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Questions and Answers
What is the primary mode of transmission for HCV?
What is the primary mode of transmission for HCV?
- Oral contact with contaminated water
- Sexual contact with an infected partner
- Inhalation of infected respiratory droplets
- Percutaneous exposures, particularly through injection drug use (correct)
Which cells in the pancreatic islets are primarily responsible for insulin production?
Which cells in the pancreatic islets are primarily responsible for insulin production?
- Delta cells
- Alpha cells
- Acinar cells
- Beta cells (correct)
What is the role of acinar cells in the pancreas?
What is the role of acinar cells in the pancreas?
- Store bile for digestion
- Regulate blood glucose levels
- Release hormones into the bloodstream
- Synthesize digestive enzymes (correct)
What is the main anatomical feature that drains pancreatic enzymes into the duodenum?
What is the main anatomical feature that drains pancreatic enzymes into the duodenum?
What is the rank of colorectal cancer among commonly diagnosed cancers in the United States?
What is the rank of colorectal cancer among commonly diagnosed cancers in the United States?
What does a venous hum indicate regarding blood circulation?
What does a venous hum indicate regarding blood circulation?
Which condition is indicated by the presence of a hepatic bruit?
Which condition is indicated by the presence of a hepatic bruit?
When auscultating for bowel sounds, how long should you listen before concluding they are absent?
When auscultating for bowel sounds, how long should you listen before concluding they are absent?
What does tympany over the gastric air bubble typically indicate?
What does tympany over the gastric air bubble typically indicate?
During light palpation of the abdomen, what should be identified?
During light palpation of the abdomen, what should be identified?
What is suggested by the presence of arterial bruits with both systolic and diastolic components?
What is suggested by the presence of arterial bruits with both systolic and diastolic components?
What is considered a rare finding that points to situs inversus?
What is considered a rare finding that points to situs inversus?
What technique is employed during light palpation of the abdomen?
What technique is employed during light palpation of the abdomen?
What does borborygmi indicate in the gastrointestinal tract?
What does borborygmi indicate in the gastrointestinal tract?
What does the presence of tympany throughout a protuberant abdomen suggest?
What does the presence of tympany throughout a protuberant abdomen suggest?
What condition might be indicated by dull areas suggesting possible ascites?
What condition might be indicated by dull areas suggesting possible ascites?
What should be done when identifying abdominal bruits during examination?
What should be done when identifying abdominal bruits during examination?
Which of the following is a possible associated condition with the presence of friction rubs?
Which of the following is a possible associated condition with the presence of friction rubs?
What might dullness in both flanks during abdominal percussion indicate?
What might dullness in both flanks during abdominal percussion indicate?
What does scattered dullness in the abdomen typically suggest?
What does scattered dullness in the abdomen typically suggest?
What should be noted when percussion reveals a change from tympany to dullness?
What should be noted when percussion reveals a change from tympany to dullness?
What characterizes the Immune-Active Phase of iron overload?
What characterizes the Immune-Active Phase of iron overload?
Which iron accumulation amount is typically seen in cases of excessive body iron?
Which iron accumulation amount is typically seen in cases of excessive body iron?
In which phase is HBsAg positive and minimal inflammation noted?
In which phase is HBsAg positive and minimal inflammation noted?
What is often a consequence of fully developed hemochromatosis in patients?
What is often a consequence of fully developed hemochromatosis in patients?
Which condition is associated with autoimmune hepatitis?
Which condition is associated with autoimmune hepatitis?
Which viral infection is known for causing infectious mononucleosis?
Which viral infection is known for causing infectious mononucleosis?
What is the primary treatment for autoimmune hepatitis?
What is the primary treatment for autoimmune hepatitis?
What percentage of patients with hemochromatosis typically develops diabetes mellitus?
What percentage of patients with hemochromatosis typically develops diabetes mellitus?
What is the primary location of the sphincter of Oddi?
What is the primary location of the sphincter of Oddi?
Which of the following is NOT considered a strong risk factor for colorectal cancer?
Which of the following is NOT considered a strong risk factor for colorectal cancer?
What is the most effective prevention strategy for colorectal cancer?
What is the most effective prevention strategy for colorectal cancer?
What do cuboidal cells lining the smaller ductules secrete?
What do cuboidal cells lining the smaller ductules secrete?
What is the function of the CFTR protein expressed by columnar cells lining larger ducts?
What is the function of the CFTR protein expressed by columnar cells lining larger ducts?
Which screening method is used to detect colorectal cancer early?
Which screening method is used to detect colorectal cancer early?
What catastrophic event can occur due to autodigestion of the pancreas?
What catastrophic event can occur due to autodigestion of the pancreas?
In which part of the digestive system is the sphincter of Oddi located relative to the pylorus?
In which part of the digestive system is the sphincter of Oddi located relative to the pylorus?
What is a critical reason for differentiating autoimmune pancreatitis from neoplasia?
What is a critical reason for differentiating autoimmune pancreatitis from neoplasia?
Which mutation is commonly associated with invasive neoplasms arising from mucinous cystic neoplasms?
Which mutation is commonly associated with invasive neoplasms arising from mucinous cystic neoplasms?
What characteristic differentiates a pancreatic pseudocyst from other pancreatic cysts?
What characteristic differentiates a pancreatic pseudocyst from other pancreatic cysts?
In which population are intraductal papillary mucinous neoplasms (IPMNs) more frequently found?
In which population are intraductal papillary mucinous neoplasms (IPMNs) more frequently found?
Which feature is used to differentiate intraductal papillary mucinous neoplasms from mucinous cystic neoplasms?
Which feature is used to differentiate intraductal papillary mucinous neoplasms from mucinous cystic neoplasms?
What percentage of pancreatic cysts are pancreatic pseudocysts?
What percentage of pancreatic cysts are pancreatic pseudocysts?
What is a commonly observed mutation in mucinous cystic neoplasms?
What is a commonly observed mutation in mucinous cystic neoplasms?
How many years do patients with an invasive adenocarcinoma arising in a mucinous pancreatic carcinoma typically succumb to their disease?
How many years do patients with an invasive adenocarcinoma arising in a mucinous pancreatic carcinoma typically succumb to their disease?
Flashcards
Borborygmi
Borborygmi
Prolonged gurgles or rumbling sounds in the abdomen, caused by increased bowel activity.
Bruits
Bruits
Turbulent sounds heard over arteries, indicating abnormal blood flow.
Friction Rubs (abdomen)
Friction Rubs (abdomen)
Infrequent, grating sounds over abdominal organs, associated with inflammation or infection.
Abdominal Tympany
Abdominal Tympany
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Protuberant Abdomen with Tympany
Protuberant Abdomen with Tympany
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Ascites
Ascites
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Dullness on Percussion (Abdomen)
Dullness on Percussion (Abdomen)
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HCV Transmission
HCV Transmission
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HCV Screening
HCV Screening
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Colorectal Cancer
Colorectal Cancer
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Pancreas Endocrine
Pancreas Endocrine
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Pancreas Exocrine
Pancreas Exocrine
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Pancreatic Enzymes
Pancreatic Enzymes
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Tympany over Gastric Air Bubble
Tympany over Gastric Air Bubble
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Situs Inversus
Situs Inversus
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Increased Bowel Sounds
Increased Bowel Sounds
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Decreased/Absent Bowel Sounds
Decreased/Absent Bowel Sounds
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Venous Hum
Venous Hum
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Hepatic Bruit
Hepatic Bruit
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Arterial Bruit
Arterial Bruit
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Light Palpation
Light Palpation
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Abdominal Tenderness
Abdominal Tenderness
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Abdominal Muscular Resistance
Abdominal Muscular Resistance
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Superficial Organs
Superficial Organs
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Masses (abdomen)
Masses (abdomen)
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Hernias
Hernias
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Colorectal Cancer Risk Factors
Colorectal Cancer Risk Factors
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Colorectal Cancer Prevention
Colorectal Cancer Prevention
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Pancreatic Duct Opening
Pancreatic Duct Opening
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Pancreatic Secretion Cells
Pancreatic Secretion Cells
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Pancreatic Autodigestion
Pancreatic Autodigestion
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Autoimmune pancreatitis
Autoimmune pancreatitis
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Mucinous cystic neoplasms
Mucinous cystic neoplasms
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Pancreatic pseudocysts
Pancreatic pseudocysts
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Intraductal papillary mucinous neoplasms (IPMNs)
Intraductal papillary mucinous neoplasms (IPMNs)
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Pancreatic Carcinoma
Pancreatic Carcinoma
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KRAS mutations
KRAS mutations
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TP53 mutations
TP53 mutations
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SMAD4 mutations
SMAD4 mutations
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RNF43 mutations
RNF43 mutations
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Iron Overload
Iron Overload
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Iron Overload Organs
Iron Overload Organs
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Primary Iron Overload
Primary Iron Overload
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Secondary Iron Overload
Secondary Iron Overload
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Autoimmune Hepatitis
Autoimmune Hepatitis
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Autoimmune Hepatitis Markers
Autoimmune Hepatitis Markers
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Autoimmune Hepatitis Treatment
Autoimmune Hepatitis Treatment
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Viral Liver Infections
Viral Liver Infections
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HBV-Chronic Hepatitis Stages
HBV-Chronic Hepatitis Stages
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Study Notes
Gastrointestinal System 2
- Jaundice (icterus) is a yellowish discoloration of skin and sclerae caused by elevated bilirubin levels.
- Jaundice is usually noticeable when plasma bilirubin exceeds 3 mg/dL.
- Jaundice can have a greenish tinge if bilirubin is oxidized to biliverdin.
- Increased bilirubin production (e.g., hemolytic anemia), reduced uptake/conjugation by hepatocytes, and decreased excretion can lead to jaundice.
- Intrahepatic jaundice involves liver cell damage or impaired bile duct function.
- Extrahepatic jaundice stems from bile duct obstruction (e.g., gallstones, tumors).
- Painless jaundice suggests malignant obstruction (e.g., bile duct or pancreatic cancer).
Physical Examination: General Approach
- Position patient supine with pillow support.
- Observe patient's general appearance (demeanor, distress).
- Inspect for skin temperature, color, discolorations.
- Listen to bowel sounds prior to palpation or percussion.
- Percuss to assess tympany and dullness in quadrants.
- Lightly palpate for tenderness and masses.
- Deep palpate to check for masses, liver/spleen edge, or rebound tenderness.
Techniques of Examination
- Inspect appearance, contour, and movements of the abdomen.
- Palpate lightly for tenderness, masses, and rigidity, in all quadrants.
- Deep palpate with two hands, noting liver edge, masses, tenderness, and pulsations.
- Check for peritonitis with guarding, rigidity, and rebound tenderness.
- Percuss to detect splenic enlargement in Traube space.
- Check for costovertebral angle (CVA) tenderness, using fist percussion if needed.
Bowel Sounds
- Normal sounds: Clicks and gurgles (5-34 per minute).
- Hypoactive: (<5 per minute)
- Hyperactive: (>34 per minute).
- Auscultate abdominal region for suspected pain location.
Skin Inspection
- Note skin temperature, color, and presence of scars or striations (stretch marks).
- Evaluate any bruising, erythema, or jaundice.
- Assess for dilated veins, indicating portal hypertension.
- Note presence of rashes or ecchymoses, (bruising) in intra/retroperitoneal hemorrhage.
Localized Abdominal Wall Bulges
- Note umbilical, incisional, epigastric hernias, and diastasis recti.
- Examine for hernias by palpating affected areas with Valsalva maneuver.
- Assess diastasis recti (separation of rectus muscles) in supine patients.
Abdominal Masses
- Note symmetry or asymmetry of the abdomen.
- Note possible cause of asymmetry, like hernias, enlarged organs, or masses.
- Look for enlarged liver or spleen protruding below the rib cage.
- Look for lower abdominal masses or hernias.
- Be aware of the possibility of a lipoma (benign fatty tumor).
Peritoneal Signs
- Evaluate for guarding, rigidity, and rebound tenderness.
- Guarding = voluntary contraction diminishes with distraction.
- Rigidity =reflex contraction (suggests peritonitis) persisting through examinations.
- Rebound tenderness = pain when pressure is quickly released, suggestive of peritonitis.
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