Flashcard 5
management peritonitis
- IV antibiotics
- analgesia
- treat underlying cause/ surgery if indicated
- ascitic fluid drainage
- PEG/ NG tube if needed
causes of anaemia
- heavy periods
- pregnancy
- stomach/ small intestine cancer
- insufficient dietary intake
- inflammation e.g. crohns
- stomach ulcers
- haemorrhoids
symptoms:
- tetany
- osteomalacia
Ca, Mg, vit D deficiency
symptoms:
- diarrhoea
- abdo pain
- bloating
- flatulence
- dyspepsia
- fatigue
- constipation
- weight loss
- peripheral neuropathy
- ataxia
coeliac disease
ataxia
shaky movements and unsteady gate that results from the brains failure to regulate body posture
potential causes malabsorption
- inflammation e.g. crohns
- infection
- iatrogenic
- pancreatic
- impaired mobility
symptoms:
- vomitting (lacks bile, fermented foodstuffs)
- early satiety
- abdo distension
- weight loss
- gastric splash
- dehydration
- metabolic alkalosis
gastric outlet obstruction
management eosinophilic oesophagitis
immunosuppressants
steroids (topical/ swallowed)
endoscopic dilation to manage strictures
how would you get Hep E
raw pork
seafood
symptoms:
- distended abdomen
- severe constipation
- vomittiing bile
- failure to thrive
hirschsprungs disease
investigations ulcerative colitis
calprotectin colonoscopy with biopsies rectal exam stool culture FBC CRP WCC albumin
crohns management
immunosuppressants (e.g. infliximab)
resections of particularly bad bits of bowel
corticosteroids
where in GI tract is diverticulitis most common
sigmoid colon
what does MSM stand for
men who have sex with men
fistula-in-ano
anal fistula.
small tunnel connecting end of bowel to skin near anus
symptoms:
- rectal bleeding
- itching and pain @ anus
- small lumps around anus
- mucus discharge from anus
- sometimes bowel incontinence
anorectal cancer
symptoms:
- heart burn
- cough
- water brash
- sleep disturbance
- hoarse voice
- bad breath
- bloating
- nausea
GORD
what change is seen in Barretts oesophagus
squamous -> gastric type mucosa (mucous secreting columnar)
management Barretts oesophagus
- endoscopic musosal resection
- radio frequency ablation
- oesophagectomy rare
symptoms:
- severe episodic chest pain +/- dysphagia
oesophageal hyper mobility
