Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Long case > GI > Flashcards

GI Flashcards

1
Q

Investigations biliary colic

A

US abdo

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Tx biliary colic

A

Analgesia
IV fluids
Cholecystectomy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Acute cholecystitis

A

RUQ pain going to back/ shoulder
Nausea
Vomiting
Fever

Murphys sign

JAUNDICE- NO—> mirizzi

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Investigations acute cholecystitis

A

Labs
Micro
US – wall thickening, distended, air in GB wall, peri cholecysto fluid

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Complications of GS

A 
Biliary colic
Acute cholecystitis 
Ascending cholangitis
Obstructive jaundice 
Acute pancreatitis
Chronic cholecystitis
GB Ca
Perforated GB
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Complications of acute cholecystitis

A

Necrotizing inflammation with perforation

  • empyema
  • mucocele
  • peri cholecystitic abscess
  • generalized biliary peritonitis

Adhesions– gallstone ileus = cholecystoduodenal fistula

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Tx of acute cholecystitis

A

Pre-op
ERCP
Cholecystectomy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Ascending cholangitis

A

Fever
Jaundice
RUQ pain
(Charcot)

Shock
Encephalopathy
(Reynolds)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Investigations ascending cholangitis

A

Labs
Blood cultures
US

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Tx ascending cholangitis

A

Sepsis 6

ERCP emergency decompressive

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Sepsis 6

A

Give

  • oxygen
  • antibiotics
  • IV fluids

Take

  • blood
  • LDH and Hb
  • urine output hourly
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Acute pancreatitis drugs that cause it

A

Thiazides
Azathioprine
HAART
steroids

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Acute pancreatitis

A 
KNIFE LIKE PAIN in epigastric--back
Nausea / Vomiting / fever 
HypoCa
Hypoxia
Hypovolaemic shock
DIC

Grey turner
Cullen’s sign

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Complications of acute pancreatitis

A 
Necrotic
Chronic
Abscess 
Pseudocyst
Haemorrhage
Transverse colon necrosis
ATN
ARDS
Intra abdominal sepsis
Death
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Investigations of acute pancreatitis

A

Labs- urinary> serum amylase
- lipase, calcium, triglycerides, glucose, LDH, AST, albumin
AbGs

Imaging- PFA, CXR, US, dynamic CT

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Treatment acute pancreatitis

A 
Sepsis 6
Necrosectomy
Distal pancratecomy
Whipples
Cholecystectomy
Drain any abscesses
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Scoring for acute pancreatitis

A

Glasgow
Ranson
APACHE

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

PUD

A 
Coffee ground vomit
Malaena 
Anaemia 
Epi pain- worse/ better
Dyspepsia/ belch and bloat
Early saiety

RUPTURE

  • -> sepsis
  • -> hypovolaemic shock
19
Q

Risk factors for PUD

A 
N- BASSS
NSAIDs
Bile reflux 
Alcohol
Smoking
Stress
Steroids
20
Q

Staging gastric ulcers

A

Johnson classification

21
Q

Risk for acute upper GI bleed

A 
Rockall score 
ABCDS
Age
Bleeding
Comorbidities 
Diagnosis 
Shock
22
Q

Dx PUD

A

Labs

H pylori testing- urease breathe test, CLONtest, stool antigen

Endoscopy

Radiography– perforation

Angiography

23
Q

Treatment of PUD

A

Stabilize haematogenously

Triple therapy- PPI, amoxicillin, clarithromycin

24
Q

Appendicitis

A

MANTREL

25
Q

Dx appendicitis

A

Labs
CT- oral or rectal gastrografin enema
US- kids

26
Q

Mgmt appendicitis

A

Sepsis 6
Pare eternal analgesia
Appendectomy

27
Q

Blumberg sign

A

Rebound tenderness McBurny

28
Q

Rovsing

A

RLQ pain with PALPATION of LLQ

29
Q

Psoas sign

A

Pain with Extension thigh

30
Q

Obturator sign

A

IR-ER pain

31
Q

Dunphy

A

Pain with coughing in RLQ

32
Q

Markle sign

A

Pain going from toes to heels

33
Q

Diverticulitis

A 
Diarrhea
Constipation- bloating, flatulence
Haematochezia 
LLQ pain
Peritonitis signs 
Nausea vomiting

Purulent vaginal discharge
Air in urine
UTI symptoms

34
Q

Complications of diverticulitis

A 
Strictures
Diverticulitis
PR bleed
Fistulae 
Peritonitis
35
Q

Dx diverticular disease

A

Labs

CT abdomen

36
Q

Tx diverticular disease

A 
Fluid diet
Antibiotics 
Bowel rest
IV fluids
Hartmanns
37
Q

Hinchey classification diverticular disease

A

1: diverticulitis with phlegmon and pericolic abscess
2: diverticulitis with abscess= pelvic, retroperitoneal, intra abdominal
3: perforated– generalized peritonitis
4: ruptured– fecal peritonitis

38
Q

Biliary colic

A

RUQ pain going to back/ shoulder
Restless
Wax and wane

After meals OR night.

NO- fever

39
Q

Ischaemic colitis

A

Sudden onset bloody diarrhea

Pain with eating

40
Q

IBD UC

A 
Bloody mucus diarrhea
LLQ pain 
Weight loss
Anaemia 
Cramps 
Tenesmus
Malaise
41
Q

IBD CD

A 
Aphthous ulcers
Anaemia
B12
Intermittent diarrhea
RLQ pain 
Kidney stones

Extra intestinal

42
Q

Mgmt IBD

A 
Aminosalicylates
Antibiotics
Corticosteroids 
Immuno modulators -- MAC 
Infliximab and Adalimumab antiTNF
43
Q

Colon cancer

A 
Change in bowel habit
Tenesmus
Anaemia 
Abdo pain 
Onstruction 
Cachexia
44
Q

Tx colon cancer

A

R and L hemicolectomy
Upper 1/3 rectum- colonic anastomosis
Lower and middle 2/3: APR

Total mesorectal excision
High litigation pedicle vessels

Long case (4 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions