2-uWorld Flashcards
Tx for Patient found to have barret’s esophagus without dysplasia
PPI and endoscopic surveillance (3-5y)
Tx for Patient found to have barret’s esophagus with dysplasia
PPI and endoscopic eradication-OR-surveillance 6mo-1y
(endoscopic eradic ESPECIALLY if high grade dysplasia)
IBD related fistulizations are treated ____ then if that fails then treated _____
medically with TNF-alpha like infliximab
surgically
one lab value that is HIGH in PBC
alk phos! alk phos!!!
you want to diagnose PBC and antimitochondr is negative but you still suspect it, what is next diagnostic step?
get liver biopsy (but clinical dx is good too)
what are worry signs in acute diarrhea that warrants further workup (ie stool culture, cdiff, o&p)?
> 1wk
bloody diarrhea
peritoneal signs
elderly/immunocompr
6stool in 24hr
fever
Cirrhotic found to have no varicies on EGD, start BB?
no
diagnosis of ischemic colitis with CTA or COLONOSCOPY???***
CTA first
colonoscopy second-SUBSEQUENT CONFIRMATION
for a patient suggestive of celiac dz symptoms, then IgA TTransglutaminase is positive, does diagnostics stop there?
no also get small bowel biopsy through endoscopy
inadequate bowel prep should undergo colonoscopy in ___ time
w/in a year
____ is indicated in SBP prophylaxis in patients with ascites and ___
fluoroquinolone
active bleed
when should BB not be given in Cirrhosis (not including obv reasons like low BP)
dont give if patietn hasnt ever had EGD and therefore not seen to have varicies
if they have had EGD and no varicies seen, do not start BB (BB do not prevent formation of varicies)
what is varicies surveillance criteria for cirrhotic compensated
EGD Q 2-3y
what is varicies surveillance criteria for cirrhotic decompensated
EGD Q year
nausea, vomiting after recent roux en y, think ___
stomal stenosis(gastrojejunal anastamosis)
common complication
cholelithiais after ___ gastirc bypass can be mitigated by ___ med after the procedure
roux en y
ursodioxycholic acid
