EBK HUMAN ANATOMY
9th Edition
ISBN: 9780135241752
Author: Marieb
Publisher: PEARSON CO
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Chapter 24, Problem 3CRCAQ
Hattie, aged 55, is awakened by excruciating pain that radiates from her right abdomen to the lumber and inguinal regions on the same side. The pain does not occur continuously but recurs at intervals of 3-4 minutes. Diagnose her problem, and cite factors that might favour its occurrence. Also, explain why Hattie’s pain comes in “waves�.
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A 32 yr old female presented to your office complaining of abdominal pain. She states this pain started yesterday and increased over the course of a couple of hours. It is mostly in the epigastric region and does radiate at times to the RUQ. She states it has been constant since then. Currently rates it at a 7/10. She has never had pain like this before. Denies any vomiting but does complain of nausea. She denies any diarrhea or constipation. Denies any documented fevers but has felt a little chilled this am. Denies any abdominal bloating. She does state she drinks a glass of wine each evening. Denies any tobacco use or street drug use.
Current labs WBC 13.2 Hgb 14.0 Hct 38.9
Plt 250
Na 142K 4.0BUN 26CR 1.2Total bilirubin 2.5 mg/dl AST 289
ALT 302Alk Phos 358
What does the AST/ALT ratio indicate for this patient
What if your AST/ALT ratio were >1. What would that suggest?
A 32 yr old female presented to your office complaining of abdominal pain. She states this pain started yesterday and increased over the course of a couple of hours. It is mostly in the epigastric region and does radiate at times to the RUQ. She states it has been constant since then. Currently rates it at a 7/10. She has never had pain like this before. Denies any vomiting but does complain of nausea. She denies any diarrhea or constipation. Denies any documented fevers but has felt a little chilled this am. Denies any abdominal bloating. She does state she drinks a glass of wine each evening. Denies any tobacco use or street drug use.
Current labs WBC 13.2 Hgb 14.0 Hct 38.9
Plt 250
Na 142K 4.0BUN 26CR 1.2Total bilirubin 2.5 mg/dl AST 289
ALT 302Alk Phos 358
List 3 differential diagnoses for this patient and give the rationale for each one. Use the most likely differential for the gallbladder, liver and pancreas--3 diagnoses total.
What additional lab tests would you order and…
Chapter 24 Solutions
EBK HUMAN ANATOMY
Ch. 24 - Prob. 1CYUCh. 24 - Describe the location of the kidneys in reference...Ch. 24 - Prob. 3CYUCh. 24 - Which parts of the nephron are located in the...Ch. 24 - Which mechanism in the formation of urine involves...Ch. 24 - What structure in the kidney function in...Ch. 24 - Distinguish the ureter from the urethra.Ch. 24 - Prob. 8CYUCh. 24 - Which urethral sphincter is innervated by somatic...Ch. 24 - Why are urinary tract infections more common in...
Ch. 24 - Which embryonic germ layer forms the metanephric...Ch. 24 - What is a cloaca? (Birds have a cloaca, which is...Ch. 24 - The inferior border of the right kidney is at the...Ch. 24 - The capillaries of the glomerulus differ from...Ch. 24 - Which of the following structures occurs...Ch. 24 - Which of the following extend into the renal...Ch. 24 - The arrangement of the major blood vessels and...Ch. 24 - The part of the nephron whose epithelial cells...Ch. 24 - The only part of the nephron that originates from...Ch. 24 - The main function of the transitional epithelium...Ch. 24 - Jim was standing at a urinal in a crowded public...Ch. 24 - A major function of the collecting ducts is (a)...Ch. 24 - Urine passes downward through the ureters by which...Ch. 24 - Parasympathetic stimulation of the bladder causes...Ch. 24 - Follow the path of filtrate from production in the...Ch. 24 - Match the renal vessels listed in column B with...Ch. 24 - Name the layers of fat and fascia around the...Ch. 24 - Pairs of urinary structures that are often...Ch. 24 - Trace the path taken by the renal filtrate (and...Ch. 24 - (a) Describe the basic process and purpose of...Ch. 24 - List all the layers of the filtration membrane in...Ch. 24 - Name (a) the four angles of the empty bladder and...Ch. 24 - Define micturition, add describe its neural...Ch. 24 - Describe the changes that occur in the anatomy and...Ch. 24 - How does the path of the ureters through the...Ch. 24 - Review the types of epithelium found throughout...Ch. 24 - People at risk for developing bladder cancer are...Ch. 24 - What is cystitis? Why do women suffer from...Ch. 24 - Hattie, aged 55, is awakened by excruciating pain...Ch. 24 - Prob. 4CRCAQCh. 24 - Maliki, a radiologist, was examining a pyelogram...Ch. 24 - Why should parents teach their young daughters to...
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