Extras Flashcards
Test for bile acid malabsorption
SeHCAT test
done 7 days apart to see how much of the nuclear stuff you have retained
crohns
cholecystectomy
celiac disease
small intestinal bacterial overgrowth
treat with bile acid sequestrants like cholestyramine
Features of PBC
asymptomatic increase ALP middle aged women xanthelasmas, xanthomatas increase pigmentation over pressure points fatigue pruritis cholestatic jaundice
20 x increased risk gallbladder cancer
malabsorption–>osteomalacia and coagulopathy
sicca in 70%
portal hypertension
gastroparesis diagnosis
suggestive to have food undigested in stomach after ovenight fast
but gold standard is 99mtech labelled egg white meal gastric emptying scan
but opioids and functional dyspepsia false pos
prokinetics but remember tardive dyskinesia if over 3 months
Diabetics with gastroparesis what to do
amylin analogues- pramlintide and GLP1 agonists (exentaide) reduce gastric emptying so could stop
metoclopramide MOA
antag D2
antag 5HT3
Ag 5HT4
do cyclo and tac cause gastroparesis
cyclo not tac
cut off for liver tx meld
If meld under 15 then risks of transplants outweight the benefits
After bariatric surgery can get what type ofcomplication
NAFLD faler
when do you do capsule endoscopy
very clear that only indicated if replace iron but then FAIL and have RECURRENT iron der
does normal CRP rule out crohns
no
role for ERCP for cholangio screen in PSC
no
but if jump in LFTs then do
what gets lost first when clearing hep B
eAg before aAg
suspect IBD in young woman, what to do
either low fodmap
or faecal calprotectin
NASH score how useful
to predict who will go on to get cirrhosis
higher if DM2 or IGT
most important EUC abnormality in hepatic enceph
hypokalaemia
