Gastrointestinal Flashcards
what 2 drugs cause gingival hypertrophy?
Calcium channel blockers
Phenytoin
“Bird beak appearance” (and distended oesophagus) - upper GI imagine?
Lower GI imaging?
Upper = achalasia Lower = bowel obstruction
What are grey turner’s and culler’s sign a sign of?
Acute pancreatitis
What is grey turner’s?
Lumbar redness = acute pancretitis
What is Cullen’s sign?
Umbilical redness
What is murphy’s sign?
What causes this?
It is elicited by firmly placing a hand at the costal margin in the right upper abdominal quadrant and asking the patient to breathe deeply. If the gallbladder is inflamed, the patient will experience pain and catch their breath as the gallbladder descends and contacts the palpating hand
Cholecystitis/ cholangitis
What causes pale stools, jaundice and abdo pain?
Biliary obstruction
What causes abdominal distension, caput medusae and shifting dullness? (2)
Portal hypertension
Ascites
What causes pyoderma gangrenosum and erythema nodosum?
Crohns and UC
“Tinkling bowel sounds”?
Bowel osbtruciton
Vesicular rash (small fluid filled sacs) and weight loss?
Coeliac disease
Where is Virchow’s node located?
What is it a sign of?
Left supra-clavicular region
Gastric cancer
what is the urea breath test for
H pylori
what is 14C breath test for?
Bacterial overgrowth
“rice-water” like stools?
Vibrio cholera
Presence of AMA?
Primary biliary cirrhosis