GI Flashcards
complication of c.diff infection
toxic megacolon (also assc with UC)
> 6cm dilation on abd xray
this disorder has abnormally deceased copper excretion from the body
Wilson Disease
There is a decrease in Ceruloplasm, so Cu cannot be excreted and builds up
May see neurological manifestations = psych symptoms
dx of Wilson disease
see abnormally increased amount of Cu excretion in the urine
(common foil: decreased ceruloplasm level)
tx of Wilson disease
- Penacillamine (chelation agent)
- Zinc or Trientine (Zinc interferes with Cu absorption in the gut)
also avoid foods with high copper: shellfish, cocoa, nuts
anti-smooth muscle Ab
autoimmune hepatitis
anti-mitochondrial Ab
primary biliary CIRRHOSIS
IBD which is ASCA+
Chron’s (antisaccaromyces cerevesia Ab)
dx of Hemochromotosis
increased: ferretin, Fe
decreased: TIBC
ALT greater than AST, both in 1000s
viral (also autoimmune?)
AST = ALT both in 1000s
ischemic “shock” liver hepatitis
AST 2x greater than ALT, also increase in GGT
alcoholic hepatitis
increase alk phos increase GGT
bile duct obstruction
dont forget about primary sclerosing cholangitis if the patient has UC
pyoderma gangrenosum
rash that is GrOsS!
assc with UC
tx UC and it should go away
Diabetic gastroparesis
dx?
tx?
dx: gastro scintigraphy (eat radioisotope egg whites)
tx: metoclopramide or erythromycin
2 types of esophageal cancers and how you get them
1) squamous cell - smoking, drinking
2) adenoCA - Barrett’s esophagus
