4-uWorld Flashcards
tx for microcytic colitis
STOP triggering meds ie nsaid, ppi, ssri
ADD loperamide/cholestyramine prn
if needed ADD po budesonide
refratory to budes?–>add TNFalpha (infliximab)
DO NOT ADD SUPPOSITORY MESALAMINE(5aminosalisyl) OR STEROID–those are good for UC
in acute pancreatitis when does serum lipase return to normal
in 1wk to 2wks
persistent elevation weeks after acute pancreatitis treated can indicate
pancreatic pseudocyst (NOT chronic pancreatitis)
is it true that pseudocyst resolve spontaneously most of time?
yes
before doing gastric emptying study, what should be done first for evaluating gastroparesis?
EGD to r/o obstruction-of gastric outlet (ie stricture 2/2 gastric ulcer, gastric polyp)
what is positive result in gastric emptying study to indicate gastroparesis
> 10% retention in 4hr
what meds to tx autoimmune hepatitis
Prednisone with/without Azathioprine
patient is waking up at night due to acid reflux, having wheezing, never tried PPI, do you
give them PPI trial or EGD?
PPI trial
(yes those are severe signs but not requiring EGD)
RED FLAG SIGNS for patient with epigastric discomfort and acid reflux that should go
straight to EGD and SKIP the PPI trial*
> 50yo
Anemia, melena, hematemesis
weight loss
dysphagia
FAILED 4-6wk PPI trial
screening and vaccination for celiac disease
DEXA scan upon diagnosis
Pneumococcal vaccine
what are two types of cholangiographies
ERCP and MRCP
liver biopsy is ____(useful/not) for PBC and ____ (useful/not)for PSC
Useful-PBH
Not-PSC , unless cholangiogram doesnt give an answer
what is diagnostic test of choice for PSC*****************
MRCP ERCP
either of cholangiograms^^
patient comes with dysphagia, has acid reflux, what is next step?
EGD EGD EGD!!!
initial eval of oropharyngeal dysphagia
modified barium swallow
(EGD and manometry have LIMITED role)
signs of oropharyngeal dysphagia
upon swallow you get: (for both solids and liquids)
nasal regurg
coughing
choking
