Gastrointestinal Flashcards

1
Q

Gingival Hypertrophy

A

Gingivectomy / biting on own gums = side effect of CCB 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

GET SMASHED

A
Gallstones 
Ethanol
Trauma
Steroids  
Mumps 
Autoimmune
Spider bites 
Hyperlipidaemia/ hyperthermia/ hypercalcaemia 
ERCP 
Drugs
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5
Q

Murphy’s sign positive

A

Cholecystitis

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6
Q

Pale stools, jaundice, abdo pain

A

Biliary obstruction

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7
Q

Abdo distension, caput medusae, shifting dullness

A

Portal hypertension + 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 weigh loss

A

Coeliac’s disease

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11
Q

Virchow’s node

A

Gastric cancer

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12
Q

Urea breath test

A

H pylori

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13
Q

C14 breath test

A

Bacterial overgrowth

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14
Q

Rice water like stools

A

Vibrio cholera

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15
Q

Primary Biliary Cirrhosis

A

Presence of AMA anti-mitochondrial antibodies

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16
Q

Autoimmune hepatitis

A

Presence of ASMA (anti smooth muscle antibodies)

17
Q

Alpha Feto protein assay

A

Hepatocellular carcinoma (or teratoma)

18
Q

Cobblestone mucosa

A

Indicating deep fissuring ulceration of mucosa = found in crowns

19
Q

Diuretic for ascites (due to cirrhosis)

A

Spironolactone

20
Q

Corkscrew oesophagus on barium swallow

A

Diffuse oesophageal spasm

21
Q

Severe abdo pain + D &V after raw milk

A

Campylobacter

22
Q

Russel’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/ cyrptitis

A

Crohns

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 Xray commonly at splenic flexure

A

Ischaemic colitis

28
Q

Charcot’s triad

A

Acute cholangitits i.e. fever, jaundice and abdominal pain secondary to cholelithiasis

29
Q

Causes for abdominal mass: A CHEMICAL

A
AAA
Crohn's 
Hernia 
Enlarged organ 
Malignancy 
Intersusseption
Cyst or abscess
Appendicitis
Lymphadenopathy
30
Q

Causes of bowel obstruction: BATH VIPS

A
Bolus
Adhesions
Tumour
Hernia
Volvulus
Intersusseption
Pseudo-obstruction
Stricture
31
Q

Senital loop

A

Seen on Xray in acute pancreatitis

32
Q

Hartmann procedure

A

Management of diverticular disease

33
Q

Seton stitch

A

fistular in ano

34
Q

Feeling of passing glass on defacation

A

Anal fissure