24/02 Flashcards
What vaccine should be given to all coeliac disease sufferers?
Pnuemococcal vaccine
Booster given every 5 years
What factors increase the risk of gastric cancer?
H.pylori infection Pernicious anaemia Atrophic gastritis Salty foods Smoking Blood group
What is the imaging modality of choice in primary sclerosing cholangitis?
MRCP or ERCP
p-ANCA may be positive
What is Lynch Syndrome (HNPCC)?
Genetic condition that predisposes patient to colon cancer
Often affects proximal colon and commonly poorly differentiated
Common metastasis site is the endometrium
How is malnutrition diagnosed?
> 10% weight loss in the past 3-6 months
BMI <18.5
Weight loss of >5% within last 3-6months and BMI <20
All weight loss should be unintentional
What are features of Wilsons disease?
Hepatitis or Cirrhosis Speech/behavioural/psychiatric problems Kayser-Fleischer rings- green brown rings surrounding the iris Haemolysis Acute tubular necrosis Blue nails
What is the management of hepatorenal syndrome?
Vasopressers such as terlipressin
Volume expansion with 20% albumin
TIPS procedure
What is the management of primary biliary cirrhosis?
1st line Ursodeoxycholic acid
Cholestyramine for itching
Fat soluble Vitamin replacement
Liver transplant