Gastroenterology Flashcards
Relaxed lower esophageal sphincter, chronic cough, aggravated by caffeine, obesity, EtOH, tobacco, tx with PPI
GERD
HIV = Candida
Esophagitis
Undigested food
Zenker Diverticulum
Birds beak
Achalasia
Iron therapy
Plummer vinson symdrome
*also called Paterson–Brown–Kelly syndrome or sideropenic dysphagia, is a rare dz characterized by difficulty in swallowing, iron deficiency anemia, glossitis, cheilosis and esophageal webs.
Coughing/vomiting = blood
Mallory weiss tear
Bleed = octreotide/fluroquinolone followed by TIPs (Transjugular intrahepatic portosystemic shunt), Beta blockers to prevent bleeding
Esophageal Varices
> 55 y/o = scope
Dyspepsia
Helicobacter pylori, EtOH, smoking
Palpable mass, gastric ulcers = repeat endoscopy to r/o CA
Gastric CA
Projectile vomiting, olive sign
Pyloric stenosis
Murphy’s sign, referred pain to R shoulder
Cholecystitis
Hep C and EtOH
Cirrhosis
Epigastric pain radiating to the back, increased lipase >3x
Pancreatitis
Periumbilical then RLQ pain, McBurney’s point, clinical dx
Appendicitis
Tissue transglutaminase and endomysial antibody, gluten-free
Celiac Dz
Red meat and fat, LLQ pain, Constipation, Colonoscopy
Diverticulosis
Infection, CT scan, Augmentin, Ciprofloxacin + Metronidazole
Diverticulitis
Skip Lesions, transmural, fistulas, ASCA positive, 5-ASA
Crohn’s
Colon, pANCA positive, 5-ASA
Ulcerative Colitis
Abd pain, currant jelly stool, vomiting, diagnostic/therapeutic enema
Intussusception
Pain relieved with defecation
Irritable Bowel Syndrome
Abd XR: dilated loop of bowel with air fluid levels
Small bowel obstruction
> 6cm dilation
Toxic megacolon
Scrotal mass
Indirect hernia
Self resolved by 3 y/o
umbilical hernia
Blood, WBC, Campylobacter, Fluoroquinolone
Infectious diarrhea
