Gastro Flashcards
Dx of SBP: absolute neutrophil count of
> 250 u/L
Usually the 1st indication of portal hypertension
Hypersplenism
Asterixis/liver flap is a sign of
Hepatic encephalopathy
Asterix appears with what grade of hepatic enceph
2
Most common cause of pancreatitis
Gallstone
Accepted pathogenic theory for pancreatitis
Autodigestion
Abdl pain of pancreatitis is relieved by
Sitting with trunk flexed and knees drawn up
Blue discoloration around the umbilicus, a result of hemoperitoneum
Cullen’s sign
Blue-red- purple or green brown discoloration of the flanks: reflects tissue catabolism of hemoglobib
Turner’s sign
More specific for panc: amylase or lipase?
Lipase
Markers for severity during during hospitalizaion
BISAP(BUn, impaired mental status, SIRS, Age, pleural effusion)
Most specific and characteristic symptom of gallstone disease
Biliary colic
Gold standard for tx of symptomatic cholelithiasis
Laparoscopic cholecystectomy
Medical mgmt for gallstones:
Ureodeoxucholic acid
Passage of bilestone into the CBD
Choledocholithiasis
Partial thickness tear at GEJ
Mallory weis syndrome
Full thickness tear at GEJ
Boerhaave’s
Management for h pylori
Omep+clarithro+amox
Mgmt of refractory duodenal ulcer
Truncal vagotomy with pyloroplasty
Tx for refractive gastric ulcer
Billroth I or II reconstruction
Most common location of gastrinomas?
Passaro’s triangle (cysic duct/CBD, 2nd an 3rd portion of duodenum, head/neck of pancreas)
Pentagastrin stimulation test is used for?
Diagnostic for pUD
Differentiate between alcoholic liver disease and viral hepatitis
AST/ALT ration in acoholic liver disase; AST=1 in viral hepatitis
Serum ascites albumin gradient (SAAG)
>1.1
Portal hypertension
Serum ascites albumin gradient (SAAG) <1.1
Malignancy
What is fetor hepaticus?
A sign of hepatic failure ; a musty smell due to accumulation of mercaptans
Lead pipe colon
Ulcerative colitis
Causes flare ups of ulcerative colitis
Clostridium difficile
Drug of choice for UC
Sulfasaline
