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CASE STUDY 13.3 32-year-old Hispanic female presents to the emer gency department with abdominal pain, weakness, and loss of
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1. The laboratory test will include :-

- Complete blood count for detecting infection

- Liver function test to detect any liver disorder

- Pregnancy test

- Urine analysis for detecting infection of lower pelvic organs

Others tests include :-

X-RAY of abdomen

Abdominal ultrasound

2. The enzyme test that will be useful in diagnosing this patient are :-

- gastric enzymes ( pepsin ) for detecting stomach ulcer

- liver enzymes ( ALT ,APT ,GGT ) will be helpful in detection of liver diseases.

- pancreatic enzymes (lipase and amylase ) to detect for pancreatitis

3. The two diagnosis that are most likely for this patient is

- Stomach ulcers as she belong to hispanic group and they are more prone to gastric ulcers and also the sign and symptoms assessed are same as seen in gastric ulcers

- irritable bowel syndrome

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