Clin Med Jeapordy Flashcards
> 90% of pancreatic function is lost before overt symptoms of this occur
Exocrine pancreatic insufficiency
What is typically the first symptom of exocrine pancreatic insufficiency?
Malnourished
What causes gallstones?
Cholesterol (lipids)
A patient who presents not acutely ill with a positive Murphy’s sign and a porcelain gallbladder on US
Chronic cholecystitis
Intense RUQ pain that remains steady for < 6 hrs then resolves
Biliary colic (temporary obstruction)
This endocrine disease is present in up to 50% of pancreatic cancer patients
Diabetes
Imaging that can be used for any abdominal complaint including infection, injury
CT
The most common causes are H. pylori, NSAIDs, alcohol, stress and autoimmune disease
Gastritis
Patients with IBS, COPD, pre-existing cardiac disease of PVD are at an increased risk of developing
Ischemic colitis
This condition is at the greatest risk for developing toxic megacolon?
Ulcerative colitis
The definitive test for this intestinal concern of chronic diarrhea, dyspepsia, and flatulence
EGD mucosal biopsy (celiac disease)
Pathology for this condition will show “onion skin” fibrosis
Primary sclerosing cholangitis
This cancer cell type is the most common found in CRC and colorectal cancer
Adenocarcinoma
Mainstay of treatment in acute pancreatitis are these 3 items
IV Fluids
Pain meds
Nutrition
What are the four components of Quad therapy?
PPI, Bismuth, metronidazole, tetracycline
What is used to remove stones from the common bile duct?
ERCP
These are the two features of small bowel on US
Plicae circulares and central location
CT with IV contrast is imaging of choice in this presentation
Acute pancreatitis (should already be NPO so no oral)
Esophageal bleeding that onsets after heavy vomiting
Mallory-Weiss tear
Rising values for these two blood markers are the best assessment for the evolution of pancreatitis
BUN and HcT
Definitive treatment for 150+ polyps found during a screening colonoscopy on a 15yo with a positive family history
protocolectomy
This stool-based test can be done every 3 years to screen for CRC
FIT-DNA
The predominant screening marker is tested in CRC and pancreatic cancer
CEA and CA 19-9
Imaging done to check the patency of anastomosis s/p colon surgery
Double contrast barium enema
Abdominal pain and pancreatic insufficiency are the primary manifestations
Chronic pancreatitis
The condition causing a child with asthma, allergy and atopy to present with frequent episodes of food impaction
Eosinophilic esophagitis
