07-16-2006, 10:58 AM
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gi q 33 - djyoti
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07-16-2006, 04:23 PM
35 yr alcoholic nausea vomiting pain to the back---ac pancreatitis
2 45 moderate obese nv and epigastric pain to scapula--------ac cholecystits 378 white 3 day gradually worsening lt quadrant pain no bleeding no wt loss-----diverticular disease 55 yr with occ blood positive looss of wt---ca colon 25 yr occult blood positive with 15 yr hx of ulcerarive colitis----ca colon 25 yr loss of wt anemia pain rt iliac fossa---- 2 yr old intermittent pain with leg pulling and lethargy and mucoid red stool---intussuption hpylori and never malignant ulcer--duodunal ulcer painless jaundice with palpable gall bladder--ca pancrase jaundice with fever pain diminished mental status shock first inv is ercp--biliary system investigat by ct 1st--pancease alt is more increase than ast----viral hepatitis benign jaundice increased during stress------ went to mexico got jaundice---amebic lamivudine interferon alfa---HBV vaccination not avalaible for this cirrosis and hepaticca causing hepatitis----HCV allcoholic with hx of bleeding now with spider angioma ascites what inv you do ct tips alcohol level or para centesis----potal HTN saag more than 1.5 saag less than 1 24 yr with swallowing problem with liquid and ba too much dilated esophagus dysphagia with xray narrow rattail deformity--ca esohagus after completing vaccine for hepatitis b what you get in serum which antibodyHBSAB if you are having current hepatitis what you get in serum--HBC AB +HBSAg if you have persistent or ch what u get HBSAg>6mons 40 with jaundice and pruritus with fenal----PBS 70 yr with long hx of diverticulitis now hav elevated alkaline phosposatase and rt q pain 30 yr male hx of ulcerative colitis now has liver prob name it 40 yr du 200pg gastrin multiple ulcer even in jejunum---ZES what investigation ----seurm gastrin 40 yr white weakness hyperpigmentation arthritis of hip mtp blood sugar 189---Glucagoma african uti rx gets hemolysis ----G6PD def 60 jaundice very pale stool----obst jaundice young nv anorexia recent jaundice travel hx-----HAV 32 yr old bloating relieved by defecation rest normal-----IBS 35 recurrent alcohol pancreatis despite rx loosing wt bulky stool pancreatic calcification--ch pancreatitis amylase diagnosis or prognostic----both rxed with ampicillin now has diarrea watery----cl difficl |
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