Cmpp Gi Finals Study Guide Graded A+

which adenomatous polyps appearance is most likely to cause cancer {Ans: sessile}cirrhosis labs and findings {Ans: â—¦AST and ALT- moderate increase â—¦Alk Phos â—¦Usually elevated but less than 3x ULN, if higher consider cholestatic liver disease â—¦Bilirubin â—¦Usually normal in compensated cirrhosis â—¦Albumin â—¦Levels fall as liver loses synthetic function â—¦Coagulopathy â—¦The higher the INR, the worse the hepatic dysfunction â—¦Sodium â—¦Hyponatremia is common as these patients cannot excrete excess water â—¦CBC -Most commonly, thrombocytopenia}Explain rectal bleeding in UC {Ans: â—¦Due to rectal inflammation â—¦Bleeding is a more common symptom in UC than in Crohn's Disease}if liver biopsy was done, what would you expect to see in alcoholic fatty liver patient {Ans: â—¦Biopsy would show macrovesicles of fat accumulation inside hepatocytes â—¦Nothing on histology tells you it is from alcohol}acute cholecystitis physical exam {Ans: â—¦Often look sick: Febrile, Tachycardic â—¦May lay still on exam table bc pain is worse with movement â—¦+ Murphy's sign}life of RBC {Ans: 120 days}