GI Flashcards
Most common cause of small bowel obstruction and treatment/initial management
Adhesions (other causes are cancer, hernia, and volvulus); fluids and NG tube decompression, CTAP, and surgery consult, surgery if not resolved in 3-5 days
Most common complication after sleeve gastrectomy
GERD
hemochromatosis affects which three organs most heavily due to iron deposition? patients with elevated ferritin with hemochromatosis should undergo regular what? what is the earliest biochemical sign of the disease in lab work?
liver, heart, pancreas; phlebotomy to reduce risk of liver disease/cancer; increased transferrin saturation >45%
which procedural treatment is appropriate for grade 1-3 internal hemorrhoid?
rubber band ligation
what is the most definitive treatment for acutely painful thrombosed external hemorrhoid?
incision and evacuation in office within 2-3 days of onset
after hemolysis is excluded what is the next most common cause of unconjugated hyperbilirubinemia?
Gilbert syndrome; genetic dx of liver processing of bilirubin; jaundice occurs after physiologic stressor; benign condition; no treatment required; asymptomatic between episodes
treatment of chronic diarrhea in a patient with ileal Crohn’s or after ileum resection
trial of bile acid sequestrant such as cholestyramine daily
what are the two major risk factors for developing esophageal adenocarcinoma?
GERD and obesity
what is first line medication to manage symptoms of malignant bowel obstruction in patient receiving end of life care?
dexamethasone 4mg TID
which class of medications can increase risk of GI bleed by 55%? does it need to be stopped if a patient taking it has a one time GI bleed that is treated?
SSRIs; no it doesn’t have to be stopped if it helps patient’s depression as study didn’t find increased risk of rebleed, increased 30 day mortality from GI bleed, or bleeding refractory to endoscopy
aldosterone antagonists, SSRIs, effexor, and CCBs are associated with increased risk which GI condition?
GI bleeding
