GASTROENTEROLOGY Flashcards
Relaxed LES. Chronic cough. Aggravated by caffeine, obesity, ETOH, tobacco. PPI
GERD
HIV = Candida
Esophagitis
Undigested food
Zenker Diverticulum
Birds beak
Achalasia
Iron therapy
Plummer Vincent Syndrome
Coughing/Vomitting = blood
Mallory Weis Tear
Bleed = Ocreotide/fluoroquinolone followed by TIPS. Beta blockers to prevent bleeding
Esophageal Varices
> 55 = scope
Dyspepsia
Hpylori, ETOH, and smoking. Palpable mass. Gastric ulcers = repeat endoscopy to rule out cancer.
Gastric cancer
Projectile vomitting; olive sign
Pyloric Stenosis
Murphys Sign. Referred pain to right shoulder
Cholecystitis
Hepatitis C and ETOH
Cirrhosis
Epigastric pain radiating to the back. Increased lipase >3x
Pancreatitis
Periumbilical then RLQ. McBurney’s point. Clinical diagnosis
Appendicitis
Tissue transglutaminase and endomysial antibody. Gluten free
Celiac Disease