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Old 08-28-2011
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Default abdominal pain

A 38-year-old woman with 3 days of nausea and abdominal pain is found to have extremely thickened and enlarged gastric rugae. Which of the following conditions are expected to be associated with her condition?
A. Decreased mucous secretion
B. Decreased plasma oncotic pressure
C. Parietal cell hypertrophy
D. Hyperalbuminemia
E. None of the above
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Old 08-28-2011
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C).parietal cell hypertrophy. due to hypergastrinemia
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Old 08-28-2011
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A 38-year-old woman with 3 days of nausea and abdominal pain is found to have extremely thickened and enlarged gastric rugae. Which of the following conditions are expected to be associated with her condition?
A. Decreased mucous secretion
B. Decreased plasma oncotic pressure
C. Parietal cell hypertrophy
D. Hyperalbuminemia
E. None of the above

Last edited by mayursn39; 08-29-2011 at 06:09 AM.
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Old 08-28-2011
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menetrier disease has pr loss. should be decreased plasma oncotic pressure.
how to differentiate it form linitis plastica adenomcarcinoma?
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Old 08-28-2011
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think its b
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Old 08-29-2011
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I just now read in U World. Gastric rugae thickening are also seen in ZE syndrome...
So whats the answer??
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Old 08-29-2011
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Quote:
Originally Posted by mayursn39 View Post
I just now read in U World. Gastric rugae thickening are also seen in ZE syndrome...
So whats the answer??
that ws the reason i choose C). bt i think , for it to be a ZE syndrome, she should hav diarrhoea also...
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Old 08-29-2011
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Quote:
Originally Posted by ricko335 View Post
A 38-year-old woman with 3 days of nausea and abdominal pain is found to have extremely thickened and enlarged gastric rugae. Which of the following conditions are expected to be associated with her condition?
A. Decreased mucous secretion
B. Decreased plasma oncotic pressure
C. Parietal cell hypertrophy
D. Hyperalbuminemia
E. None of the above
mentrier disease causes hypoalbumenemia and then peripheral edema so the ans is B!
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Old 08-30-2011
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The correct answer is B.
Hypertrophic gastric rugae suggests Menetrierís disease, in which mucous secretion is increased. Because protein is part of mucous, this is also a form of protein losing enteropathy (hence the patientís weight loss). Serum albumin levels are decreased, and plasma oncotic pressure is also decreased, leading to dependent edema. Although the rugae are hypertrophic, parietal cells are actually atrophic due to burnout (over secretion).
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