Diseases of the GI System

Question 1

What is dysphagia?

Answer 1

Question 2

Dysphagia Symptoms

Answer 2

Question 3

Where do patients complain of food getting stuck with dysphagia?

Answer 3

Question 4

Diffuse Esophageal Spasm

Answer 4

Question 5

Chronic Peptic Esophagitis “GERD”

Answer 5

Question 6

Nissen Fundoplication

Answer 6

Bougie is inserted (dilator) to use as template to make a faux LES

Question 7

Completed Nissan

Answer 7

Question 8

Effect of Agents on LES Tone

Answer 8

Question 9

Aspiration Pneumonitis

(Mendelson’s Syndrome)

Answer 9

Question 10

Symptoms of Aspiration Pneumonitis

(Mendelson’s Syndrome)

Answer 10

Question 11

Patient risks for aspiration

Answer 11

Question 12

Treatment for preventing aspiration, after aspiration?

Answer 12

Question 13

Hiatal hernia

Answer 13

1. Decrease pH with citrate
2. Reduce volume
3. RSI

Question 14

Esophageal Diverticula and symptoms associated with

Answer 14

Question 15

Zenkers Diverticulum

Answer 15

Be careful with the NG tube, sometimes surgeon can assist placement

Question 16

Mallory-Weiss Syndrome

Answer 16

Tumor induced

Question 17

Peptic Ulcer Disease

Answer 17

Question 18

Zollinger-Ellison Syndrome

Answer 18

Question 19

Symptoms of Zollinger-Ellison Syndrome

Answer 19

Question 20

Inflammatory Bowel Diseases

Answer 20

Will need to give steriod dose, or else you will be fighting hypotension

Question 21

What Is the Role of Steroids in Septic Shock?

Answer 21

Question 22

Peritonitis

Answer 22

(Do not see as much, maybe because we give Abx more now a days)

-Most will get a central line

-Volume and electrolyte status is critical

Question 23

Treatment for Peritonitis

Answer 23

Question 24

Prognosis of Peritonitis

Answer 24

Question 25

Colorectal Cancer

Answer 25

Question 26

Colorectal Cancer anesthetic management:

Answer 26

Question 27

Pancreas Function

Answer 27

Question 28

Pancreatitis

Answer 28

Question 29

Causes of pancreatitis:

Answer 29

Question 30

How does hard liquor differ from beer/wine with pancreatitis?

Answer 30

Question 31

Acute Pancreatitis

Answer 31

Question 32

Chronic Pancreatitis

Answer 32

Will have excess fat, 7-090% pain, diabetes, etc.

Question 33

Sphincter of Oddi

Answer 33

Question 34

Pharmacology of the Sphincter of Oddi

Answer 34

1. Glucagon- 0.1mg IV, will decrease sphincter of Oddi baseline pressure
   - Can cause PONV, allergic reaction
2. N-butylscopolamine bromide (Buscopan)- 40 mg IV
   - Inhibites spasms, takes 3-8min, may facilitate intubation of papilla
3. Nitroglycerin-1.2 mg sublingual

Question 35

Pancreatic Cancer treatment

Answer 35

Question 36

Whipple surgery

Answer 36

Question 37

Carcinoid Tumors

Answer 37

Question 38

Carcinoid Syndrome

Answer 38

Question 39

Treatment of Carcinoid Syndrome

Answer 39

Octreotide or Lanreotide (somatostatin analogues)

Question 40

Octreotide or Lanreotide (somatostatin analogues)

Answer 40

Question 41

Anesthetic management for Carcinoid Syndrome

Answer 41

Cardiac workup

• Listen for heart murmor
• R sided heart failure
• Calcium deposits on valves

Complaining of wheezing and asthma

Check electrolytes/dehydration

Serotonin levels are high!

Question 42

Prevention of Mediator Release for Carcinoid syndrome

Answer 42

Avoid histamine releasing drugs, maybe?

Question 43

Treatment of a Carcinoic Crisis:

Answer 43

Question 44

Management of anesthesia for Carcinoid anesthesia:

Answer 44

Question 45

GI Procedures

Answer 45

Question 46

Propofol for Sedation - Advantages

Answer 46

Question 47

Propofol for sedation - Disadvantages

Answer 47

Question 48

Endoscopic Retrograde Cholangiopancreatography (ERCP)

Answer 48