Exam (elaborations)
AHN 554 Mod 2-GI Test With Complete Solution
- Course
- Institution
AHN 554 Mod 2-GI Test With Complete Solution...
[Show more]
Content preview
AHN 554 Mod 2-GI Test WithComplete Solution
Causes of severe aminotransferase elevations > 15xnormal - ANSWER Acute
viral hepatits (A-E, herpes)
Meds/toxins
Ischemic or Autoimmune hepatitis
Wilson disease
Acute bile duct obstruction
Acute Budd Chiari syndrome
Hepatic a. ligation
EUS - endoscopic ultrasonography - ANSWER most sensitive test for
detecting small lesions of the ampulla or pancreatic head and for detecting
portal vein invasion by pancreatic cancer. It is also accurate for detecting or
excluding bile duct stones.
Hep A - essentials of dx - ANSWER Prodrome of anorexia, N/V, malaise,
aversion to smoking.
Fever, enlarged and tender liver, jaundice
Norm to low WBC, markedly elevated aminotransferases
Hep A virus transmission - ANSWER fecal oral route
person to person or contaminated food/water
, Acute Hep B essentials of dx - ANSWER prodrome of anorexia, N/V malaise,
aversion to smoking
Fever, enlarged and tender liver, jaundice
Norm to low WBC, markedly elevated aminotransferases early in the course
Liver bx - hepatocellular necrosis and monomuclear infiltrate, but is rarely
indicated.
Hep B transmission - ANSWER blood or blood products
sexual -saliva, semen and vaginal secretions.
HBsAg pos mothers may transmit at delivery - high risk of chronic infection
in infant.
HBsAg - ANSWER first evidence of infection, appears before biochemical
evidence of liver dx, persists through clinical illness.
Persistence for more than 6 months after acute illness signifies Chronic hep B
Anti-HBc - ANSWER IgM anti-HBc appears shortly after HBsAg is detected.
Indicates acute Hepatitis B
Can persists for 3-6 mo or longer
HAV IgM - ANSWER acute infection - peak at 1st week of clinical dx and
disappear w/in 3-6 mo.
HAV IgG - ANSWER hepatitis A recovery or vaccination - "gone"
HEV IgM - ANSWER acute Hep E
HEV IgG - ANSWER recovery of Hep E
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Belina. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $10.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
79064 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now