docdoc
Forum Senior
Topics: 20
Posts: 104
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1) 67 years old lady complains parathesias in the limbs and examintaion shows loss of vibrationn, position sense and light touch in the lower limb. She is found to have pernicious anemia. Endoscopy reveals an ulcer in the body of the stomach. She most likely has:
A) excess of b12
B)deficincy of vit K
C) cancer of stomach
D)benign gastric ulcer
E) esophageal varices
2) 60 year old lady undergoes vagotomy and pyloroplasty for duodenal ulcer disease. Gallsotone are noted at the time of the original operation. Eight days following surgery, she developes abdominal pain and right upper quandrant tenderness. In order to determine if the gallbladder is the cause of the symptoms, she should undergo:
A) Supine xray
B)HIDA scan
C)USG
D)Erect exay
E)Intravenous cholangiography
3) A 50 years old man presents with vague gastric complaints. Findings on physical examniation are negative. The serum albumin level is markedly reduced - 1.8 g/100ml. Barium xray showss massive gastric folds within the proximal stomach. This is confirmed at endoscopy. Select one diagnosis:
A) Hypertrophic pyloric stenosis
B) Gallstone ileus
C)mallory-weiss tear
D) Menetrier's Disease
E) Crohn's
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| tess
Forum Guru
Topics: 131
Posts: 368
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1) c
2) c
3) d
:roll:
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| docdoc
Forum Senior
Topics: 20
Posts: 104
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Great!
The answer for 2 was HIDA scan.
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| tess
Forum Guru
Topics: 131
Posts: 368
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I was quite hesitating between USG and HIDA when I did the second one; still confused. Docdoc, would you please give a brief explanation or someone share your idea how to choose for the tests for Gallstones? Thanks! :!:
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| docdoc
Forum Senior
Topics: 20
Posts: 104
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HIDA scan is done for patency of cystic duct. If its patent, the substance will enter bladder, if not the bladder wont be visualized.
During Acute cholecystitis HIDA is confirmatory test.
If there is jaundice, USG is used to confirm wether its due to stones or cancer. Thick walled bladder will show stone while think walled bladder signifies malignancy.
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