DUMES wrong Flashcards
coffee bean sign on xray, absent bowel sounds, old,
sigmoid volvulus
ANCA+ve, inc alp, alt, ast bilurubin, male, beaded MRCP
Primary sclerosing cholangitis (strong link w smoking too btw)
treatment for PSC
liver transplant
female, middle aged, coeliac, cholestatic LFTs, AMA+, painless jaundice, xantholasma, inc ALP and GGT
primary billiary cholangitis
pathophysiology of cirrhosis
stellate cells are activated into myofibroblasts and produce collagen leading to cirrhosis
what is a positive murphys sign
pain on palpating ruq on inspiration. indicates acute cholecystitis
rosvings sign?
palpating lif causes pain on right. indicates appendicitis.
overview of a1 anti-trpsin deficency. what type of inheritence is it
inc elastin breakdown. causes liver cirrhosis and lung emphysema. autosomal recessive
uncontrollable oesophageal varices bleed in patient w liver cirrhosis, management?
TIPS.
if less severe then band ligation.
actively bleeding peptic ulcer management
heater probe + adrenaline injection
azathioprine side effects
bone marrow supression. (can inc risk of infection)
Piecemeal necrosis
ASMA
autoimmune hepatitis
painless jaundice, xantholasma, pruritis, joint pain, female, no antibodies
secondary billiary cholangitis (tumour)
h.pylori treatment. + specific thing it is targeting
treatment if penicillin allergic
omeprazole + amoxicillin + metronidazole
PPI + g+ antibiotic + anaerobes g+/g-
omep + metro + clarithomycin
CEA ?
colorectal cancer
