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General Surgery > ER EOR GI > Flashcards

ER EOR GI Flashcards

1
Q

Does an appy have nausea and vommiting

A

yes

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2
Q

how do you dx an appy

A

CT with contast

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3
Q

how do you tx an appy

A

appendectomy

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4
Q

what is charcos traid associated with

A

acute cholangitis

asenidng cholangitis

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5
Q

what are the labs with acute cholangitis 4

A

leukocytosis

Inc alk phos
inc GGT
Inv Bili

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6
Q

acute cholangitis abx tx

A

ceftriaxone + mettonidoazole

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7
Q

R UQ pain
fever
no jaundice

A

acute cholecystitis

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8
Q

what hep has a spiking fever

A

A

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9
Q

what lab value is the highest with hepitis

A

ALT

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10
Q

what is the screen for HCC

A

AFP

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11
Q

what comes first hep B or D

A

B first then D

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12
Q

what groups of prople have the HBsAb

A

immunized or recovered

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13
Q

How can you tell if someone is immunized or recovered

A

recovered has the Core ab

- Ig-G

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14
Q

what vaccination is a contraindication if allergic to bakers yeast

A

hep B

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15
Q

what ages for Hep B

A

0, 1 ,6

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16
Q

irriversible liver fibrosis

A

cirrhosis

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17
Q

what ate two causes of cirrohiss

A
  • ETOH

- Hep

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18
Q

what are two signs of crrhosis on exam

A
  • ascities

- gynocomastya

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19
Q

what is neomycin used for

A

neomycin

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20
Q

how do you tx the puritis with cirrhosis

A
  • cholestyramine
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21
Q

what are the two main causes of pancreatitis

A
  1. gallstones

2. ETOH

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22
Q

what are cullens and grey turns sign associated with

A

acute pancreatitis

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23
Q

what are three lab values associated with acute pacreatitis

A
  • lipase
  • ALT
  • Hypocalcemia
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24
Q

what is a “sentinal loop on abdominal x ray

A

acute pancreatitis

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25
Q

bright red blood while pooping 2

A

internal hemorrhoids

anal fissures

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26
Q

how to tx hemmoroids

A

sits bath

rubber band ligation

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27
Q

what is on the posterior wall abcess or fistula

A

abscess

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28
Q

posterior midline
pain with poop
bright red blood

A

anal fissure

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29
Q

how do you tx abbess, fistula

A
  • I and D

- sitz bath

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30
Q

how do you tx anal fissure

A
  • sitz bath

- CCB

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31
Q

diverticulitis diseases what type of diet

A

low fiber

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32
Q

what is the MC cause of lower GI bleed

A
  • diverticulosis
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33
Q

how do you dx diverticulitis diseases

A

CT

34
Q

tx for diverticulitis diseases

A

cipro flagyl

35
Q

a twisting of any part of the colon is called

A

volvulus

36
Q

volvulus MC location

A

sigmoid colon

37
Q

volvulus tx

A

ensoscopic decompression

38
Q

how do you tx small bowel obstruction

A

NPO fluids

39
Q

what do you see on SBO X rau

A

step ladder pattern

40
Q

what are the MCC of esophagitis 2

A
  • GERD

- Immunocompramised

41
Q

how do you dx esophagatits

A

upper endoscopy

42
Q

esophagitis (deep ulcers) cause

A
  • HSV acyclovir
43
Q

esophagitis (yellow white) cause

A

candida fluconazole

44
Q

esophagitis (large superficial shallow ulcers ) cause

A

CMV acyclovir

45
Q

what type of patients are at risk for esopahgitis

A
  • immunocompramised
46
Q

how do you dx GERD 1st line

A
  • endoscopy
47
Q

How do you dx GERD (gold standard)

A
  • 24 PH monitoring
48
Q

how do you dx PUD

A

endosciopy

49
Q

2 MCC of PUD

A
  • Hpylori

- NSAID

50
Q

MCC of upper GI bleed

A

PUD

51
Q

how do you tx PUD

A

CAP

52
Q

gastin secreting neudo endocrin tumor

A
  • zollinger ellison syndrome
53
Q

what hernia is medial to the IEA

A

Direct
MD don’t LIE
Medial dierct
lateral Indirect

54
Q

what type of hernias will go into the scrotum

A
  • indirect
55
Q

what people talk about meidal and lateral to a structure with inguneal hernias what structure are they talking about

A
  • inferior epigastic
56
Q

what is the difference between incarcerated and strangulated hernia

A

strangulated involves ischemic and systemic toxicity

57
Q

how do yoou tx mallory weiss tear

A

supportive

58
Q

what has bloody diarrhea crones or CUC

A

CUC

59
Q

on a barrium swallow “stove pipe sign”

A

CUC

60
Q

what are two complications of CUC

A
  • PBC

- toxic mega colon

61
Q

what lab is associated with CUC

A

P-ANCA

62
Q

what vit diffenecy may be in Crones

A

B 12

63
Q

what is the sign that is associated with crones barium swallow

A

string sign

64
Q

what is colonoscopy contraindicated

A

acute IBD

65
Q

what are the two meds for IBD

A
  • sulfasalzine

- mesalamine

66
Q

what is the MC cause of gastroenteritis in adults

A

norovirus

67
Q

what is teh MCC cause of gastroenteritis in kids

A

Rota virus

68
Q

what are the characteristic of noninvasive infectious diarrhea 4

A
  • watery
  • vommiting
  • non bloody
  • no WBC
69
Q

Rice water stools

A

vibro cholerae

70
Q

how do you tx vibro cholerae

A

tetracycline

71
Q

how do you tx enterotoxic ecoli

A

cipro

72
Q

how do you tx C diff

A

metrokightazole

- vac

73
Q

qullities of invasive infectious diarrhea

A
    • high fever
  • Blood
  • WBC
74
Q

how do you tx campylobactor

A

erythromycin

75
Q

what dirrhea has fevers associated with it

A

shiggela

76
Q

how to do tx shigela

A

Bactrium

77
Q

how do you fc salmenella

A

cipro

78
Q

frothy greasy fouth smelling disrrhea

A

gariardia

79
Q

backpackers diarrhea

A

gariardia

80
Q

how do you tx gariardia

A

metroknightazole

General Surgery (30 decks)

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