Exam 5 - Digestive

24-year-old male, hepatic cirrhosis. Haemochromatosis. Chronic viral hepatitis B, C. Autoimmune hepatitis. Wilson’s disease.

Pancreatic cancer (most common?). Adenocarcinoma. Lymphomas. Neuroendocrine tumors.

A 36-year-old woman has a pathological hepatogram. Bilirubin and AST normal, af and GGT elevated. The UZ showed no enlarged bile duces, so they are not gallstones. As AF and GGT are elevated, it is likely to be intrahepatal cholestasis. We can exclude hepatitis due to normal AST. Patient has an autoimmune disease (Primary billiary cirrhosis). Other options missing.

The 24-year-old patient has a 24mm major change in pancreatic, UZ shows serous cystic acids. Cea is under 5. We don’t do anything. Other options missing.

Charcot triad (characteristic of acute cholangitis). Pain. Fever. Jaundice. All of the above.

Raynaud pentada. Pain. Fever. Jaundice. Hypotension. Disturbance of consciousness. All of the above.

What is strangulation?. Blood flow disorder of the pinned meander. Other options missing.

Inguile herl herd. We can’t recap it (operationally necessary). Other options missing.

Hematochezia (fresh blood on the stool) occurs in: Hemorrhoids. Tumor. Chrohn’s disease. Peptic duodenal ulcer. Irritable colon syndrome.

Diagnosis of peptic ulcer: Gastroscopy + haemostasis. Proton pump inhibitors. Surgery. Interventional radiology. Capsule endoscopy.

A 32-year-old male with ulcerative colitis, which he has had since the age of 15, has been in a coma since the age of 15. Age, at 25. Years of falling ill with primary sclerosing cholangitis, receiving maintenance treatment, AF elevated, AST and ALT ok. He feels pain in the lower quadrant, he's lost weight, he's bloating, we feel resistance in his stomach to the touch. Tumor-colon carcinoma. Other options are missing.

Surgical treatment of colon carcinoma stage 2/3. Resection of sigma. Right hemicolectomy. Total removal of the rectum. Appendectomy.