Gastrointestinal

Question 1

Differences Crohn’s disease and ulcerative colitis

Answer 1

Question 2

Blood suppy to the liver (3)

Answer 2

1. Splenic artery
2. Common hepatic artery
3. Left gastric artery

Question 3

Complications of obstructive jaundice (5)

Answer 3

1. Infection (Bile infested by aerobic bacteria -> ascending cholangitis)
2. Renal failure (Too much bilirubin)
3. Hepatic encephalopathy
4. Bleeding tendency (fat malabsorption -> reduce vitamin K -> reduce clotting factors)
5. Thromboembolism (clotting deficiency)

Mx: drainage/hydration/abx/vit K infusion/low dose LMWH

Question 4

Sequalae of gallstone (4)

Answer 4

1. Inflammation (cholecystitis)
2. Sequelae of inflammation (empyema, mucocele, perforation, cancer)
3. Obstruction (biliary colic, pancreatitis, choledocholithiasis, liver failure)
4. Sequelae of choledocholithiasis (acute cholangitis, ascending cholangitis, pyogenic cholangitis)
5. Fistulation (gallstone ileus)