GI 3 Flashcards

1
Q

suspect pancreatic adenocarcinoma. workup?

A

if jaundice, do US (b/c at head)

if no jaundice, do CT (b/c at tail)

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2
Q

multiple liver lesions. next step?

A

colonoscopy

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3
Q

biggest modifiable risk factor for pancreatic cancer

A

smoking

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4
Q

alcoholic hepatitis labs other than AST and ALT

A

incr GGT
incr bilirubin
incr INR

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5
Q

features of PBC

A
pos AMA
jaundice
hepatomegaly
steatorrhea
hyperlipidemia 
thyroid disease
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6
Q

anti smooth muscle Ab

A

autoimmune hepatitis

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7
Q

dx and tx of carcinoid

A

5-HIAA

octreotide, surgery for liver mets

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8
Q

indications for TIPS

A
portal hypertension (variceal hemorrhage, ascites)
hepatorenal syndrome
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9
Q

management of hepatic encephalopathy

A

tx volume depletion and electrolyte abnormalities (like hypokalemia)
lactulose, lactitol
rifaximin

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10
Q

small intestinal bacterial overgrowth

  • sxs
  • associations
A

flatulence
bloating
diarrhea

anatomical abnormalities (surgery, strictures)
motility disorders (DM, scleroderma)
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11
Q

causes of positive urine bilirubin

A

hepatic dysfunction
biliary obstruction
defective hepatic bilirubin secretion

(buildup of conjugated bilirubin leaks into urine)

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12
Q

causes of positive urine urobilinogen

A

excess hemolysis

normally urobilinogen in feces, and 1% in urine.. but excess hemolysis overcomes that ability

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13
Q

ursodeoxycholic acid used to treat

A

cholesterol gallstones in people not surgical candidates

PBC and PSC

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