General Overview: not comprehensive

Question 1

Gastrinomas m/c found where

Answer 1

Duodenum, Pancreas (think of proximity)

Question 2

Condition associated w/ Gastrinomas

Answer 2

MEN1: Multiple Endocrine Neoplasia 1

Question 3

Sister Mary Joseph Nodule is what & should make you think of what Dx?

Answer 3

Umbilical Nodule

Metastatic Spread of Gastric Adenocarcinoma

Question 4

Single lymph node in the Left Supraclavicular Fossa is called what? You should think of what Dx?

Answer 4

Virchow’s Node, sometimes called the “Seat of the Devil” b/c of its ominous association w/ Malignant disease.

Question 5

Stomach is the m/c extranodal site for what type of cancer?

Answer 5

Non-Hodgkins Lymphoma

Question 6

Describe the characteristics of diarrhea caused by these 3 Pathogens:
Enterohemorrhagic E. coli <– undercooked poultry

Answer 6

These bacteria cause PURULENT, BLOODY, CRAMPING diarrhea.

Question 7

TRANSMISSION of PATHOGENS
Enterohemorrhagic E. coli
Shigella
Campylobacter

Answer 7

Enterohemorrhagic E. coli <– undercooked poultry

Question 8

Name the Pathogen & Treatment for diarrhea that is LONG-STANDING, WATERY,
FOUL-SMELLING, WAXES & WANES

Answer 8

Giardia

Metronidazole 250mg bid x10 days

Question 9

Define INTESTINAL VOLVULUS

Answer 9

Volvulus is a bowel obstruction. A complete twisting of a loop of intestine around its mesenteric attachment site that can occur at various sites along the GI tract.

Question 10

Sites that Intestinal Volvulus may occur. Which is the m/c?

Answer 10

MIDGUT VOLVULUS is m/c & refers to twisting of the entire midgut around the axis of the Superior Mesenteric Artery (SMA).

Also occurs in the stomach, SI, Cecum, Transverse Colon & Sigmoid Colon.

(Midgut Volvulus m/c in infants & kids)
(Sigmoid Volvulus m/c in elderly)