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
Red meat and fat. LLQ pain. Constipation. Colonoscopy
Diverticulosis
Infection. CT scan. Augmentin. Cipro + Metronidazole
Diverticulitis
Skip leasions
transmural
fistulas ASCA positive. 5-asa
Crohn’s
Colon, pANCA positive. 5-ASA
UC
Abdominal pain, current jelly stool, vomiting. Diagnostic enema
Intussusception
pain relieved with defecation
IBS
Abdominal X-rays - dilated loop of bowel with air fluid levels
Small bowel obstruction
> 6cm dilation
Toxic megacolon
Scrotal mass
Indirect hernia
