GI Flashcards
What is a modality for a patient with significant nighttime GERD sxs?
H2 blocker at night, PPI during day
Common viral causes of esophagitis?
CMV, and HSV
Common causes of esophagitis with HIV patient?
Mycobacterium tuberculosis
EBV
Mycobacterium Avium Complex (MAC)
How to treat HSV esophagitis?
Acyclovir
How to treat CMV esophagitis?
Ganciclovir
Key feature of Zenker’s diverticulum?
vomiting undigested food after several hours
Classic finding on barium swallow in patient with Achalasia?
“Parrot beak”
Condition caused by thrombosis of portal vein which leads to esophageal varices?
Budd-Chiari Syndrome
What three diseases does H Pylori cause?
PUD
gastric adenocarcinoma
gastric lymphoma
Most common cause of peptic ulcer disease?
H Pylori
The name of a syndrome which involves a gastrin-secreting tumor that causes hypergastrinemia?
Zollinger-Ellison syndrome
How to diagnose Zollinger-Ellison syndrome?
fasting gastrin level > 150 pg / mL
What is strongly associated with gastric adenocarcinoma?
H Pylori
What is the supraclavicular lymphadenopathy of gastric adenocarcinoma called?
Virchow’s node
What is the umbilical nodule of gastric adenocarcinoma called?
Sister Mary Joseph nodule
What organism causes the most rapid onset of diarrhea?
Staph Aureus
what denotes an inflammatory process in diarrhea?
stool WBCs
when should a colonoscopy be ordered in patient with constipation?
patients > 50 years old with new onset constipation
What causes most small bowel obstructions?
adhesions and hernias
Most common cause of a large bowel obstruction?
tumor
What test distinguishes mal-digestion from mal-absorption?
D-xylose test
What is the most common genetic condition in the US?
Celiac
What are the screening tests for celiac?
IgA anti-endomysial and anti-tissue transglutaminase
What is the age of onset for Crohn’s disease?
Age 25, M = F
What is possibly curative in Ulcerative Colitis?
Surgery
What is the most common cause of chronic or recurrent abdominal pain in the US?
IBS
What is the most common cause of intussusception in a child and adult?
Child: viral infections
Adult: neoplasm
What is the presentation of intussusception?
colicky pain
currant jelly stool
sausage-like mass
how do we both diagnose and treat intussusception in a child?
barium or air enema
how do we diagnose intussusception in an adult?
CT
What test do we avoid with diverticulitis?
Barium enema
What is the risk of inheirited polyposis syndrome?
near 100% risk of cancer
What lab test is used to monitor Colorectal cancer?
carcinoembryonic antigen (CEA)
what is the most common cause of appendicitis?
fecalith
What is the most common emergency surgery?
appendicitis
what is the initial symptom of appendicitis?
periumbilical or epigastric pain
Most common causes of pancreatitis?
ETOH
cholelithiasis
Classic pain pattern of pancreatitis?
epigastric pain radiating to back
What is bleeding into the flanks called?
Grey Turner sign
What is bleeding into the umbilical area called?
Cullen’s sign
What is a palpable gallbladder and jaundice called?
Courvoisier sign
What is the surgical resection of pancreatic cancer called?
Whipple procedure
What are the complications of choledocholithiasis?
cholecystitis
pancreatitis
acute cholangitis
What is Charcot’s Triad?
RUQ pain
jaundice
fever
What is Charcot’s triad, with added hypotension and altered mental status?
Reynold’s Pentad
What is primary sclerosing cholangitis associated with?
Ulcerative Colitis
What is the only known treatment for primary sclerosing cholangitis?
Liver Transplant
What represents ongoing Hepatitis B infection
Hep B Surface Antigen
What represents immunity to Hepatitis B?
Anti-HBs - antibody to HepB Surface Antigen
What med is used for acetaminophen toxicity?
acetylcysteine
What is the general cause of a liver abscess?
Entamoeba Histolyica
What is the liver a common recipient of metastases from?
Lung and Breast
What diseases cause an elevation of alpha-fetoprotein
Hepatic Carcinoma
Hep C
Cirrhosis
What is the location of an indirect inguinal hernia?
Through internal inguinal ring
Location of a direct inguinal hernia?
Through external ring at Hesselbach’s triangle
What is the basic patient demographic for pyloric stenosis?
5 week old male
What is the radiographic finding of pyloric stenosis?
String Sign
What is the disease caused by Vitamin D deficiency?
Rickets
What is the disease caused by Thiamine deficiency?
Beriberi
What’s another name for Vitamin B6?
Pyridoxine
What is the problem with pheynlketonuria?
inability to metabolize phenylalanine
What is the treatment for phenylketonuria?
low phenylalanine diet and tyrosine supplementation.