GI 2 Flashcards
Which site of bowel obstruction is more common
Small Bowel
Simple Bowel obstruction does not interfere with
Blood supply
Causes of simple bowel obstruction
Gallstones Impacted Faeces Congenital Atresia Crohsn DIverticular Malignant
Dynamic Bowel Obstruction
Bowel Obstruction with cessation of peristalsis and absence of true waves
Intussception in GI can cause
Strangulated Bowel Obstruction
What is the most common associated gene in IBD
NOD2
Which IBD Disease does smoking seem to help
Ulcerative Colitis
Microscopic Features of ulcerative colitis
mucosal ulceration
crypt abscesses
pseudopolyps
How does IBD present on skin
Erythema nodosum
Mild IBD Classified as
Stools <4 Day
Mod IBD Classified as
Stools >4 Day
Severe IBD Classified as
Stools <4 day with Bleed
What condition is common associated with Ulcerative Colitis
Hypoalbuminaemia
Which part of colon affected in Toxic Megacolon
Right and Transverse
Loss of Haustrations on x-ray could mean
Toxic Megacolon
Crohns Features
Skip Lesions Strictures Ulcers Crypt Abscess Fistulas
Where does Ulcerative Colitis begin
Rectum and Works Proximally
Proctitis is confined to
Rectum
Which criteria is used for score of severity in Ulcerative Colitis
Truelove and Witts
what can precipitate toxic megacolon
low potassium or magnesium
Histology of Ulcerative Colitis
Crypt Abscesses
Depleted Goblet Cells
Limited to mucosa
History of Crohns
Transmural Inflammation
which type of colitis raises colonic carcinoma risk significantly
Pancolitis
what does the gallbladder secrete after meal
CCK
Congenital causes of Benign Biliary Tract Disease (2)
Biliary Atresia
Choledochal Cysts
How does Cholangiocarcinoma present
Obstructive Jaundice
Itch
Gallblader Cancer prognosis
Poor
Chronic Pancreatitis causes
Alcohol Cystic Fibrosis Hereditary: Autosomal Dominant Hypercalcaemia Smoking
Clinical Features of Chronic Pancreatitis
Abdo Pain
Exocrine Insufficiency
Endocrine Insufficiency
If Carcinoma of pancreas is affecting head what symptom
painless obstructive jaundice
if carcinoma of pancreas is affecting body and tail what symptom
upper abdo pain
Absolute Contraindications to Enteral Feeding
Obstruction
Severe Ileus
Perforation
Prox Fistula
What should Nasogastric Tube ph be
0-5
When don’t use NG tube
Base of Skull Fracture
Reasons to use NJ Tube
Delayed Gastric Empty
Pancreatitis
Intractable Vomit
Most common pancreas cancer
Head of Pancreas
head of pancreas cancer is related to which endocrine condition
Diabetes
what type of jaundice in head of pancreas cancer
obstructive
Acute Pancreatitis complications
Pseudocyst
Absess
Necrosis
Fluid
Acute Pancreatitis Causes
Gallstones Alcohol CMV Mumps Tumours ERCP Hypercalcaemia Scorpion Venom
Modified Glasgow Criteria for Acute Pancreatitis what would be classified as severe
More than 3 Factors
How to treat Cholelithiasis
ERCP and ES
Chronic Pancreatitis causes
Adenocarcinoma Sphincter of Oddi Dysfunction Duodenal Obstruction Post Nec Radiation Autoimmune Toxins Genetic Environment Recurrent Injuries
Which genetic factors contribute to Chronic Pancreatitis
Autosomal Dominant (Codon 29 and 122)
Autosomal Recessive (CFT, Spink1, Codon A)
Chronic Pancreatitis linked to
Pain with Binges
Pancreatic Exocrine Insufficiency
Jaundice
How do we screen for Colorectal Cancer
QFit
Most common colorectal tumour location for cancer
proximal
Which of these conditions are functional GI Disorders
Oesophageal Spasm Non Ulcer Dyspepsia Biliary Dyskinesia IBS Slow Transit Constipation Drug Related
All
