GI Flashcards
1
Q
Causes of ascites
A
liver cirrhosis heart failure cancer pancreatitis TB blockage of hepatic vein (Budd-Chiari Syndrome)
2
Q
What is Budd-Chiari syndrome
A
Blockage of the hepatic vein
Triad of abdominal pain, ascites and hepatomegaly
3
Q
causes of Budd-Chiari syndrome
A
primary (80%) polycythemia vera pregnancy post-partum state OCP hepatocellular carcinoma
secondary
compression e.g. due to tumor
4
Q
Causes of pancreatitis
A
Idiopathic Gallstones Ethanol Trauma Steroids Mumps/malignancy Autoimmune disease Scorpion Hypercalcaemia/hyperlipidaemia ERCP (kidney stone removal) Drugs (azathroprine, thiazides, tetracyclines)
5
Q
Symptoms of pancreatitis
A
severe epigastric pain radiating to back
nausea and vomiting
decreased appetite
In history look for:
past gallstones
surgery (ERCP)
alcohol and family history
6
Q
How to diagnose pancreatitis
A
suggestive history
serum amylase >3x normal
CT suggestive (or ultrasound look for gallstones)