Flashcard 9

1
Q

complications FAP

A

almost all untreated by age of 40 will have malignancy

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2
Q

Barretts Oesophagus

A

intestinal metaplasia related to prolonged acid exposure @ distal oesophagus

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3
Q

eosinophilic oesophagitis

A

allergic inflammatory condition of the oesophagus involving eosinophils

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4
Q

bulimia nervosa

A

binge eating followed by purging

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5
Q

Hirschsprungs disease

A

faecal bowel obstruction caused by absence of nerves @ an end section of bowel

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6
Q

symptoms:

  • bloody diarrhoea
  • abdo pain
  • weight loss
  • urgent and frequent bowel movements
  • fatigue
  • anorexia
A

ulcerative colitis

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7
Q

management oesophageal varices

A
  • end-therapy
  • IV terlipressin
  • IV broad spectrum antibiotics
  • coagulopathy
  • sengstake-blakemore tube
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8
Q

sengstake-blakemore tube

A

tube that can be inserted into oesophagus and inflated to reduce blood flow to varies/ other source of bleeding. only used when bleeding cannot be controlled by medication alone

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9
Q

diverticular disease

A

small bulges or sacs that form in the wall of the large intestine. protrusion of inner mucousal lining through outer muscular layer forming a pouch

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10
Q

management diverticular disease

A
  • high fibre diet
  • paracetamol
  • bulk forming laxative
  • ABs
  • colectomy
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11
Q

Hep C virus treatment

A

combination of IFN free direct acting antivirals (ribavirin, sofosbuvir, daclatasuir)

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12
Q

symptoms:

  • pain
  • fever
  • chills
  • malaise
  • red swollen anal lump
A

perianal abscess

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13
Q

imperforate anus

A

congenital defect in which the opening of the anus is missing or blocked

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14
Q

management anal fissure

A

high fibre, high water diet

topical nitric oxide
laxatives
internal lateral sphincterotomy

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15
Q

angiodysplasia

A

small vascular malformation of the gut

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16
Q

signs/ symptoms

  • abdo pain
  • sudden bleeding
  • dusky blue, swollen mucosa affecting area according to blood supply
A

ischaemic colitis

17
Q

management radiation proctitis

A

may be dependant on blood transfusions due to chronic loss
endoscopic argon plasma coagulation
sulcrafate enemas
hyperbaric O2 chamber