Acing the G.I. boards 2 Flashcards
Hyperkeratosis on palms and soles plus dysphasia?
Associated with?
Tylosis (Howell-Evans syndrome)
Leukoplakia, squamous cell esophageal cancer
Constipation + failure to relax internal anal sphincter with balloon dilation?
Hirschsprung’s disease
Pathognomonic for intervascular hemolysis?
Urine hemosiderin
Thick gastric folds + diarrhea + low albumin + edema
Ménétrier’s
Arterial dissection + cirrhosis + liver biopsy with PAS-positive globules
Alpha one antitrypsin deficiency
Difference in gastrin level, gastric pH, and parietal cell mass in corpus versus antral H. pylori?
High gastrin, high gastric pH, decreased parietal cell mass (parietal cells impaired)
High gastrin, low gastric pH, increased parietal cell mass (somatostatin secreting D cells impaired)
Luminal nodule + myeloperoxidase positivity + high LDH?
Most of these patients will develop?
Granulocytic sarcoma (chloroma) - green in color
Leukemia
Young patient + jaundice + abdominal pain + RUQ palpable mass?
Choledochal cyst III
Pre-menopausal woman with cyclic abdominal pain +/- subepithelial GI lesions
G.I. endometriosis
Hepatitis C + low complement + pupuric rash + renal disease + paresthesias
Mixed cryoglobulinemia
Young adult + abdominal pain + low complement + purpuric rash
Henoch-Schönlein Purpura
Hematomas + cobblestone tongue + bumps on face?
Cowden syndrome
AIDS + jaundice + cystic blood-filled space on liver biopsy?
Treatment?
peliosis hepatitis (Bartonella)
Erythromycin
Diarrhea after consuming chocolate milk
Listeria
Diarrhea + tropics + high MCV anemia? Treatment?
Tropical sprue
Tetracycline + folate for 6-12 months