Gastrointestinal Flashcards

1
Q

Mallory-Weiss tear causes

A

Violent wretching and vomiting - bulemia, etoh etc

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2
Q

Boerhaave’s Syndrome

A

Rupture of esophageal wall secondary to vomiting

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3
Q

Esophageal varices treatment

A

IVF, vasopressin, vitamin k

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4
Q

Duodenal ulcer manifestations

A

Pain starts prior to meal and is relieved by food

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5
Q

Gastric ulcer manifestations

A

Pain occurs right after eating

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6
Q

Murphy’s sign

A

Inability to inhale deeply during palpation under the right costal margin near the liver (cholecystitis )

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7
Q

Pancreatitis manifestations

A

Epigastric pain that radiates to the back, abdomen tender to palpation, elevated lipase

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8
Q

Hepatitis A transmission

A

Fecal -> Oral (vaccine)

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9
Q

Hepatitis B transmission

A

Sexual, human bites, occupational exposure (vaccine)

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10
Q

Hepatitis C transmission

A

Sexual, IV drug use, occupational exposure (no vaccine)

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11
Q

Steatorrhea definition

A

chunky yellow foul smelling fatty stools which float in toilet water

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12
Q

Peritonitis symptoms

A

Diffuse abdominal pain which worsens with movement or coughing, rigid abdomen, respiratory difficulties

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13
Q

Most common complication of bowel obstruction

A

Dehydration and electrolyte imbalances

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14
Q

Diverticulitis treatment

A

Hydration, low-fat low-fiber diet during acute phase

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15
Q

Most frequently injured abdominal organ

A

Spleen

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16
Q

Spleen trauma manifestations

A

LUQ pain and bruising, hypovolemia

17
Q

Liver trauma manifestations

A

RUQ pain and bruising, rebound tendersness

18
Q

Stomach trauma manifestations

A

Hemetemesis, decreased bowel sounds, free air on CXR

19
Q

Pancreas trauma manifestations

A

Increased amylase/lipase/glucose, delayed epigastric pain - high mortality rate

20
Q

Bowel trauma manifestations

A

Generalized abdominal pain, sepsis, nausea, vomiting - small bowel more frequent than large bowel