GI Flashcards
Hepatomegaly
AL Amyloidosis
Functional hypospenim
AL amyloidosis
Liver abscess testing
- 1,3-B-D-glucan
2.MTB, HIV, Epstein Barr, CMV, hepB,C - Chlamydia psittaci,coxiella burnetti
- Brucellosis, bartonellosis, malaria listeriosis, histoplasmosis, babesiosis,cocci,crypto, blastomycosis, malaria, toxo, rpr, ehrlichosis, lyme, anaplasmosis
Non cirrhotic portal hypertension in adults
Nodular regenerative hyperplasia
Nodular regenerative hyperplasia
Causes hypersplenism , splenic sequestration related cytopenias, infections, pulmonary arterial hypertension, hepatopulmonary syndrome
Nodular regenerative hyperplasia,
Arises from:
1. Common variable immunodeficiency
2. Combined immunodeficiency’s
3. Phagocytes defect
4, chronic granulomatous disease
Nodular regenerative hyperplasia in immunodeficiency
Occurs with inflammatory complications:
1. High levels of bacterial DNA
2. Soluble CD14
3. Interferon -y activity (higher is worse)
Cirrhosis (thrombocytopenia is not a predictor of procedural bleeding)
JTH 2024;22 2653-2669
- Increased levels of willebrand factor
- Decreased ADAMTS-13
- Decreased production protein S,C, antithrombin
- Hypofibrinogemia
Fecal elastase
Pancreatic insufficiency
Vasoactive tumor
Diarrhea weight loss
Over the scope clip
Brisk bleeding
Hemostatic powder (sterile clay)
Good for tumors
Malignant bleeding
Hemostatic powder (sterile clay)
Good for tumors
Malignant bleeding
AJG 2023; 118:208-231
LGIB MANAGEMENT
Management of anticoagulant and ant platelets in GI bleed
AJG2-22;117-542-548
VKA, DOAC, P2Y12
Reverse AC if unstable
Keep aspirin if cardiovascular rx