Clinical correlates: Exam 3

Question 1

GERD

Answer 1

gastro-esophageal reflux disease, results from low LES sphincter tone, can lead to Barrett’s esophagus

Question 2

Hiatal hernias

Answer 2

sliding hernia - common in GERD, weak right crus

paraesophageal hernia - normal Z line, but portion of stomach herniates through hiatus, can lead to stragulation

Question 3

living donor liver transplant

Answer 3

either lobe, as much as 70% can be removed without complications, will regrow to original size

Question 4

cirrhosis (causes)

Answer 4

alcohol abuse, hepatic infection, autoimmune disease, industrial solvents

Question 5

presentation of cirrhosis

Answer 5

hobnail appearance, splecnomegaly (from portal hypertension, and ascites

Question 6

presentation of cirrhosis

Answer 6

hobnail appearance, splecnomegaly (from portal hypertension, and ascites

Question 7

Four locations of portal hypertension manifestations

Answer 7

esophageal varicies, intestinal varicies and bleeding, hemorrhoids, or caput medusa

Question 8

gall stone complications

Answer 8

cholecytitis, jaundice, pancreatitis, cholecystoenteric fistula