Gastrointestinal Flashcards

1
Q

gingival hypertrophy

A

gingivectomy/biting on own gums

side effect of calcium channel blockers or phenytoin

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2
Q

bird beak appearance (and distended oesophagus)

A

achalasia; if in lower GI imaging is a sign of bowel obstruction

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3
Q

Grey Turner’s (lumbar redness) and Cullen’s sign (umbilical redness) positive

A

acute pancreatitis

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4
Q

causes of acute pancreatitis

A
GET SMASHED:
Gallstones
Ethanol
Trauma
Steroids
Mumps
Autoimmune
Scorpion bites/stings
Hyperlipidaemia, hyperthermia, hypercalaemia
ERCP
Drugs
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5
Q

Murphy’s sign positive

A

cholecystitis

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6
Q

pale stools, jaundice, abdominal pain

A

biliary obstruction

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7
Q

abdominal distension, caput medusae, shifting dullness

A

portal hypertension and ascites

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8
Q

pyoderma gangrenosum, erythema nodosum

A

Crohn’s/UC

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9
Q

tinkling bowel sounds

A

bowel obstruction

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10
Q

vesicular rash and weight loss

A

Coeliac disease

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11
Q

virchow’s node (left supra-clavicular)

A

gastric cancer

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12
Q

urea breath test

A

H pylori

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13
Q

C breath test

A

bacterial overgrowth

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14
Q

‘rice water’ stools

A

vibrio cholera

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15
Q

presence of AMA (anti mitochondrial antibodies)

A

primary biliary cirrhosis

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16
Q

presence of ASMA (anti smooth muscle antibodies)

A

autoimmune hepatitis

17
Q

alpha feto protein assay

A

hepatocellular carcinoma (or teratoma)

18
Q

cobblestone mucosa

A

deep fissuring ulceration of mucosa found in Crohn’s disease

19
Q

diuretic for ascites (due to cirrhosis)

A

spironolactone

20
Q

corkscrew oesophagus on barium swallow

A

diffuse oesophageal spasm

21
Q

severe abdominal pain + diarrhoea and vomiting after raw milk

A

campylobacter

22
Q

Russell’s sign

A

self induced vomiting

23
Q

mallory’s hyaline bodies

A

alcoholic liver disease (acute hepatitis) and chronic active hepatitis

24
Q

crypt abscess/cryptitis

A

inflammatory bowel disease; Crohn’s

25
Q

onion skinning fibrosis, beading of bile ducts

A

primary sclerosing cholangitis

26
Q

‘signet ring’ cells seen on biopsy

A

linitis plastica - diffuse stomach cancer

27
Q

thumb-printing on x-ray commonly at splenic flexure

A

ischaemic colitis

28
Q

Charcot’s triad

A

acute cholangitis i.e. fever, jaundice and abdominal pain secondary to cholelithiasis

29
Q

causes of abdominal masses

A
A CHEMICAL:
AAA
Crohn's
Hernia
Enlarged organ
Malignancy
Intersusception
Cyst/abscess
Appendicitis
Lymphadenopathy
30
Q

causes of bowel obstruction

A
BATH VIPS
Bolus
Adhesions
Tumour
Hernia
Volvulus
Intersusception
Pseudo-obstruction
Stricture