03-22-2010, 04:34 AM
A 54 yo M C/O severe abdominal pain.For the past 24hrs,he's had nausea and vomiting and has not been able to keep down anything.The pain radiates through to his back.He was treated for a fall in the ED a year ago.Labs performed at that time revealed:
WBC 7400
Hb 11.2
mcv 101
pt 135,000
1. Which of the following is the most likely cause of his presentation
A trauma
B gallstones
C alcohol abuse
D malignancy
E viral infection
2.Which of the following would not be useful at this time for determining the mans prognosis?
A.glucose
B.ast
C.wbc
D.amylase
E.LDH
3.Three months later the dude returns with epigastric pain and coffee-ground emesis.He undergoes EGD and gastric varices are seen with no evidence of esophageal varices.The patient likely has
A.hepati vein thrombosis
B.portal hypertension
C.pseudocyst
D.bile duct obstruction
E.splenic vein thrombosis
WBC 7400
Hb 11.2
mcv 101
pt 135,000
1. Which of the following is the most likely cause of his presentation
A trauma
B gallstones
C alcohol abuse
D malignancy
E viral infection
2.Which of the following would not be useful at this time for determining the mans prognosis?
A.glucose
B.ast
C.wbc
D.amylase
E.LDH
3.Three months later the dude returns with epigastric pain and coffee-ground emesis.He undergoes EGD and gastric varices are seen with no evidence of esophageal varices.The patient likely has
A.hepati vein thrombosis
B.portal hypertension
C.pseudocyst
D.bile duct obstruction
E.splenic vein thrombosis
