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 126 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 :)

ttt030911

  • Member
  • Posts: 315
Reply 3 on: Yesterday
YES! Correct, THANKS for helping me on my review

« previous next »
 

Did you know?

According to the Migraine Research Foundation, migraines are the third most prevalent illness in the world. Women are most affected (18%), followed by children of both sexes (10%), and men (6%).

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?

If you use artificial sweeteners, such as cyclamates, your eyes may be more sensitive to light. Other factors that will make your eyes more sensitive to light include use of antibiotics, oral contraceptives, hypertension medications, diuretics, and antidiabetic medications.

Did you know?

The human body's pharmacokinetics are quite varied. Our hair holds onto drugs longer than our urine, blood, or saliva. For example, alcohol can be detected in the hair for up to 90 days after it was consumed. The same is true for marijuana, cocaine, ecstasy, heroin, methamphetamine, and nicotine.

Did you know?

Women are two-thirds more likely than men to develop irritable bowel syndrome. This may be attributable to hormonal changes related to their menstrual cycles.

Signs and symptoms of a patient with heart failure. Signs and symptoms of a patient with heart failure.
Common skin signs are often evidence of an illness or disorder. A pustule is a small, elevated, ... Common skin signs are often evidence of an illness or disorder. A pustule is a small, elevated, ...
Mechanisms of Action of Drugs Used to Treat Female Infertility Mechanisms of Action of Drugs Used to Treat Female Infertility
The Upper Troposphere: Westerly Winds in the Upper Atmosphere The Upper Troposphere: Westerly Winds in the Upper Atmosphere
Sign and symptoms of a patient with heart failure Sign and symptoms of a patient with heart failure
Endogenous Analgesic Compounds Released After Pain Stimuli Endogenous Analgesic Compounds Released After Pain Stimuli
Video: Alternative Energy Sources

For a complete list of videos, visit our video library