Gastrointestinal system Question Set 1

A 42 year old female presents with a chief complaint of pruritus for the past 3 months. There is progressive weakness for the past couple of months. She is complaining of excessive daytime somnolence and is losing interest in activities which used to be fun. She is an alcoholic and drinks around 20 Oz per week. She smokes marijuana once in awhile and says she never used intravenous drugs. Lab investigations include: Proteins, serum Total 6.5 g/dL Albumin 4.5 g/dL Globulin 1.9g/dL Total Bilirubin 5.8 mg/dL Serum ALT 86 U/L Serum AST 84 U/L Serum ALP 224U/L ANA : Positive Anti-Mitochondiral Antibody : Positive Anti HBs : Positive Anti HBc : Negative The most likely cause for the above findings is:

A 64 year African American male presents with a chief complaint of fever and abdominal pain. Pain is in the right upper quadrant. He is a chronic alcoholic and smoker and reports intravenous drug abuse. On examination icterus is present, liver span is 7 cm with no obvious spleen enlargement. Laboratory results include: Proteins, serum Total 5.5g/dL Albumin 3.0 g/dL Serum AST 298 U/L Serum ALT 142 U/L Serum ALP 100U/L Serum Amylase 120 IU/L Total Bilirubin 4mg/dL Hepatitis Panel HBsAg : Negative HbeAg : Negative Anti HbC(Ig G & Ig M) : Negative Anti HbeAg : Negative Anti HBs : Positive What is the most likely cause for this condition?

A 48 year old female was brought to the ER for severe chest pain. An episode of severe retching and blood filled vomiting preceded the onset of chest pain. Past history includes gastric ulcer five years ago for which complete treatment was received. She had a binge drinking episode last night. Her Blood Pressure is 110/68 mmHg; Pulse is 90/min, oxygen saturation of 90%; EKG shows no abnormal ST segment elevations. Cardiovascular examination is normal and crepitations can be heard in the left lower base of lung. The most likely mechanism for the present situation is?

A 65 year old female presents to the emergency room with severe abdominal pain and bloody diarrhea. Examination shows a diffuse tender abdomen with the absence of bowel sounds. Plain abdominal X-ray is negative for free air under the diaphragm. He suffered a myocardial infarction six months ago. Lab findings show serum amylase of 115 U/L, serum lipase 95 U/L. She was a smoker for 25 years and has consumed 80 ounces of alcohol per week. The clinical condition deteriorated and most likely finding on autopsy is?

A 75-years-old woman presents to the hospital for episodes of abdominal pain following meals. These episodes of pain have worsened over the past year. She has had type-2 diabetes mellitus for over 30 years. Her Hb A1C is 10%. She has a blood pressure of 110/70 mmHg and pulse rate of 80 beats/min. On abdominal examination, there are no masses, no visceromegaly or tenderness on palpation, and bowel sounds are audible on auscultation. Which of the following pathological condition is most probable to be present in this woman?