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
bright red blood while pooping 2
internal hemorrhoids | anal fissures
26
how to tx hemmoroids
sits bath | rubber band ligation
27
what is on the posterior wall abcess or fistula
abscess
28
posterior midline pain with poop bright red blood
anal fissure
29
how do you tx abbess, fistula
- I and D | - sitz bath
30
how do you tx anal fissure
- sitz bath | - CCB
31
diverticulitis diseases what type of diet
low fiber
32
what is the MC cause of lower GI bleed
- diverticulosis
33
how do you dx diverticulitis diseases
CT
34
tx for diverticulitis diseases
cipro flagyl
35
a twisting of any part of the colon is called
volvulus
36
volvulus MC location
sigmoid colon
37
volvulus tx
ensoscopic decompression
38
how do you tx small bowel obstruction
NPO fluids
39
what do you see on SBO X rau
step ladder pattern
40
what are the MCC of esophagitis 2
- GERD | - Immunocompramised
41
how do you dx esophagatits
upper endoscopy
42
esophagitis (deep ulcers) cause
- HSV acyclovir
43
esophagitis (yellow white) cause
candida fluconazole
44
esophagitis (large superficial shallow ulcers ) cause
CMV acyclovir
45
what type of patients are at risk for esopahgitis
- immunocompramised
46
how do you dx GERD 1st line
- endoscopy
47
How do you dx GERD (gold standard)
- 24 PH monitoring
48
how do you dx PUD
endosciopy
49
2 MCC of PUD
- Hpylori | - NSAID
50
MCC of upper GI bleed
PUD
51
how do you tx PUD
CAP
52
gastin secreting neudo endocrin tumor
- zollinger ellison syndrome
53
what hernia is medial to the IEA
Direct MD don't LIE Medial dierct lateral Indirect
54
what type of hernias will go into the scrotum
- indirect
55
what people talk about meidal and lateral to a structure with inguneal hernias what structure are they talking about
- inferior epigastic
56
what is the difference between incarcerated and strangulated hernia
strangulated involves ischemic and systemic toxicity
57
how do yoou tx mallory weiss tear
supportive
58
what has bloody diarrhea crones or CUC
CUC
59
on a barrium swallow "stove pipe sign"
CUC
60
what are two complications of CUC
- PBC | - toxic mega colon
61
what lab is associated with CUC
P-ANCA
62
what vit diffenecy may be in Crones
B 12
63
what is the sign that is associated with crones barium swallow
string sign
64
what is colonoscopy contraindicated
acute IBD
65
what are the two meds for IBD
- sulfasalzine | - mesalamine
66
what is the MC cause of gastroenteritis in adults
norovirus
67
what is teh MCC cause of gastroenteritis in kids
Rota virus
68
what are the characteristic of noninvasive infectious diarrhea 4
- watery - vommiting - non bloody - no WBC
69
Rice water stools
vibro cholerae
70
how do you tx vibro cholerae
tetracycline
71
how do you tx enterotoxic ecoli
cipro
72
how do you tx C diff
metrokightazole | - vac
73
qullities of invasive infectious diarrhea
- - high fever - Blood - WBC
74
how do you tx campylobactor
erythromycin
75
what dirrhea has fevers associated with it
shiggela
76
how to do tx shigela
Bactrium
77
how do you fc salmenella
cipro
78
frothy greasy fouth smelling disrrhea
gariardia
79
backpackers diarrhea
gariardia
80
how do you tx gariardia
metroknightazole