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1. Please describe the clinical manifestations of strangulated intestinal obstruction fully.
2. Female, 40 years old, sudden right upper abdomen and heart fossa knife colic with paroxysmal exacerbation for 1 day, 12 hours after the onset, chills, high fever, yellow sclera, deep tenderness on the right side of the xiphoid process, mild muscle tension in the right upper abdomen, Body temperature 38℃, WBC15×109/L, TBIL 65umol/L, urobilinogen (-), urinary bilirubin (2+), she should be diagnosed as（ ）
- Acute pancreatitis
- Acute cholecystitis
- Common bile duct stones
- High appendicitis
- Duodenal perforation
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- Topic: Cholecystitis 1. Definition of the disease 2. Signs and Symptoms1. Female, 40 years old. The left index finger was accidentally stabbed by a shoe repair needle. In the past 3 days, the pain gradually increased, swelling, throbbing pain, and she was unable to sleep. The current primary treatment measures are ( ) Use analgesics Incision and drainage Antibiotics Elevate the affected limb Rest 2. Female, 65 years old, with a history of hepatitis B for more than 20 years. Sudden of hematemesis this morning, the color was bright red, the amount was about 1500ml, and she came to our hospital for emergency. Physical examination: pale appearance, cold limbs, BP 78/50mmHg, P 112 beats/min. Abdominal distension, shifting dullness (+), 5 cm below the spleen rib. The inappropriate treatment for this patient is: Compression of three cavities and two balloon tubes Intravenous somatostatin Emergency laparotomy for hemostasis Blood transfusion Interventional treatment with fiber gastroscope2 Case study: Colitis . Ulcerative Colitis Ascending Colon- Ulcerative Colitis :6: W 2109ec/student/courses/62/runs/455331/run/page/13# F2 Transverse Colon Appendix Enter your answer here 3 Rectum 1) How do these pathologies emerge? 2)What are potential treatments for this disease? 80 F3 $ 4 20 F4 -Descending Colon Diverticulosis do 5 - Diverticulitis % ePainAssist.com F5 8 tv < (O MacBook Air 6 U F6 ERTY & 7 Normal colon goblet cells F7 U a 8 ., crypt absence of distortion goblet cells and absces DII Ulceram 9 P F9
- Female, 40 years old, sudden right upper abdomen and heart fossa knife colic with paroxysmal exacerbation for 1 day, 12 hours after the onset, chills, high fever, yellow sclera, deep tenderness on the right side of the xiphoid process, mild muscle tension in the right upper abdomen, Body temperature 38℃, WBC15×109/L, TBIL 65umol/L, urobilinogen (-), urinary bilirubin (2+), she should be diagnosed as（ ） Acute pancreatitis Acute cholecystitis Common bile duct stones High appendicitis Duodenal perforationExplain pathophysiology of tonsillopharyngitis. Give me in detail in points i will upvoteCASE STUDY Acute Pancreatitis Patient Profile V.A. is a 55-year-old man admitted to the hospital with acute pancreatitis. Subjective Data • Has severe abdominal pain in the LUQ radiating to the back • States that he is nauseated and has been vomiting Objective Data Physical Examination • Vital signs: Temp 101°F (38.3°C), HR 114 bpm, RR 26, BP 92/58 • Jaundice noted in sclera Laboratory Tests • Serum amylase: 400 U/L (6.67 mkat/L) • Serum lipase: 600 U/L . Urinary amylase: 3800 U/day • WBC count: 20,000/μL Blood glucose: 180 mg/dL (10 mmol/L) • Serum calcium: 7 mg/dL (1.7 mmol/L) Collaborative Care • NPO status • NG tube to low, intermittent suction • IV therapy with lactated Ringer's solution Morphine PCA Pantoprazole (Protonix) IV .
- Briefly describe or write short notes on the following 1. The role of zinc in the prevention of diarrhoea 2. How zinc is involved in causing diarrhoea. 3. How zinc is involved in the treatment of diarrhoea.87 years old was admitted into the acute unit for gastroenteritis,2 day duration, he is vomiting, have sever,watery diarrhoea and he he complaining of abdominal cramping,his serum electrolyte are consistent with hyponatremia related to excessive sodium loss 1.nursing management of client with hyponatremia 2 2.what is the relationship with,vomiting, diarrhoea and hyponatremia 3. What sign and symptoms should the client be monitored for that indicate the presence of sodiumB. Give the medical term for the below surgical procedures 11. Removal of the gallbladder - 12. Large bowel resection - 13. Suture of a weakened muscular wall (hernia) - 14. New opening of the first part of the colon to the outside of the body - 15. Surgical repair of the abdomen - 16. Incision of a ring of muscles - 17. Removal of the pancreas and duodenum - 18. Opening of the third pat of the small intestine to the outside of the body - 19. Removal of gum tissue - 20. Anastomosis between the gallbladder and second part of the small intestine - 21. Surgical puncture of the abdomen for withdrawal of fluid - 22. Surgical repair of the roof of the mouth - C. Give the meanings of the following abbreviations 13. ΤΡΝ- 14. PUD - 15. EGD - 16. IBD - 17. ВЕ- 18. BRBPR - 19. LTFS 20. GERD - 21. HBV - 22. СТ—
- CASE STUDY: A 26 year old woman appeared in the outpatient clinic with the complaint of abdominal discomfort, diarrhea, and an 18lb, unintentional weight loss during the past 2-3 years. She related a similar period of 5-6 years of abdominal distress and diarrhea in childhood, but this essentially disappeared when she was about 12-13 years old. She was now having three to five bowel movements daily, which were described as bulky, malodorous, and floating. She weighed 106lb and was 67 in tall. She never had surgical procedures. Physical examination revealed poor skin turgor, general pallor, and a protuberant abdomen. Abnormal clinical laboratory values included those in Case Study table 28.5.1 Fecal examination revealed no ova or parasites, and bacteriologic culture revealed no pathogens. CASE STUDY TABLE 28.5.1 Analyte Result Hemoglobin 8.1 g/dL Hematocrit 30% RBC count 4.1 X 10^6/uL Serum sodium…A 63-year-ol woman presented with increasing darkening of the skin, dizziness, and easy fatigability, nausea with occasional vomiting and progressive weight loss over eight months prior to presentation. There were no headaches, blurred consciousness nor change in her bowel habit. The medical history and systemic review revealed no abnormality and were not significant as to the likely cause of her disease state. Physical examination revealed an elderly lady, pale, asthenic with generalized hyperpigmentation especially on the face, oral mucosa, palmar creases and knuckles. No features of malnutrition or hypovitaminosis. vision, and neither loss of There was no significant peripheral lymphadenopathy. Main findings in the systemic examination were a pulse of 106 bpm, regular and small; blood pressure 100/60 mmHg supine and 70/40mmHg sitting. She could not stand on account of severe postural dizziness. The apex beat was normal. Fundoscopy revealed a normal fundus. All other systems were…Choose the most appropriate drug therapy for Gerd and Peptic Ulcer disease 2. State the options for combined drug therapy for treating H. Pylori induced gastric ulcers