Foreign Bodies, Hepatitis, Intussusception, Obstructions, Pancreatitis, GI Trauma

Question 1

may be related to excessive alcohol ingestion, gallstones, viral illness, trauma and hypertriglycerides

Answer 1

acute pancreatitis

Question 2

often related to chronic alcohol abuse leading to pancreatic destruction

Answer 2

chronic pancreatitis

Question 3

sudden onset LUQ or epigastric pain that radiates through to the back, pain decreased in sitting or fetal position

fever, tachycardia, n/v/a

elevated amylase (early) lipase (late), hypocalcemia and elevated serum glucose

Answer 3

pancreatitis

Question 4

inflammation of the liver which may be caused by liver damage (ingestion of substances toxic to the liver such as acetaminophen) or it may be d/t viruses

Answer 4

hepatitis

Question 5

often passed through the food supply

symptoms mild and short lived (anorexia, n/ and abd pain, fatigue, jaundice, low grade fever)

vaccine available (immunoglobulin prevents if given before or w/in two weeks of exposure)

Answer 5

hep a

Question 6

often passed through the water supply

symptoms mild and short lived (anorexia, n/ abd Pina, fatigue, jaundice, low grade fever)

Answer 6

hep e

Question 7

average incubation is 90 days
95% of cases will resolve in 6 mos or less (AKA acute hep)
vaccine exists

may be asymptomatic initially then: n/v loss of app, fever, body aches, pruritus, dark urine, clay-colored stool, jaundice

Answer 7

hep b

Question 8

incubation btwn 2 weeks and 6 most
80% of those infected are asymptomatic (until causes liver cirrhosis/failure)
75% will become chronic (symptoms last longer than 6 mos)

may be asymptomatic initially then: n/v loss of app, fever, body aches, pruritus, dark urine, clay-colored stool, jaundice

Answer 8

hep c

Question 9

uncommon in US and usually co-exists w/ hep b

may be asymptomatic initially then: n/v loss of app, fever, body aches, pruritus, dark urine, clay-colored stool, jaundice

Answer 9

hep d

Question 10

telescoping of one part of bowel (usually the ileum) into another part of bowel (usually colon)

telescoped area lacks blood supply causing currant jelly/grape stools and ultimately sepsis w/ lethargy and fever

sudden acute, crampy, episodic abd pain (will flex knees) interspersed w/ pain free periods, bowel sounds increased w/ pain

may palpate sausage-shaped mass in r lower or middle abdomen

Answer 10

intussusception

Question 11

caused by shedding of hypoxic/gangrenous mucosal intestinal lining)

Answer 11

currant jelly/grape stools

Question 12

rapid onset, vomiting frequent and copious (bile and feces), colicky, cramp-like, intermittent, wave-like pain, feces for a short period of time, minimally distended

Answer 12

SBO

Question 13

gradual onset, vomiting rare, low grade, crampy abd pain, constipation, greatly distended

Answer 13

large bowel obstruction