GI Flashcards
1
Q
Thumb-printing sign
- Sign
- Differentials
A
Thumb-printing sign
- Thumb imprints along bowel wall
- Oedematous large bowel
- Enlarged haustrae
- Inflammatory process
- IBD
- Infection eg. Pseudomembranous colitis
- Ischaemia
- Diverticulitis
2
Q
Bowel Habit
- Five questions
A
Bowel habit
- How often?
- Change in frequency or form?
- Waking overnight?
- Blood or mucous?
- Tenesmus, urgency, or incontinence?
3
Q
Which IBD has:
- Transmural inflammation
- Crypt abscesses
- Decreased incidence in smokers
- Lymphoid and neutrophil aggregates
A
IBD
- Transmural inflammation
- Crohn’s
- Crypt abscesses
- UC
- Decreased incidence in smokers
- UC
- Lymphoid and neutrophil aggregates
- Crohn’s
4
Q
Which endoscopy test for:
- Bloody diarrhoea
- Small bowel mucosa
- Proximal disease
A
Which endoscopy test for:
- Bloody diarrhoea
- Flexible sigmoid
- Small bowel mucosa
- Capsule
- Proximal disease
- Colonoscopy
5
Q
IBD
- Mainstay Treatment
A
IBD Steroids
- Oral prednisolone
- Oral Budesonide in SB disease
- IV Hydrocortisone
6
Q
IBD Rescue Therapy
- UC
- Crohn’s
A
IBD Rescue
UC
- Ciclosporin and biological
- Surgery
Crohn’s
- Biological
- Surgery
7
Q
UC
- Maintaining Remission
A
UC - Remission
- Mesalazine
8
Q
Crohn’s
- Maintenance therapy
A
Crohn’s
- Maintenance therapy
- Azathioprine
- Biological (especially peri-anal or fistulating)
9
Q
Coeliac disease
- Untreated progression
A
Untreated coeliac disease
- SB lymphoma
- SB cancer
- Osteoporosis
- Gluten ataxia and neuropathy
10
Q
Coeliac disease
- Diagnosis
A
Coeliac Dx
- tTG
- Tissue transglutaminase
- OGD and duodenal biopsies
- Villous atrophy
- Intra-epithelial lymphocytosis
11
Q
Dyspepsia history
- Five questions
A
Dyspepsia history
- Abdo or retrosternal
- Waterbrash
- Vomitting
- Upper GI wind
- Weight-loss, Dysphagia, older age
12
Q
Dysphagia
- Phases
- DDx
A
Dysphagia
- Oro-pharyngeal
- Neurological
- Oesophageal
- Neuromuscular
- Obstruction
13
Q
Liver disease
- History risk factors
A
Liver risk factors
- Family history
- Sexual history
- Medication history
- Prescribed/self-prescribed
- IVDU or dubious sterile procedures
- 1990 blood transfusion
- Alcohol/metabolic syndrome
- Travel
14
Q
Liver disease
- Five self-resolving acute disease
A
Liver disease
- Hep A
- Hep E
- CMV
- EBV
- Drug induced DILI
15
Q
Liver disease
- Five chronic conditions
A
Liver disease
- ETOH
- Hep C
- NASH (non alcoholic steatohepatitis)
- AIH (autoimmune hepatitis)
- PBC, PSC
- Biliary cirrhosis
- Sclerosing cholangitis