Page 1 of 2: 64 year old woman

bebica · Credits: 25995 My Scrapbook

A 64 year old woman comes to the ER with a 2 day history of abdominal distension, crampy abdominal pain, nausea and vomiting.

Q1
Which of the following facts obtained on history taking might be useful at arriving at a diagnosis? Select upto five
1. anti inflammatory therapy for arthritis
2 chronic pancreatitis
3 chronic renal failure
4 crohns disease
5 diarrhea over past 2 days
6 excessive intake of alcohol
7 family history of familial mediterranean fever
8 family history of sickle cell anemia
9 HTN treated with diuretics
10 intermittent claudication histoy in both calves
11 known gallstones
12 known inguinal hernia
13 nephrotic syndrome
14 pernicious anemia
15 previous abdominal surgery
16 recent breast surgery
17 recent change in bowel habots
18 smoking history
19 symptoms of gastroesophageal reflux
20 family history of malignant hypothermia

Q2 which of the following lab investigations may help u reach a diagnosis in the ER? select upto four?
1 abdominal US
2 arteriogram of superior mesenteric artery
3 barium enema
4 bilateral mammogram
5 blood sugar
6 CBC
7 CT scan
8 CXR PA and lateral
9 ECG
10 lytes, Cr, BUN
11 gastroscopy
12 liver spleen scan
13 MRI abdomen
14 serum Ca, P
15 serum lactate
16 stool for occult blood
17 stool for C& S, O&P
18 supine & upright plain abdominal XR
19 UGI XR with small bowel follow through
20 urinalysis

Dr_ER · Credits: 3287 My Scrapbook

A 64 year old woman comes to the ER with a 2 day history of abdominal distension, crampy abdominal pain, nausea and vomiting.

Q1
Which of the following facts obtained on history taking might be useful at arriving at a diagnosis? Select upto five
1. anti inflammatory therapy for arthritis
2 chronic pancreatitis
3 chronic renal failure
4 crohns disease
5 diarrhea over past 2 days
6 excessive intake of alcohol
7 family history of familial mediterranean fever
8 family history of sickle cell anemia
9 HTN treated with diuretics
10 intermittent claudication histoy in both calves
11 known gallstones
12 known inguinal hernia
13 nephrotic syndrome
14 pernicious anemia
15 previous abdominal surgery
16 recent breast surgery
17 recent change in bowel habots
18 smoking history
19 symptoms of gastroesophageal reflux
20 family history of malignant hypothermia

Q2 which of the following lab investigations may help u reach a diagnosis in the ER? select upto four?
1 abdominal US
2 arteriogram of superior mesenteric artery
3 barium enema
4 bilateral mammogram
5 blood sugar
6 CBC
7 CT scan
8 CXR PA and lateral
9 ECG
10 lytes, Cr, BUN
11 gastroscopy
12 liver spleen scan
13 MRI abdomen
14 serum Ca, P
15 serum lactate
16 stool for occult blood
17 stool for C& S, O&P
18 supine & upright plain abdominal XR
19 UGI XR with small bowel follow through
20 urinalysis

bebica · Credits: 25995 My Scrapbook

A 64 year old woman comes to the ER with a 2 day history of abdominal distension, crampy abdominal pain, nausea and vomiting.

Q1
Which of the following facts obtained on history taking might be useful at arriving at a diagnosis? Select upto five
1. anti inflammatory therapy for arthritis
2 chronic pancreatitis
3 chronic renal failure
4 crohns disease----------
5 diarrhea over past 2 days
6 excessive intake of alcohol
7 family history of familial mediterranean fever
8 family history of sickle cell anemia
9 HTN treated with diuretics
10 intermittent claudication histoy in both calves
11 known gallstones----------
12 known inguinal hernia--------
13 nephrotic syndrome
14 pernicious anemia
15 previous abdominal surgery-----------
16 recent breast surgery
17 recent change in bowel habots--------
18 smoking history
19 symptoms of gastroesophageal reflux
20 family history of malignant hypothermia

Q2 which of the following lab investigations may help u reach a diagnosis in the ER? select upto four?
1 abdominal US---------
2 arteriogram of superior mesenteric artery
3 barium enema
4 bilateral mammogram
5 blood sugar
6 CBC-----------
7 CT scan-----------
8 CXR PA and lateral
9 ECG
10 lytes, Cr, BUN
11 gastroscopy
12 liver spleen scan
13 MRI abdomen
14 serum Ca, P
15 serum lactate
16 stool for occult blood
17 stool for C& S, O&P
18 supine & upright plain abdominal XR-----------
19 UGI XR with small bowel follow through
20 urinalysis[/quote]

ieva · Credits: 3579 My Scrapbook

Q1
Which of the following facts obtained on history taking might be useful at arriving at a diagnosis? Select upto five
1. anti inflammatory therapy for arthritis
2 chronic pancreatitis
3 chronic renal failure
4 >>>crohns disease
5 >>>diarrhea over past 2 days
6 excessive intake of alcohol
7 family history of familial mediterranean fever
8 family history of sickle cell anemia
9 HTN treated with diuretics
10 intermittent claudication histoy in both calves
11 >>>known gallstones
12 >>>known inguinal hernia
13 nephrotic syndrome
14 pernicious anemia
15>>> previous abdominal surgery
16 recent breast surgery
17 recent change in bowel habots
18 smoking history
19 symptoms of gastroesophageal reflux
20 family history of malignant hypothermia

Q2 which of the following lab investigations may help u reach a diagnosis in the ER? select upto four?
1 >>>abdominal US
2 >>>arteriogram of superior mesenteric artery
3 barium enema
4 bilateral mammogram
5 blood sugar
6 CBC
7 CT scan
8 CXR PA and lateral
9 ECG
10 lytes, Cr, BUN
11 gastroscopy
12 liver spleen scan
13 MRI abdomen
14 serum Ca, P
15 serum lactate
16 >>>stool for occult blood
17 stool for C& S, O&P
18 >>>supine & upright plain abdominal XR
19 UGI XR with small bowel follow through
20 urinalysis

ieva · Credits: 3579 My Scrapbook

Maybe i would change
2 >>>arteriogram of superior mesenteric artery
to
7 CT scan
in Q2 from my answers

2Pandai · Credits: 21419 My Scrapbook

Crohn's disease can strike at any age, but you're likely to develop the condition when you're young. Most people are diagnosed with Crohn's between the ages of 20 and 30.

2Pandai · Credits: 21419 My Scrapbook

A 64 year old woman comes to the ER with a 2 day history of abdominal distension, crampy abdominal pain, nausea and vomiting.

Q1
Which of the following facts obtained on history taking might be useful at arriving at a diagnosis? Select upto five
1. anti inflammatory therapy for arthritis
2 chronic pancreatitis
3 chronic renal failure
4 crohns disease
5 diarrhea over past 2 days
6 excessive intake of alcohol
7 family history of familial mediterranean fever
8 family history of sickle cell anemia
9 HTN treated with diuretics
10 intermittent claudication histoy in both calves
11 known gallstones
12 known inguinal hernia
13 nephrotic syndrome
14 pernicious anemia
15 previous abdominal surgery
16 recent breast surgery
17 recent change in bowel habots
18 smoking history
19 symptoms of gastroesophageal reflux
20 family history of malignant hypothermia

Q2 which of the following lab investigations may help u reach a diagnosis in the ER? select upto four?
1 abdominal US
2 arteriogram of superior mesenteric artery
3 barium enema
4 bilateral mammogram
5 blood sugar
6 CBC
7 CT scan
8 CXR PA and lateral
9 ECG
10 lytes, Cr, BUN
11 gastroscopy
12 liver spleen scan
13 MRI abdomen
14 serum Ca, P
15 serum lactate
16 stool for occult blood
17 stool for C& S, O&P
18 supine & upright plain abdominal XR
19 UGI XR with small bowel follow through
20 urinalysis

ieva · Credits: 3579 My Scrapbook

Hi Pandai,
I agree with you about Crohns disease, BUT i think the question is - what you should ask to patient: if she has had this disease. As it is not given in explanation part of the case.

2Pandai · Credits: 21419 My Scrapbook

i think ur right.tq.

mikejonathan20055 · Credits: 3355 My Scrapbook

A 64 year old woman comes to the ER with a 2 day history of abdominal distension, crampy abdominal pain, nausea and vomiting.

Q1
Which of the following facts obtained on history taking might be useful at arriving at a diagnosis? Select upto five
1. anti inflammatory therapy for arthritis-----------------
2 chronic pancreatitis
3 chronic renal failure
4 crohns disease
5 diarrhea over past 2 days -------------------
6 excessive intake of alcohol
7 family history of familial mediterranean fever
8 family history of sickle cell anemia
9 HTN treated with diuretics
10 intermittent claudication histoy in both calves --------------------
11 known gallstones
12 known inguinal hernia ---------------------
13 nephrotic syndrome
14 pernicious anemia
15 previous abdominal surgery-----------------------
16 recent breast surgery
17 recent change in bowel habots
18 smoking history
19 symptoms of gastroesophageal reflux
20 family history of malignant hypothermia

Q2 which of the following lab investigations may help u reach a diagnosis in the ER? select upto four?
1 abdominal US----------------
2 arteriogram of superior mesenteric artery
3 barium enema
4 bilateral mammogram
5 blood sugar
6 CBC
7 CT scan
8 CXR PA and lateral
9 ECG -----------------------------------
10 lytes, Cr, BUN----------------------
11 gastroscopy
12 liver spleen scan
13 MRI abdomen
14 serum Ca, P
15 serum lactate
16 stool for occult blood
17 stool for C& S, O&P
18 supine & upright plain abdominal XR-----------------
19 UGI XR with small bowel follow through
20 urinalysis

		Sign In New User? Sign Up Sign in to access your control panel and messenger!
				TechZone \| SpiderNevi \| HowTo? \| Scrapbook!