Gastro Flashcards
treatment for mild/mod C Diff
oral metro
test results for PBC
raised ALP and raised antimitochondrial antibodies
histology of pbc
granulomas present
Bile duct condition associated with IBD
Primary Sclerosing Cholangitis = 80% have IBD
affects bile ducts inside and outside liver
what affects the intrahepatic bile ducts? (not outside)
Primary Biliary Cholangitis
test most indicative of liver function?
Prothrombin time / INR
‘synthetic function’
management of H Pylori Negative Peptic Ulcer?
4-8 weeks of full dose PPI
where is Vitamin B12 absorbed?
Terminal Ileum
courvoisier’s sign
painless palpable gallbladder and jaundice
Pancreatic cancer
treatment for cerebral oedema
IV Mannitol (mechanism - unknown)
rare disease involves trouble swallowing, iron deficiency anaemia, glossitis, and cheilosis?
Plummer-Vinson Syndrome
management of oesophageal high grade dysplasia?
Endoscopic ablation
management of oesophageal low-grade dysplasia?
High dose PPI + 6 monthly endoscopic surveillance
triple therapy for H Pylori?
Amoxicillin (metro), Clarithromycin, Omeprazole for 7 days
first line treatment for ascites?
spironolactone (2nd line furosemide)
which pathology is most asscoiated with H Pylori?
Duodenal Ulcer
what presents with a classic triad of abdo pain, ascites and liver enlargement?
Budd Chiari Syndrome
caused by occlusion of hepatic veins that drain the liver
examples of drug induced dyspepsia?
bisphosphonates NSAIDs CCBs Steroids nitrates theophyllines Macrolide antibiotics
management of Campylobacter?
mild/mod - supportive
Severe- erythromycin
cancer in oesophagus with hoarse voice think…
upper 1/3 associated with smoking SCC
common site for adenocarcinoma in oesophagus?
lower 1/3 (arises from gladnular cells)
most senstive tool for diagnosis and staging of pancreatic cancer?
endoscopic US
management of EBV?
patients present with glandular fever, headache, deranged LFTs
Supportive
Amoxicillin may lead to widespread rash
major haemorrhage in warfarin patient?
give prothrombin complex concentrate (contains factors II,VII, IX, X)
instant acting Vit K takes 6-8 hours!!
