GI Flashcards
Overweight female w/ severe RUQ pain occurring 1 hour after eating that radiates to right shoulder. What is the best diagnostic test for this condition?
acute cholecystitis
abdominal US
Most common cause of acute cholecystitis.
What two lab values may be elevated?
gall stones
ALP and +/- conjugated bilirubin
All of the following are RF for acute diverticulitis except:
-low fibre
-advanced age
-smoking
-sedentary lifestyle
-NSAIDS
smoking
What special test is + in acute abdomen and should be examined in divertitculitis?
At what age should diverticulitis be managed in ED?
Rovsvig sign - palpation in LLQ produces pain in RLQ
Rebound tenderness
At 70 years or more
Treatment for diverticulitis outpatient PO
TMP/SMX
Metronidazole (for anaerobes)
When should colonoscopy be conducted following diverticulitis
6-8 weeks following resolution of symptoms
Most common cause of pancreatitis x 3
Gallstones
ETOH
Elevated triglicerides
2 special signs for pancreatitis
Cullens sign - periumbilical ecchymosis
Grey-Turners sign- flank ecchymosis
C. diff normally presents _ to _ days after initiation of ABX
5-10 days
Colon screening
50-74 for average risk
What condition has higher risk of toxic megacolon and colon cancer and lymphoma?
Crohns disease
A gastrinoma located on the pancreas or stomach that secretes gastrin –> high levels of acid and multiple severe ulcers of stomach and duodenum +/- complaints of epigastric and mid-abdominal pain.
How to screen for this condition?
Zollinger-ellison syndrome
Serum fasting gastrin level
Describe murphys sign and what it may indicate
Cholecystitis
Press on RUQ at costal border during inspiration. Midinspiratory arrest = positive finding
2 most common S&S of GERD
heartburn and regurgitation
T/F do not discontinue PPIs abruptly as may cause rebound symptoms
True
