Patient should be on a high protein diet is likely to help liver function 35-40 kcal and 1.5g of protein for every kg of body weight per day.
Reply to this Note | Notes Linking Here | KCAL |
Hbeag positive patients. Treat for DNA > 20k and alt greater than 2x normal. Hbv related poly arteritis nodosa.
...Read more
The lactulose breath test can be used to detect bacterial overgrowth. Small intestinal bacterial overgrowth can cause symptoms such as bloating and abdominal pain. It occurs when there is an excessive number of bacteria in the small intestine. Diabetes can be a risk factor for bacterial overgrowth. The test takes about three hours. If the test is positive, then patients can be treated with antibiotics.
...Read more
Bacterial overgrowth can be treated with Ciprofloxacin and Metronidazole. Rifaximin is another treatment. After the treatment, patients can undergo another breath test to determine if the bacteria have been decreased. http://emedicine.medscape.com/article/212861-treatment
...Read more
After treatment with antibiotics, patients can take probiotics to maintain good bacterial flora. Align probiotics contain Bifantis and is sometimes used for bloating. Consult your physician about treatment options. PMID: 18461293
...Read more
But when a long train of abuses and usurpations, pursuing invariably the same Object evinces a design to reduce them under absolute Despotism, it is their right, it is their duty, to throw off such Government, and to provide new Guards for their future security.--Such has been the patient sufferance of these Colonies; and such is now the necessity which constrains them to alter their former Systems of Government.
...Read more
Carcinoid - types I and II: elevated gastrin levels, significantly lower malignancy potential, no intervention is needed if they are less than 1 cm in size. Type III gastric carcinoids: sporadic, absence of atrophic gastritis or gastrinoma. Fasting serum gastrin level: normal in type III gastric carcinoid tumor patients.
...Read more
Dyspepsia - < 55 year old, low-risk patient with no alarm features, the first-line therapy: antisecretory therapy for 4-8 weeks
...Read more
Gastrin is cleared by the kidneys. Renal failure patients therefore have inappropriate elevated levels of gastrin and higher acid output in the stomach.
...Read more
Risks/benefits of EGD discussed with patient including bleeding, infection, perforation, and death. Possibiliy of the need for interventional radiology or surgical intervention also discussed if endoscopy unsuccessful.
...Read more
Risks and benefits of ERCP discussed with patient including bleeding, infection, perforation, pancreatitis, and death. Risk of pancreatitis stated as 15% for moderate pancreatitis and 1% for severe pancreatitis. Patient agreeable to proceed with ERCP.
...Read more