Gastro Flashcards
Villous atrophy, crypt hyperplasia and lymphocyte infiltration
Coeliac disease
Bile stained vomitus
Small bowel obstruction
Pointing sign
PUD
Vomit 10 times then last one had blood
Mallory-Weiss tear
Projectile vomiting in kid
Pyloric stenosis
RUQ pain, fever, jaundice
Charcot’s triad of ascending cholangitis
Cullen’s sign
Necrotising pancreatitis
Anti-SMA
Autoimmune hepatitis
AMA (anti-mitochondrial antibodies)
Primary biliary cirrhosis
IgA deficiency
Coeliac disease
Beading on ERCP
Primary sclerosing cholangitis
Grey-Turner’s sign
Necrotising pancreatitis, retroperitoneal bleeding
Anti-endomysial antibodies
Coeliac disease
Serum ceruloplasmin
Wilson’s disease
Perls/Prussian blue stain
Haemochromatosis (staining for iron)
Skip lesions, cobblestoning
Crohn’s disease
Murphy’s sign positive
Cholecystitis
Elevated lipase/amylase
Pancreatitis
AST:ALT >2:1
Alcoholic liver disease
Painless jaundice
Head of pancreas carcinoma (Courvoisier’s sign)
Liver cirrhosis with lung disease
Alpha 1 anti-trypsin deficiency
Positive slipping sign
Lipoma
Kayser-Fleischer rings
Wilson’s disease
Apple-core sign
Colorectal cancer
Diarrhoea and PR bleeding following usual constipation
Diverticulitis
Early satiety and constitutional symptoms
Gastric cancer
Transmural inflammation
Crohn’s disease
Anti-transglutaminase or anti-gliadin
Coeliac disease
String sign on barium enema
Crohn’s disease
Pseudopolyps
Ulcerative colitis
Lump below inguinal ligament which disappears upon lying down with distended veins
Saphena varix
Coffee bean appearance on X-ray
Sigmoid volvulus
Corkscrew oesophagus
Diffuse oseophageal spasm OR presbyoesophagus
Rokitansky-Aschoff sinus
Chronic cholecystitis
Prophylactic drug against SBP
Bactrim 2nd line - norfloxacin
Leather bottle stomach
Diffuse stomach cancer
Blood in the stool with changing bowel habit
Colorectal cancer
Pneumonuria
Fistula formation (Crohn’s disease)
Ringed oesophagus
Eosinophilic oesophagitis
Toxic megacolon as a complication
Ulcerative colitis
Signet ring cells
Gastric cancer
Thumb printing
Ulcerative colitis On AXR, due to oedema
CEA
Colorectal cancer Monitoring
CA 19-9
Pancreatic cancer
Macronodular cirrhosis
Typically hepatitis
Micronodular cirrhosis
Typically alcoholic liver disease
Alternating between constipation and diarrhoea
IBS
Lead pipe sign
Ulcerative colitis
Dysphagia post antibiotic use
Oesophagitis caused by doxycycline
Fried rice
Bacillus cereus
Diarrhoea and vomiting 1-6 hours after ingestion of food that has been ‘left around’
Staph. aureus
Chronic, offensive, watery diarrhoea
Giardia lamblia
Diarrhoea post abx use
C. difficile Pseudomembranous colitis
Subacute, worsening diarrhoea with jaundice
Entamoeba histolytica
Rice-water stools
Vibrio cholerae
Diarrhoea with neurological motor symptoms
Campylobacter jejuni
Diarrhoea in an HIV positive patient
Shigella OR cryptosporidium
Bloody diarrhoea after eating chicken
Salmonella typhi
Bloody diarrhoea in nursing home
E. coli
Pain on defecation and skin tag
Anal fissure
Micronodular cirrhotic liver node
Hepatocellular carinoma
Malabsorption and painful blisters on the skin
Coeliac disease (Dermatitis herpeteformis)
Track marks
IVDU
Nutmeg liver
RHF/paracetamol overdose
a-fetoprotein
Hepatocellular carcinoma
Mallory hyalin
Alcoholic liver disease, NASH
Jaundice, xanthelasma and pruritis
Primary biliary cirrhosis
Epigastric pain relieved by eating
Duodenal ulcer
Epigastric pain aggravated by eating
Peptic ulcer
Multiple duodenal ulcers unresponsive to antacids
Gastrinoma (Zollinger-Ellison syndrome)
Obese man with dry cough after URTI, worse with eating
GORD
Liver mass and lethargy after working on a farm
Hydatid cyst
Ascites and lower thigh paraesthesia
Meralgia paraesthetica
Associated with PSC
UC
Hepatomegaly + abdominal pain + ascites + hypercoagulable state
Budd-Chiari syndrome
Sentinel loop + absent psoas shadow on AXR
Acute pancreatitis
Constipation + PR bleeding + dark freckles on skin and mucosa
Peutz-Jeghers syndrome
Scrotal swelling with impalpable testis
Hydrocoele
Rx rectal carcinoma with anal inolvement
Abdominoperineal resection
Rx perforated sigmoid
Hartmann’s
Rx toxic megacolon
Subtotal colectomy with ileostomy
Porcelain gallbladder
Gallbladder carcinoma (calcification)
Haematemesis in burns patient
Gastric erosions (Cushings stress ulcer)
Superficial ulceration with chronic inflammatory infiltrate, goblet cell depletion and crypt abscesses
Crohn’s disease
Chronic pancreatitis + epigastric mass + epigastric pain + vomiting
Pancreatic pseudocyst
Dark gastric lesion in HIV patient
Kaposi’s sarcoma
Punched out ulcer
Chronic peptic ulcer
Positive CLO
H. pylori
Succession splash
Pyloric stenosis
Hernia through the semilunar line
Spigelian hernia
Renal colic in patient with resection of terminal ileum
Oxalate stones
Eye involvement in IBD
Iritis/anterior uveitis
Hernia lateral to inferior epigastric vessels
Indirect hernia
Diarrhoea mimicking appendicitis
Yersinia enterolytica
Diarrhoea causing HUS in a child after eating raw beef
EHEC
Abdominal pain with meals in a known arteriopath
Ischaemia
Lesion 60cm from ileocaecal valve (Gamma camera)
Meckel’s diverticulum
Jaundice + dementia
Wilson’s disease
Jaundice with positive p-ANCA
PSC
Elderly with chronic constipation, pain on defecation and tenesmus
Rectal prolapse
Small painless lump under healing sutures
Resolving haematoma
PAS showing cytoplasmic granules in hepatocytes
Alpha 1 antitrypsin deficiency
Car salesman
Alcoholism
DRUG SE: antacid causing constipation
Aluminium salt
DRUG: acute UC
IV hydrocortisone
DRUG: IBS
Hyoscine OR mebeverine
DRUG SE: antacid causing diarrhoea
Magnesium salt
DRUG SE: vaginal bleeding, diarrhoea
Misoprostol
DRUG SE: gynaecomastia (7)
Cimetidine, cannabis, digoxin, spironolactone, cyproterone, oestrogen “Beware the dyspeptic hippie with atrial fibrillation, heart failure and carcinoma of the prostate”
DRUG: induction drugs for UC
- Mesalazine +5-aminosalicylate
- Hydrocortisone (severe)