onset, location, duration, severity, and pattern of the pain as well as associated symptoms (COLDSPA), such as what relieves the pain and what unctions are affected by pain, you learn the following information. The pain is aching epigastric pain, fairly continuous, and worse at night. It radiates to her back when she lies down. The pain gets progressively worse, is not affected by eating, and interferes with her daily function (it prevented her from attending her grandson's birthday party and it also wakes her up at night). In addition, in the interview, Mrs. W. relates loss of appetite, mild nausea, heartburn, and fatigue. For the past several months she has felt full soon…
- All of the following are gastrointestinal complications postoperatively except a. Diarrhea b. Tympanites c. Nausea and vomiting d. Postoperative ileusWhich of the following colonic pathologies is thought to have no malignant potential() A) Ulcerative colitis B) Villous adenomas C) Familial polyposis D) Peutz-Jeghers syndrome E) Crohn’s colitisDifferentiate the Two Types Inflammatory Bowel Disease: Types: Chron's Disease Ulcerative Collitis Age of Onset: Site of Disease: Pain: Stool Consistency: Number of Stool per day: Common Cause:
- Jerry is bedridden due to a fractured femur and has developed a decubitus ulcer. What is a decubitus ulcer (common name and description) and what may have caused it to occur? How are these generally prevented (provide at least two prevention methods)? Describe the stages used to grade the progression of these ulcers.Measurement of sweat chloride concentration is useful in the screening of children suspected of having which of the following pancreatic diseases? 1) Cystic fibrosis 2 Insulinoma 3) Zollinger-Ellison syndrome 4) Pancreatic insufficiency no references, just homeworkMs. K is 35 years old and the CEO of a small company. On the weekend of May of 2000 she and her friend Mr. L had escaped from the stresses of the big city to spend a quiet weekend in the country. They had stopped in Walkerton for lunch. Both of them developed a moderately severe diarrheal illness, which resolved after one week. Since then Ms. K has noticed a change in her bowel habits. About every 2-3 weeks she is either very constipated or she has very soft stools 4-5 times a day over about 2 days. During these times she often feels bloated and there is pain that goes away after the bowel movement. Although she now drinks only bottled water, there have been no other changes to her diet. Ms. K appears to suffering from Irritable Bowel syndrome (IBS). Which of the following are features of IBS and how does it differ from IBD? A. IBS is considered a “functional” disorder without any identifiable structural or biochemical cause underlying the symptoms. B. Similar to IBD, IBS is still…
- Which of the following is a cause of acute pancreatitis?A. Alcohol pancreatitisB. Gall stoneC. High triglyceride levelD. All of the aboveMale, 50 years old, had undergone subtotal gastrectomy for gastric ulcer 20 years ago. In the recent half a year, he had upper abdominal distension after eating, black stool in the past 2 months, and wasting and fatigue. Physical examination: a 6×5cm mass can be reached under the xiphoid process. The texture is hard and can be pushed, accompanied by light tenderness. The first diagnosis considered is: Ulcer recurrence Postoperative input loop obstruction Output loop obstruction Remnant stomach cancer Gastric emptying disorder4) Male,52 years old,chronic epigastric pain for half a year, feeling of epigastric fullness after meal, gastric juice analysis: fasting gastric acid is low, and there is still no significant increase after histamine stimulation.The most likely diagnosis is() A )Gastric mucosal prolapse B) Duodenal ulcer C) Atrophic gastritis D)Gastric ulcer E) Gastric leiomyoma