Gastro Buzzwords Flashcards
What is the triad symptoms for Budd-Chiari syndrome?
udden onset abdominal pain, ascites, and tender hepatomegaly
What 3 abdominal masses may be present in pancreatic cancer?
hepatomegaly (metastases)
gallbladder (Courvoisier’s law)
epigastric mass (primary)
What findings on an LFT indicate alcohol hepatitis?
The AST/ALT ratio in alcoholic hepatitis is 2:1
What is the triad of symptoms for ascending cholangitis?
Charcot’s cholangitis triad: fever, jaundice and right upper quadrant pain
What is the treatment of choice for biliary colic?
An elective laparoscopic cholecystectomy
What are the symptoms indicative of common bile duct gallstones after a cholecystectomy?
Gallstones may be present in the CBD causing ongoing jaundice and pain after cholecystectomy
What is the M rule for Primary biliary cholangitis?
IgM
anti-Mitochondrial antibodies, M2 subtype
Middle aged females
What is the first line management for primary biliary cholangitis?
Ursodeoxycholic acid
What does raised ALP alone indicate?
Raised ALP in the presence of normal LFT’s should raise suspicion of malignancy. Particularly bone cancer/ metastases
What symptoms are a strong sign of liver failure?
Fetor hepaticus, sweet and fecal breath, is a sign of liver failure
What does a ‘double duct’ on imaging indicate?
Pancreatic cancer
How does hepatitis A present?
Hepatitis A presents with flu-like symptoms, RUQ pain, tender hepatomegaly and deranged LFTs
What is indicative of primary sclerosing cholangitis?
Ulcerative colitis + cholestatis (e.g. jaundice, raised ALP)
cholestasis: causative drug?
Co-amoxiclav
triad of encephalopathy, jaundice and coagulopathy
Liver failure
