BIO 322 Comprehensive Exam 4
Questions And Verified Answers.
GERD - Answer can be caused by hiatial hernia, the LES is open, heartburn>2x weekly primarily @
night, can lead to barretts esophagus and metaplasia, treat with antacids and ppi! oh my gerd my heart
burns more tonight than at the meet for barret last week
peptic ulcer disease - Answer mcc h.pylori or nsaids, if duodenal (low pain when eating, more pain 1-2
hours later) if gastric (pain during eating). s/s n./v and melena (black tarry feces) and coffee ground
emesis. the pep band at pylori said duos come after coffee and gas happens when ur eating tar
celiacs disease - Answer sensitivity to gliadin, autoimmune, women, atrophy and flattening of intestinal
villi, malabsorption of vits, pros, fats and carbs. fatty stool, dermatitis herpetiformis (itchy blister rash)
low vit K and high PT. seals glide through the water when they are fat. they get itchy sometimes and
lower their Kanines to get PeTs
diarrhea - Answer 3+ eatery stools in 24 hrs (persis=2-4 weeks chronic=4+ weeks)
osmotic- due to artificial sweeteners
secretory large vol-viral, bacterial (giardia) parasites
secretory small vol-UC, Crohns, celiac
motility-IBS, laxative
s/s dehydration, loose stool, malaise
Brat diet.
Dear diary i have been a brat 3 times in less than 24 hrs, let me tell u about my friends. osmo is so sweet,
secla has a parasite, smalls has celiacs and we all took laxatives at the motel which made us dehydrated.
constipation - Answer less than 3 BM's a week.caused by dehydration, decreased fiber and age. s/s
straining, hemorrhoids, n/v, bloating. colonoscopy, barium enema, glove and scoop, laxatives. constance
is old, she got 3 hemorrhoids from pushing out a bear
diverticulitis - Answer painful, LLQ pain, rf= elderly and low fiber and NSAIDS. s/s llq pain, leukocytosis,
fever, comps= perforations and abcess. get cbc and ct, increased wbc, need liquid or high fiber diet.
divers Luke Liam and Quint were old but hot. the perform and absurd amount of dives in West BC.
, ulcerative colitis - Answer sigmoid colon and rectum, 20-40y/o jewish. left sided pain, large vol diarrhea
with blood and mucous, pseudopolyps, deep ulcers, autoimmune, tenesmus(urge to poop), panca
positive, asca negative.
uncle cole is a 40 y/o jewish pain with left sides pain. he always has to poop and has constant runny
bloody nose. pancake butt postive ass negative.
Crohn's disease - Answer small and large intestines, diarrhea, skip lesions (cobblestoning), fistula
formation, panca negative, asca postive. biopsy. chrons cobblestone carwash is crazy. we fish we skip and
in the end we die. we dont sell pancakes but we do ask a lot of questions.
Cholelithiasis (gallstones) - Answer female, forty, fat, fair skin, fertile, fam history. RUQ colicky pain,
ultrasound shows acoustic shadowing. chelsea lies to her sister who is forty fat female fair skin fertile
and is family. she has a cowlick on her right side and plays the acoustic guitar.
cholecyctitis - Answer cystic duct obstruction, RUQ constant pain radiates to right scapula, n/v, fever,
leukocytosis, no jaundice, diaphoresis, positive murphy sign, increased wbc's. cole had a cyst that was
tight constantly. it made him nauseaous hot and he had to call luke and murphy.
choldocholithiasis - Answer stones obstruc common bile, high alt and ast, high bili causing jaundice,
low vit K high PT, RUQ less than 6 hrs, clay colored stools, no fever. cole doko went to a high altitude
mAST he saw bili goats names john that were loKated in high ParTs of the clay mountain
cholangitis - Answer charcots triad: RUQ pain, fever, jaundice. clay color, life threatening if reynolds
pentad is there. high ast and alt, low K high pt, jaundice, leukocytosis. cole and ange when to the
charcots wedding and brought a roku tv and john clay.
pancreatitis - Answer choledoco can cause blockage of pancreatic duct. cell injury from drugs or alc. s/s
epigastric pain that rads to the back, fever, n/v, increase wbc, increase lipase and amylase, ct scan tx-npo,
fluids, pain meds. the pan created epic backlash. ppl were hot, vomitting in wbc. amys lips were cat like
so npo
osmotic diarrhea - Answer due to artificial sweeteners. OSMO CHOCOlate
