Clinical Profile -> Dx

Question 1

Mild RUQ Pain
Related to Eating Fatty Foods
(-) Fever or Jaundice

Answer 1

Biliary Colic

Question 2

RUQ Pain
Murphy Sign (+)
+/- Fever OR Jaundice

Answer 2

Cholecystitis

Question 3

RUQ Pain
Fever
Jaundice

Answer 3

Ascending Cholangitis

Question 4

Severe Epigastric Pain
N/V
Relative lack of abdominal Signs
Pain relieved by sitting forward
Worse on Lying Down

Answer 4

Pancreatitis

Question 5

Generalized Abdominal Pain
Old Patient
Acute paint out proportion to the PE
Funny Racing of the Heart

Answer 5

Mesenteric Ischemia

Question 6

Abdominal Pain +
Erythema Nodosum Rash

Answer 6

Inflammatory Bowel Disease

Question 7

Abdominal Pain +
Dermatitis Herpetiformis

Answer 7

Celiac Disease

Question 8

Rash in IBD

Answer 8

Erythema Nodosum

Question 9

Rash in Celiac Dx

Answer 9

Dermatitis Herpetiformis

Question 10

Abdominal Pain/Diarrhea after Antibiotic Use

Answer 10

Antibiotic Induced Diarrhea
Pseudomembranous Colitis (Severe)

Question 11

Post Cholecystectomy Causes

Answer 11

Strictures
New Stones
Cancers**

Question 12

Hepatocellular Pattern (Hepatitis) LFT

Answer 12

Significant Inc in AST and ALT (4-5x the normal range)
Slight Inc in ALK

Question 13

Cholestatic Pattern LFT

Answer 13

Significant rase in ALK phosphatase
Slight In in bilirubin

Question 14

Gilbert Syndrome LFT

Answer 14

Inc in bilirubin
Normal – AST, ALT, ALK phosphatase

Question 15

Alcoholic Liver disease

Answer 15

AST is 2x higher than ALT