Emergency GI Flashcards by Daniel Taylor

Couroisiers law

presence of painless obstructuctive jaundice is not likely due to gallstones

How well did you know this?

Not at all

Perfectly

type of meds to not give a patient with hepatic encephalopathy

opiates

How well did you know this?

Not at all

Perfectly

what conditions should also be tested for coeliac?

graves
type 1 diabetes

How well did you know this?

Not at all

Perfectly

tender, smooth hepatomegaly?

acute liver disease

How well did you know this?

Not at all

Perfectly

GIT med that can make parkinsons worse

metoclopramide

How well did you know this?

Not at all

Perfectly

Abx causing’pouchitis’ in crohns patients

metronidazole

How well did you know this?

Not at all

Perfectly

severe campylobacter gastroenteritis

clarithromycin

How well did you know this?

Not at all

Perfectly

chronic pancreatitis Ix?

AXR
CT scan of abdo

How well did you know this?

Not at all

Perfectly

diagnostic test for hiatus hernia?

barium swallow

How well did you know this?

Not at all

Perfectly

test for acute liver disease in presence of hepatic encephalopathy

INR > 1.5

How well did you know this?

Not at all

Perfectly

pellagra

vit B3 deficiency
memory loss

How well did you know this?

Not at all

Perfectly

triad of pellagra

dermatitis
dementia
diarrhoea

How well did you know this?

Not at all

Perfectly

Contraindicated with statin

clarithromycin
concentration of statin increases
due to P450 inhibition

How well did you know this?

Not at all

Perfectly

electorlyte replacemt causing diarrhoea

oral magnesium

How well did you know this?

Not at all

Perfectly

first line treatment for gastroparesis

doperamide (dopamine receptor antagonist)

How well did you know this?

Not at all

Perfectly

macrocytic anemia

B12 deficient
commonly seen in coeliac

How well did you know this?

Not at all

Perfectly

ischaemic hepatitis

occurs in patients who become severly hypotensive
ALT>1000
normal bili
normal ALP

How well did you know this?

Not at all

Perfectly

Tx given alongside Abx for spontaneous bacterial peritonitis

human albumin solution
protects the kidneys

How well did you know this?

Not at all

Perfectly

senna

stimulant laxative

How well did you know this?

Not at all

Perfectly

macrogol

osmotic laxative

How well did you know this?

Not at all

Perfectly

what blood test is done for haemochromatosis?

transferrin saturation

How well did you know this?

Not at all

Perfectly

SAAG <1.1

peritoneal carcinoma

How well did you know this?

Not at all

Perfectly

what does a SAAG below 1.1 mean?

ascites not due to portal hypertension

How well did you know this?

Not at all

Perfectly

D-penacillamine

copper chelation drug

How well did you know this?

Not at all

Perfectly

most appopriate Ix for chrons if colonoscopy was normal

MRI small bowel

first line for cholera when needed

deoxycyline

what should be done to determine extent of fistula

pelvic MRI

rigler sign on AXR

air present on both sides of intestine perforated peptic ulcer

treatment for relapse C.diff (C.diff infection again in less than 12 weeks)

fidaxomicin

drug cause for acute pancreatitis

sodium valproate

how does a vit B12 deficiency present

inflammation/redness of tongue

megoblastic anemia

vit b12 def raised MCV low Hb

Abx for perianal crohns disease

metronidazole

tx for whipple disease

co-tramoxazole

acamprosate

given in community to maintain alcohol abstainence

gram neg curved rods, seagull shape appearance

campylobacter

abx used for cmapylobacter

azithromycin

first line for SBP?

ascitic tap before Abx

risedronate

bisphosphonate makes GORD worse

side effects of iron-supplements

constipation

meds for acute alcohol withdrawal

chlordiazepoxide + pabrinex

redness/crusting of corners of mouth

iron deficiency

paracetamol overdose sign

asterisks (liver flap)

paracetamol overdose Tx

N-acetylcysteine

meds used if triple therapy fails the first time

metronidazole amox omeprazole

trousseau syndrome

pancreatic cancer

Gastroenteritis presenting with poly-arthralgia, hyperpigmentation, bile malabsorption

whiles disease

pellagra

vit b3 def alcoholics

dementia dermatitis diarrhoea

pellagra

hepatomegaly hypercoaguability worsening ascites

budd-chiari syndrome

cancer associated with plummer-vinsen syndrome

squamous cell carcinoma of oesophagus

feature of gilbert syndrome

unconjugated hyperbilirubineamia

ascitic tap showing spontaneous bacterial peritonitis

WCC >250

prophylaxis for SBP

oral ciprofloxacin

screening for pancreatic cancer (following chronic pancreatitis)

CA-19

treatment for H.pylori neg peptic ulcer

4-8 weeks PPI

treatment for chemo related nausea/vomiting

5HT3 antagonist odansetron

ataxia confusion opthalmoplegia

B1 def wernickes encephalopathy

impaired collagen synthesis

vit c def

calcium metabolism occurs via

PTH Calcitrol

decreases intestinal absorption of iron

tannin from tea

liquids dysphagia painful hands telangiectasia

limitied cutaneous systemic sclerosis/crest + anti-centromere antibody

UTI drug causing pulmonary fibrosis

nitrofurantoin

CAP Abx inducing cholestasis

co-amoxiclav

fever RUQ pain jaundice

charcot's triad

what is charcot's triad used to diagnose

ascending cholangitis

Abx causing dyspepsia

clarithromycin

onion skin fibrosis

PSC

what is raised in serum for PBC?

IgM

when should Vit K be given for oesophageal varices?

if PT is >14, but BP is stable

condition following giardiasis

lactose intolerance

jaundice + granulomas

PBC