Abdo Flashcards

1
Q

Portal hypertension

A

Splenomegaly
Ascites
Visible veins

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2
Q

Risk factors for peptic ulcer disease

A

H.pylori infection
NSAIDs

Rare: Zollinger-Ellison (high gastrin)

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3
Q

Management of PUD

A

Lifestyle

H.pylori positive: Triple therapy:
Amoxicillin or Metronidazole
Clarithromycin
PPI (eg omeprazole)

H.pylori negative: PPI or H2 antagonist

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4
Q

Extra GI features of IBD

A
Apthus in mouth
Erythema nodosum
Pyoderma gangrenosum
Episcleritis/ anterior uveitis
Arthritis
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5
Q

Coeliac disease features

A
Diarrhoea 
Weight loss
Abdominal pain
Bloating
N&V

Signs:
Dermatitis herpetiformis
Angular stomatitis (Due to iron deficiency)

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6
Q

Causes of bloody diarrhoea

A

CHESS
Campylobacter/ Clostridium difficile

Haemorrhagic E.coli
Entamoeba hystolytica
Salmonella
Shigella

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7
Q

What are the causes of hepatomegaly?

A

3 Cs

Cancer
Cirrhosis (usually early)
Cardiac (Congestive heart failure, constrictive pericarditis)

Then Inflitration: fatty, amyloidosis, sarcoidosis

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8
Q

Causes of splenomegaly

A

Portal hypertension
Haematological
Infection
Inflammation

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9
Q

What does decompensated liver disease mean?

A

Jaundice
Encephalopathy
Ascites

Also varriceal bleeds can occur

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10
Q

Spontaneous Bacterial Peritonitis Diagnosis

A

Decompensated liver disease

Diagnosis: Tap ascites. Ascites neut >250 cells/mm3

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11
Q

5 causes of abdominal distension

A

5 Fs

Fluid (ascites)
Flatus (obstruction, N&V, no bowel movement, high pitched BS)
Faeces
Fat
Fetus
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12
Q

Ascites treatment

A

Decrease salt intake

Diuretics (furosemide, spironolactone)

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13
Q

Oesophageal varices acute management

A

Resuscitation
Terlipressin/ DDAVP
Or endoscopic ligation/ shunt
Prophylactic antibiotics

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14
Q

Oesophageal varices prophylaxis

A

b blocker

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15
Q

Causes of acute pancreatitis

A

I GET SMASHED

Idiopathic
Gallstones
Ethanol (alcohol)
Trauma
Steroids
Mumps
Autoimmune
Scorpion bites
Hyperlipidaemia/hypercalcaemia (metabolic disorders)
ERCP
Drugs
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16
Q

Primary Billiary Cholangitis key points

A

Anti mitochondrial antibody (AMA)
Diagnosis with biopsy

Associated with:
RA
Thyroid
Sjogren’s

17
Q

Primary Sclerosing Cholangitis key points

A

pANCA antibody
Diagnosis with ERCP

Associated with UC

18
Q

UC Management

A

Topical 5-ASA is the first step in mild disease
If extensive colitis, oral 5-ASA

In severe illness first step is IV corticosteroid and fluids, and ciclosporin/surgery if not better after 72 hours

19
Q

Crohn’s disease Management

A

MDT, Education, Smoking cessation

Corticosteroid to induce remission, maintain with azathioprine or mercaptopurine

20
Q

How do you diagnose hiatus hernia?

A

Barium studies

21
Q

Smoking and IBD

A

Increases risk 3-4 times for Crohn’s

May be protective for UC