Epigastric/RUQ Pain Flashcards
What is triple therapy for H pyori?
PPI - 2 weeks
Penicillin
Clarithromycin
Surgically, how are AAA categorised?
By their position above or below the renal arteries
What do you look at the in gall bladder on US?
Stones
Wall
Polyps
Fluid
What are two locations for duodenal ulcers and what are the consequences of perforation in each?
Anterior D1 - Peritonism
Posterior D1 - Into gastroduodenal artery - bleeding
What are the differentials of epigastric pain?
Pancreatitis
Biliary colic
Peptic ulcer disease
Gastritis
Oesophagitis
AAA
AMI
MSK
Mesenteric ischaemia
Which drugs commonly cause pancreatitis?
Steroids
Methotrexate
What is the diagnostic cut off for lipase in pancreatitis?
>1000`
How does alcohol consumption relate to pancreatitis?
Can come on after binges or after small amounts
How do you test for malabsorption in the setting of pancreatitic insufficiency?
Measure faecal elastase
What is the rule for common bile duct diameter?
1mm for every decade of life
How do you exclude a AAA in ED?
FAST scan
CTA
How do you test for autoimmune pancreatitis?
Raised IgG4 levels
When do you do ERCP’s in pancreatitis? Why?
When there is a infected stone or infection otherwise, most other pancreatitis causing stones will be gone within 3 days without intervention
What is the normal gall bladder wall thickness?
<4mm
What do you look for on CXR in pancreatitis?
Effusion
