cases of liver

[dr.saba7 al-mshary]

السلام عليكم
شلونكم شباب : ان شاء الله تمام ..
عندي بعض الكيسات تحتاج لاجووبة ..
وشوفونـآ شطارتكم ،[خاصة دكتور محمود ود. احمد عنزي :D

case 1
Which of the following statements about alcoholic
liver disease is not true?
A. Pathologically, alcoholic cirrhosis is often characterized
by diffuse fine scarring with small regenerative
nodules.
B. The ratio of AST to ALT is often higher than 2.
C. Serum aspartate aminotransferase levels are often
greater than 1000 U/L.
D. Concomitant hepatitis C significantly accelerates the
development of alcoholic cirrhosis.
E. Serum prothrombin times may be prolonged, but
activated partial thromboplastin times are usually

[PaceMaker]

Pat. 35y old with liver cirrhosis and ascites >>>>>>>>>>>>>> and oliguria by boi. Examination ↑↑↑ serum creatinen and urine sodium excretion below 10 mm/day and after 13 days he died what is the cause of death and what happened doctors???

[Dr.A7mad 3nzi]

وعليكم السلآم

يالله حيه أبو صبيح

امممممم

خيو أتوقع الاجابه b هي الخطأ .. لأن مآ مرت علي <<< البآرحه ملجت الكبد هههههههههههههه

:d

[dr.saba7 al-mshary]

هـلأ احممد : تقولي ملجت الكبد شو يعني ( درستو منيح مثلن ) شكلك مو دارس شي لان جوابك خطـأ الجواب الصح c


The answer is C. Alcoholic cirrhosis is the most common type of cirrhosis
encountered in North America. Unlike some other causes of cirrhosis, pathologically it is
characterized by small, fine scarring and small regenerative nodules. Therefore, it sometimes
is referred to as micronodular cirrhosis. There is clear evidence that excessive alcohol
use in the setting of chronic hepatitis C strongly increases the risk of development of
cirrhosis; therefore, screening and appropriate counseling are essential. Ethanol results in
proportionally greater inhibition of ALT synthesis than AST synthesis. Therefore, serum
AST is usually disproportionately elevated relative to ALT, resulting in a ratio greater than
2. The liver is the site of vitamin K–dependent carboxylation of coagulation factors II,
VII, IX, and X. Therefore, with progressive deterioration in liver function, elevations in
serum prothrombin time result, as the extrinsic pathway of coagulation is primarily dependent
on tissue factor and factor II. The intrinsic pathway contains many other unaffected
factors, and the activated partial thromboplastin time is often normal. Unlike the
case in acute viral hepatitis, acetaminophen toxicity, and vascular congestion, alcoholic
injury to the liver rarely elevates the transaminases above levels in the hundreds. Elevations
in the AST above 500 to 600 U/L should prompt a search for alternative or coincident
diagnoses.

[dr.saba7 al-mshary]

:Dإوكي احمد بعطيك كيس ثاني وورينا شطـآرتك بس هالمره الكيس سهل :
case 2
A 26-year-old woman presents to your clinic and
is interested in getting pregnant. She seeks your advice regarding
vaccines she should obtain, and in particular asks
about the hepatitis B vaccine. She works as a receptionist
for a local business, denies alcohol or illicit drug use, and
is in a monogamous relationship. Which of the following
is true regarding hepatitis B vaccination?


A. Hepatitis B vaccine consists of two intramuscular
doses 1 month apart.
B. Only patients with defined risk factors need be vaccinated.
C. Pregnancy is not a contraindication to the hepatitis
B vaccine.
D. This patient’s hepatitis serologies should be checked
prior to vaccination.
E. Vaccination should not be administered to children
under 2 years old.

[Dr.Tariq]

I think C is true

[Dr.A7mad 3nzi]

صرت ما تعرف شنو يعني ملجت ؟

كح كح

على الأغلب سي هو الصحيح

لأن اللقاحات اللي تتعارض مع الحمل ..

MMR

polio

rubella

هذوله اللي أتذكرهم حاليا

مشكور يا بطل عالكيسات الحلوه

لآتنسى بكرا شربنا نسكآفيه لأني مسطل من الحين

سلآم

[dr.saba7 al-mshary]

The answer is C.
اوكي حبيب جوابك صحيح : وحاضرين نشربك نيسكـآفيه ونغديك كمـآن :( مخلفك وناسيك )

[Dr.A7mad 3nzi]

هههههههههههههههه

[Dr:MahmouD]

Pat. 35y old with liver cirrhosis and ascites >>>>>>>>>>>>>> and oliguria by boi. Examination ↑↑↑ serum creatinen and urine sodium excretion below 10 mm/day and after 13 days he died what is the cause
of death and what happened doctors???


advanced cirrhosis>>>>extreeeeem underfilling of the arterial circulation>>>>>seeeveeer renal vasoconstriction>>>>>type 1 HRS

[Dr:MahmouD]

السلام عليكم
شلونكم شباب : ان شاء الله تمام ..
عندي بعض الكيسات تحتاج لاجووبة ..
وشوفونـآ شطارتكم ،[خاصة دكتور محمود ود. احمد عنزي :d


ابو مشاري عم ترمينا بحجارك ها ......ههههههه

ما لقيت غير محمود و احمد يحلو كيسات ....هههههههه

[Dr:MahmouD]

صرت ما تعرف شنو يعني ملجت ؟

كح كح

على الأغلب سي هو الصحيح

لأن اللقاحات اللي تتعارض مع الحمل ..

MMR

polio

rubella

هذوله اللي أتذكرهم حاليا



سلآم

لا ذاكرتك ناااااااار ابو حميد
MMR= mumps + measles + rubella

اقلام تنبض بال.......ابداع هههههه