GI Flashcards
A 24 year old returns from an Asian vacation tour and develops fatigue, fever, jaundice and hepatomegaly 3 days later. What is the likely cause?
hep A
Which viral Hepatitis causes a high infant mortality rate in a pregnant woman? and immunocompromised
Hepatitis E causes acute hepatitis, including fulminant hepatitis in pregnant women, but it can also cause chronic hepatitis in immunocompromised individuals.
A patient has negative Anti-HBc IGG, positive Anti-HBc IGM and positive HBsAg. What is the status of their hepatitis B?
acute active hep B, contagious
Which of the hepatitis viruses is a DNA virus?
B
IgM vs IgG
IgM is acute
IgG is chronic
Which types of hepatitis have available vaccine
a and b
What are the routes of transmission for hepatitis B
Infants: perinatal infection Adults: Blood to blood exposure - Sexual - IV drug abuse
Hepatic encephalopathy can be triggered by spontaneous bacterial peritonitis, which is thought to be caused by what?
Translocation of bacteria through the gut wall
Will umbilical hernias in children <12 months old usually resolve on their own?
yes
What is the Dx and treatment? Stomach herniated up into thorax.
Paraesophageal hernia - Surgery recommended
What type of diarrhea is seen in patients with cholera?
secretory diarrhea
What type of diarrhea does lactose intolerance often cause?
osmotic
What type of infectious diarrhea is often linked to deli meats and can be deleterious in pregnant women (lead to miscarriage)?
listeria
Good test for malabsorption
fecal fat testing
What organism commonly causes diarrhea after drinking in a mountain stream?
giardia
