Gastroenterology causes Flashcards

1
Q

Causes of pill-induced esophagitis

A
  • Aspirin/ NSAIDs
  • Tetracycline/ doxycycline
  • Potassium chloride (KCl)
  • Bisphosphonates
  • Quinidine
  • Iron
  • Vitamin C
  • Kayexalate
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2
Q

Causes of dyspepsia (drugs)

A
  • Steroids
  • Calcium channel blockers
  • Theophyllines
  • Nitrates
  • Bisphosphonates
  • Non-steroidal anti-inflammatory drugs (NSAIDs)
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3
Q

Causes of post-bulbar ulcerations

A
  • Zollinger-Ellison syndrome
  • Crohn’s disease
  • Ischemia
  • Malignancy
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4
Q

Drugs that cause hepatotoxicity

A
  • Isoniazid, pyrazinamide, rifampicin
  • Methotrexate, ciclosporin
  • Phenytoin, sodium valproate
  • Pioglitazone, sulfonylureas
  • Amiodarone

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5
Q

Causes of very high liver enzymes

A
  • Ischemic
  • Viral
  • Drugs
  • Autoimmune
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6
Q

Raised alkaline phosphatase

A
  • Liver: cholestasis, hepatitis, fatty liver, neoplasia
  • Paget’s disease
  • Osteomalacia
  • Bone metastases
  • Hyperparathyroidism
  • Renal failure
  • Physiological: pregnancy, growing children, healing fractures
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7
Q

Raised ALP and raised calcium

A
  • Bone metastases
  • Hyperparathyroidism
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8
Q

Raised ALP and low calcium

A
  • Osteomalacia
  • Renal failure
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9
Q

Drugs causing pancreatitis

A
  • Azathioprine
  • Sodium valproate
  • Corticosteroids
  • Thiazides, furosemide
  • Mesalazine
  • Didanosine (Antiretroviral therapy)
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10
Q

Medications that can delay gastric emptying and promote reflux

A
  • Calcium channel blockers
  • Antihistamines
  • Narcotics
  • Tricyclic antidepressants
  • Anticholinergics
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11
Q

Conditions associated with an elevated gastrin level

A
  • Zollinger-Ellison syndrome
  • Vitiligo
  • Renal failure
  • Hyperthyroidism
  • Achlorhydria caused by PPI use or chronic Type A gastritis
  • Pernicious anemia
  • Chronic gastritis
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12
Q

Causes of jejunal villous atrophy

A
  • Coeliac Disease
  • Tropical Sprue
  • Whipple’s Disease
  • Common Variable Immunodeficiency (CVID)
  • Small Intestine Bacterial Overgrowth (SIBO)
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13
Q

Causes of villous blunting

A
  • Autoimmune enteropathy
  • Certain medications
  • Zollinger-Ellison syndrome
  • Small intestine bacterial overgrowth (SIBO)
  • Collagenous sprue
  • Tropical sprue
  • Lymphoma
  • Inflammatory bowel disease (IBD)
  • Common variable immunodeficiency (CVID)
  • Eosinophilic enteritis
  • Whipple disease
  • Giardiasis infection
  • Radiation exposure
  • HIV infection
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14
Q

Complications of fat malabsorption

A
  • Vitamin B12 deficiency (due to the necessity of pancreatic enzymes for absorption)
  • Vitamin K deficiency leading to easy bruising, elevated prothrombin time, or INR
  • Hypocalcemia from vitamin D deficiency
  • Oxalate overabsorption leading to oxalate kidney stones
  • Osteoporosis
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15
Q

Causes of a raised faecal calprotectin

A
  • Inflammatory bowel disease (IBD)
  • Bowel malignancy
  • Coeliac disease
  • Infectious colitis
  • Use of non-steroidal anti-inflammatory drugs (NSAIDs)
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16
Q

Medications associated with induction of microscopic colitis

A
  • Nonsteroidal anti-inflammatory drugs (including aspirin)
  • Proton pump inhibitors
  • Histamine-2-receptor antagonists
  • Selective serotonin-reuptake inhibitors
  • Ticlopidine
  • Acarbose
  • Statins
17
Q

Causes of tender hepatomegaly

A
  • Acute viral hepatitis
  • Budd-Chiari syndrome
  • Congestive cardiac failure
  • Malignancy
  • Tricuspid regurgitation (which causes a pulsatile sensation)
  • Polycystic liver disease