Gastritis Quiz: Ace Your Exams
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A 36-year-old woman is brought to the emergency department after being found intoxicated on the sidewalk. She is arousable and reports she had several alcoholic drinks earlier that evening followed by multiple episodes of vomiting containing small amounts of blood. The patient reports stabbing epigastric and right upper quadrant abdominal pain for the past hour. She has no significant past medical history or previous surgeries but is currently on oral contraceptive therapy. Temperature is 37°C (98.6°F), pulse is 101/min, respirations are 18/min and blood pressure is 149/82 mmHg. Physical examination shows tenderness to palpation in the epigastrium without rebound or guarding. Laboratory findings are as follows:
Which of the following best describes the pathophysiology of this disease process?
| Laboratory value | Result |
| CBC, Serum | |
| Hemoglobin | 14.5 g/dL |
| Hematocrit | 43.5% |
| Leukocyte count | 10,100 /mm3 |
| Platelet count | 249,000/mm3 |
| MCV | 92 fL |
| RDW | 11.5-14.5% |
| Serum | |
| Sodium | 134 mEq/L |
| Potassium | 4.2 mEq/L |
| Chloride | 98 mEq/L |
| BUN | 18 mg/dL |
| Creatinine | .85 mg/dL |
| Albumin | 3.7 g/dL |
| Lipase | 90 U/L (N = 12-70 U/L) |
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