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NUR 631 EXAM 2
What diagnosis would you consider for a 30-year-old with heart
burn, early satiety, burping and generalized abdominal pain?
Answer- Dyspepsia related to gastritis
What diagnosis would you consider for a 50-YEAR-OLD
SMOKER with heart burn and abdominal pain?
Answer- Colon cancer
How high is the bilirubin level when the patient is starting to
develop physical jaundice?
Answer- 2.5 or higher
,______________ bilirubin is unconjugated, which means that it
has not been metabolized by the liver or made into a water
soluble form of bilirubin
Answer- Indirect bilirubin
________________ is processed bilirubin that is water soluble
Answer- Direct bilirubin
What are some of the causes of elevated indirect bilirubin
levels?
Answer- - hemolysis
- heart failure
- Gilbert syndrome
- neonates
- hyperthyroidism
- chronic hepatitis & advanced liver cirrhosis
What are some of the causes of elevated direct bilirubin levels?
Answer- - choledocholithiasis
,- tumors
- AIDS
- acute/chronic pancreatitis
- viral hepatitis
- alcoholic hepatitis
- biliary tree cholangitis
- sepsis
- TPN
- postoperative cholestasis
- sickle cell disease
- pregnancy
- end stage liver disease
What does a history of fever, chills and RUQ pain indicate?
Answer- Acute cholangitis
What does RUQ pain with a history of anorexia, malaise and
myalgia’s indicate?
Answer- Viral hepatitis
, What is the terminology for when the gallbladder is so distended
that you can palpate it?
Answer- Courvoisier Sign
What is the terminology for inspiratory arrest that occurs when
you are putting pressure on the RUQ due to inflamed
gallbladder?
Answer- Murphey's Sign
Which liver enzyme is specific for hepatocytes?
Answer- ALT
Which liver enzyme is more specific to alcohol, statins and
Tylenol use?
Answer- AST