GASTRO Flashcards

1
Q

Jaundice + Ulcerative Colitis + pANCA?

A

Primary Sclerosing Cholangitis

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2
Q

Jaundice + RUQ Pain + Middle Aged F + Anti Mitochondrial Antibody?

A

Primary Biliary Cirrhosis

Management
1) Ursodeoxycholic Acid

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3
Q

Hepatitis + ALT/AST > ALP + Anti Smooth Muscle Antibodies?

A

Autoimmune Hepatitis

Management
1) Prednisalone

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4
Q

Coeliac 1st Line Investigation?

A

Anti Tissue Transglutaminase Antibodies [Anti TTG]

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5
Q

Tiredness + Diarrhoea + Bloating + Dermatitis Herpetiformis?

A

Coeliac Disease

Management
1) Gluten Free Diet

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6
Q

Coeliac 2nd Line Investigation?

A

Anti Enodomysial Antibodies

[IgA Deficiency = False Negative Anti TTG]

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7
Q

Bile Acid Malabsorption 1st Line Management?

A

Cholestyramine

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8
Q

Wilsons Disease 1st Line Investigation?

A

Reduced Serum Caeruloplasmin

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9
Q

Hepatic Encephalapathy Management?

A

Lactulose

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10
Q

H. Pylori Eradication Therapy?

A

PAC

PPI
Amoxicillin
Clarithromycin

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11
Q

Coeliac Gold Standard Diagnostic Investigation?

A

Duodenal Biopsy

[Villous Atrophy]

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12
Q

Most Common Cause of Travellers Diarrhoea?

[Watery Diarrhoea + 48Hr Onset]

A

E Coli

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13
Q

Greasy Diarrhoea + Flatulance + Prolonged?

A

Giardiasis

Management
1) Metronidazole

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14
Q

Flu + Abdo Cramp + Blood Diarrhoea + 24Hr Onset?

A

Campylobacter

Management
1) Clarithromycin [If Severe / Immunocompromised]

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15
Q

Bloody Diarrhoea?

A

Shigella

Management
1) Ciprofloxacin

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16
Q

Fever + RUQ Pain + Bloody Diarrhoea + Prolonged?

A

Amoebiasis

Management
1) Metronidazole
2) Diloxanide [Amoebicide]

17
Q

Severe Vomiting + Post Eating?

A

Staph Aureus

18
Q

Vomiting + Post Reheated Rice?

A

Bacillus Cereus

19
Q

Recent Abx + Bloating + Foul Diarrhoea?

A

C. Difficile

Management
1) PO Vancomycin [+/- Metronidazole]

20
Q

Spontaneous Bacterial Peritonitis Prophylaxis?

A

Ciprofloxacin / Norfloxacin