This topic contains a solution. Click here to go to the answer
« previous next »

Author Question: Your 44-year-old female patient complains of right upper quadrant pain. Her skin and sclera are ... (Read 136 times)

madam-professor

  • Hero Member
  • *****
  • Posts: 584
on: Jun 25, 2018
Your 44-year-old female patient complains of right upper quadrant pain. Her skin and sclera are yellow, and she has hyperbilirubinemia and elevated liver enzymes. The clinician should suspect:
 
  A. Acute pancreatitis
  B. Biliary duct obstruction
  C. Acute hepatitis
  D. Atypical appendicitis

Question 2

On abdominal examination as the clinician presses on the right upper quadrant to assess liver size, jugular vein distension becomes obvious. Hepatojugular reflux is indicative of:
 
  A. Acute hepatitis
  B. Right ventricular failure
  C. Cholecystitis
  D. Left ventricular failure


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

succesfull

  • Sr. Member
  • ****
  • Posts: 339
Reply #1 on: Jun 25, 2018
Answer to Question 1

ANS: B
In cholecystitis, acute colicky pain is localized in the RUQ and is often accompanied by nausea and vomiting. Murphy's sign is frequently present. Fever is low grade, and the increase in neutrophilic leukocytes in the blood is slight. Acute cholecystitis improves in 2 to 3 days and resolves within a week; however, recurrences are common. If acute cholecystitis is accompanied by jaundice and cholestasis (arrest of bile excretion), suspect common duct obstruction.

Answer to Question 2

ANS: B
Hepatojugular reflux is elicited by applying firm, sustained hand pressure to the abdomen in the midepigastric region while the patient breathes regularly. Observe the neck for elevation of the jugular venous pressure (JVP) with pressure of the hand and a sudden drop of the JVP when the hand pressure is released. Hepatojugular reflux is exaggerated in right heart failure.


madam-professor

  • Member
  • Posts: 584
Reply 2 on: Jun 25, 2018
Great answer, keep it coming :)

bimper21

  • Member
  • Posts: 309
Reply 3 on: Yesterday
Wow, this really help

« previous next »
 

Did you know?

HIV testing reach is still limited. An estimated 40% of people with HIV (more than 14 million) remain undiagnosed and do not know their infection status.

Did you know?

When taking monoamine oxidase inhibitors, people should avoid a variety of foods, which include alcoholic beverages, bean curd, broad (fava) bean pods, cheese, fish, ginseng, protein extracts, meat, sauerkraut, shrimp paste, soups, and yeast.

Did you know?

Hypertension is a silent killer because it is deadly and has no significant early symptoms. The danger from hypertension is the extra load on the heart, which can lead to hypertensive heart disease and kidney damage. This occurs without any major symptoms until the high blood pressure becomes extreme. Regular blood pressure checks are an important method of catching hypertension before it can kill you.

Did you know?

Multiple sclerosis is a condition wherein the body's nervous system is weakened by an autoimmune reaction that attacks the myelin sheaths of neurons.

Did you know?

People who have myopia, or nearsightedness, are not able to see objects at a distance but only up close. It occurs when the cornea is either curved too steeply, the eye is too long, or both. This condition is progressive and worsens with time. More than 100 million people in the United States are nearsighted, but only 20% of those are born with the condition. Diet, eye exercise, drug therapy, and corrective lenses can all help manage nearsightedness.

Environmental factors restricting the distribution of Chthamalus to the upper intertidal zone. Environmental factors restricting the distribution of Chthamalus to the upper intertidal zone.
Male giraffe mounting a female. Only dominant males are generally able to mate. Male giraffe mounting a female. Only dominant males are generally able to mate.
Signs and symptoms of a patient with heart failure. Signs and symptoms of a patient with heart failure.
Patient education Patient education
It is important to act concerned when a patient is upset. It is important to act concerned when a patient is upset.
Four cutaneous receptors that occur in human skin. Four cutaneous receptors that occur in human skin.
Video: Carbon fixing adaptations Animation

For a complete list of videos, visit our video library