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1.Please provide a brief explanation of subtotal gastrectomy long-term consequences.
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- 1. A 57-year-old man is admitted to the emergency department with complaints of acute onset of intense abdominal pain. On physical examination, the pain appears to be localized to the upper abdomen near the epigastric area and radiating to the back. While being examined, the patient experiences nausea and vomiting. The patient denies recent alcohol consumption and states that he has not been feeling well during the past few days. A. What diagnoses should be considered for the patient? B. What laboratory tests can aid in making a definitive diagnosis?1. What is the Periodontium ? What are the different parts of the periodontium. Describe each. 2. What is the most common periodontal disease? 3. What is fetor oris? What are some possible causes of Fetor oris.B. Give the medical term for the below surgical procedures 11. Removal of the gallbladder - 12. Large bowel resection - 13. Suture of a weakened muscular wall (hernia) - 14. New opening of the first part of the colon to the outside of the body - 15. Surgical repair of the abdomen - 16. Incision of a ring of muscles - 17. Removal of the pancreas and duodenum - 18. Opening of the third pat of the small intestine to the outside of the body - 19. Removal of gum tissue - 20. Anastomosis between the gallbladder and second part of the small intestine - 21. Surgical puncture of the abdomen for withdrawal of fluid - 22. Surgical repair of the roof of the mouth - C. Give the meanings of the following abbreviations 13. ΤΡΝ- 14. PUD - 15. EGD - 16. IBD - 17. ВЕ- 18. BRBPR - 19. LTFS 20. GERD - 21. HBV - 22. СТ—
- CASE STUDY Acute Pancreatitis Patient Profile V.A. is a 55-year-old man admitted to the hospital with acute pancreatitis. Subjective Data • Has severe abdominal pain in the LUQ radiating to the back • States that he is nauseated and has been vomiting Objective Data Physical Examination • Vital signs: Temp 101°F (38.3°C), HR 114 bpm, RR 26, BP 92/58 • Jaundice noted in sclera Laboratory Tests • Serum amylase: 400 U/L (6.67 mkat/L) • Serum lipase: 600 U/L . Urinary amylase: 3800 U/day • WBC count: 20,000/μL Blood glucose: 180 mg/dL (10 mmol/L) • Serum calcium: 7 mg/dL (1.7 mmol/L) Collaborative Care • NPO status • NG tube to low, intermittent suction • IV therapy with lactated Ringer's solution Morphine PCA Pantoprazole (Protonix) IV .Provide a detail analysis of the current or propective trreaments of the disease adenocarcinoma in regards to bowel cnacer (colon/rectum)Explain the terms; ileostomy and colostomy
- 1. Male, 30 years old, with sudden mid-upper abdominal knife-cutting pain for 3 hours to see a doctor. Physical examination: total abdominal tenderness, rebound pain, and muscle tension. An upright abdominal radiograph showed free air under the diaphragm. It is speculated that the cause of the patient's peritonitis is: Subphrenic abscess Intestinal abscess Pelvic abscess Rupture of the spleen Gastroduodenal perforation 2. Male, 50 years old, had undergone subtotal gastrectomy for gastric ulcer 20 years ago. In the recent half a year, he had upper abdominal distension after eating, black stool in the past 2 months, and wasting and fatigue. Physical examination: a 6×5cm mass can be reached under the xiphoid process. The texture is hard and can be pushed, accompanied by light tenderness. The first diagnosis considered is: Ulcer recurrence Postoperative input loop obstruction Output loop obstruction Remnant stomach cancer Gastric emptying disorderPlease describe the (a) early complications of gastrectomy for gastroduodenal ulcer and (b) clinical manifestations and treatment principles of acute suppurative cholangitis in full.Topic: Cholecystitis 1. Definition of the disease 2. Signs and Symptoms