if bright red blood per rectum >50 - Answer-do colonoscopy
, if bright red blood per rectum 40-49 - Answer-sigmoidoscopy or colonoscopy if sig is
negative
if bright red blood per rectum <40 - Answer-assess cancer risk
colon cancer - Answer-2nd most common cancer in women
most colon cancer - Answer-comes from polyps
start screening colon cancer - Answer-age 50
colon cancer screening annually >50 - Answer-guiac fecal occult blood
colon cancer screening every 10 years - Answer-colonoscopy
liver function test-ALT/AST - Answer-measures integrity of liver
PT/Abumin - Answer-measures synthetic activity of the liver (how well it makes things)
Bili, ALP - Answer-measures excretory function of liver (how well it metabolizes)
Mild to mod elevation of ALT/AST - Answer-2-10x normal
what raises ALT, AST - Answer-statins, Hep b and c, hemochromatosis, fatty liver, etoh
ALT>AST (middle letter is L-liver) - Answer-viral hepatitis
AST>ALT (middle letter is s-Statins, acetaminopen,and tequila- etoh) - Answer-
medications effecting levels
AST>ALT 2x - Answer-think etoh abuse
viral hepatitis - Answer-A,b,c,d,e (b,c,d are chronic)
hepatitis markers - Answer-IgG, IgM, Hep B surface antigen, Hepatitis B surface
antibody
IgM - Answer-M=moment you get infection-acute
IgG - Answer-G=gone-when infection is gone
+IgM - Answer-pt recently infected
+IgG - Answer-pt recovered from exposure
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