Gastro Flashcards
First line drugs in Crohn’s to maintain remission
Azathioprine or mercaptopurine
What should be checked before starting azathioprine or mercaptopurine therapy
TPMT
Which drug should be prescribed for prophylaxis of hepatic encephalopathy
Rifaximin
Preferred test for H. pylori
Urea breath test
Which extra intestinal manifestation of Crohn’s correlates with disease activity
Erythema nodosum
Arthritis
Episcleritis
Osteoporosis
Which is the most common extra intestinal feature in CD/UC
Arthritis
Management of C. diff
- Oral vanc 10/7
- Oral fidaxomicin (including reinfection within 12 weeks)
- oral vanc +/- IV metronidazole
Imaging for perianal fistula
MRI
Treatment of perianal fistulae
oral metronidazole
Management of UC
mild to moderate proctitis - rectal/topical aminosalicylate +/- oral aminosalicylate +/- oral steroid (latter 2 if previous not working after 4 week gaps)
Treatment of proctosigoiditis
- topical aminosalicylate +/- oral aminosalicylate with or without topical steroid after 4 weeks
- if remission not achieved then oral aminosalicylate + oral corticosteroid
Treatment of extensive UC
- topical + high dose oral aminosalicylate +/- high dose oral aminosalicylate + steroid
Maintenance meds in left sided extensive UC
low maintenance dose of oral aminosalicylate
Investigations in achalasia
oesophageal manometry
barium swallow
CXR
Main cause of NAFLD
Obesity
