Gastroenterology

Question 1

What is Charcot triad? What does this indicate?

Answer 1

Fever
RUQ pain
Jaundice

Seen in Cholangitis

Question 2

What is Reynold’s Pentad? What does this indicate?

Answer 2

Charcot triad + Hypotension + AMS

Seen in cholangitis

Question 3

What is triple therapy and quadruple therapy for H pylori?

Answer 3

Triple therapy = PPI/azithromycin/clarithromycin

Quadruple therapy = PPI/Bismuth/Tetracycline/Flagyl

Question 4

How long are duodenal ulcers treated?

Answer 4

Treat duodenal ulcers for 4-6 weeks

Question 5

How long are gastric ulcers treated?

Answer 5

6-8 weeks - remember gastric ulcers have a harder time to heal compared to duodenal ulcers because of their constant exposure to gastric acid.

Question 6

Which type of GI ulcers require further monitoring? (duodenal vs gastric)

Answer 6

Gastric ulcers require further monitoring.

Repeat endoscopy with biopsies to rule out gastric cancer in 8 weeks

Question 7

Differentiate symptoms of dyspepsia and PUD?

What are some causes of PUD? (4)

Answer 7

Dyspepsia presents as chronic or recurrent epigastric pain, early satiety, and post-prandial fullness.

PUD presents as epigastric abdominal pain, nausea, and vomiting.

Dyspepsia has many different causes one of which is PUD.

PUD causes - H pylori, NSAIDs, Gastrinomas, Alcohol

Question 8

What labs are indicate of alcoholic liver disease?

Answer 8

AST/ALT > 2

Question 9

What LFTs are seen in acute viral, toxic, or ischemic hepatitis?

What about LFT levels in alcoholic hepatitis?

Answer 9

AST or ALT > 1000 indicates acute viral/toxic/ischemic hepatitis.

Alcoholic hepatitis is almost never > 400

Question 10

Differentiate between cholestasis and hepatocellular liver injury?

Answer 10

In hepatocellular liver injury, LFTs > ALKP

In cholestasis, ALKP > LFTs