abdominal pain

[ricko335]

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

[drnirajmavani]

C).parietal cell hypertrophy. due to hypergastrinemia

[mayursn39]

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

[dr_lizard]

menetrier disease has pr loss. should be decreased plasma oncotic pressure.
how to differentiate it form linitis plastica adenomcarcinoma?

[star123]

think its b

[mayursn39]

I just now read in U World. Gastric rugae thickening are also seen in ZE syndrome...
So whats the answer??

[drnirajmavani]

Originally Posted by mayursn39

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...

[salz]

Originally Posted by ricko335

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!

[ricko335]

The correct answer is B.
Hypertrophic gastric rugae suggests Menetrier’s disease, in which mucous secretion is increased. Because protein is part of mucous, this is also a form of protein losing enteropathy (hence the patient’s 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).