FFCP Gastro Flashcards
If a patient presents with dyspepsia with no red flag symptoms what do you do?
Test for H-Pylori (fecal antigen test or 13c urea breath test)
If pos - eradication therapy, if neg 2w PPI
What’s the gold standard for diagnosing GORD?
24 hour pH monitoring
What type of ulcers are relieved by food and tend not to be malignant?
Duodenal ulcer
In which Hp disease phenotype do you get increased acid secretion?
duodenal ulcer -, increased acid secretion leads to gastric metaplasia and then a duodenal ulcer
Where is ALP and GGT produced?
biliary epithelium
What drugs are risk factors for gall stones?
Oral contraceptive pill, fibrates
What sign do you get for gallstones on an abdominal ultrasound?
acoustic shadow behind them
What are the five F’s of gallstones?
Forty
Fat
Fair
Female
Fertile
What is a positive Murphy’s sign?
Push below right costal margin- patient stops breathing in and winces with a catch in breath - sign of acute cholecystitis
What is Mirizzi syndrome?
When a gall stone impacts at the end of cystic duct, blocking common hepatic duct too and then you’ll have associated jaundice
When is biliary colic worse?
After fatty foods
What would you find on a liver function test for biliary colic?
elevated ALP
What is Charcot’s triad?
Three symptoms that indicate infection within bile duct (cholangitis), symptoms: jaundice, fever, RUQ pain
What is Courvoisier sign?
painless jaundice and a palpable gallbladder, means unlikely to be caused by gallstones
What criteria is needed for diagnosis of pancreatitis?
2/3 of:
typical symptoms,
pancreatic enzymes 3x upper limit of normal
radiographic evidence
