GI 4 test Flashcards
What is VACTERL syndrome?
Characterized by vertebral, anal, cardiac, tracheoesophageal fistula, renal and limb abnormalities
Presents as excessive secretions, choking, respiratory distress, and inability to feed immediately after birth?
Tracheoesophageal fistula
Celiac pts have an increased risk of…
Intestinal lymphoma
Esophageal squamous cell carcinoma
Non-hodgkin lymphoma
Dermatitis herpetiformis
Greenish, foul-smelling, watery diarrhea, abdominal cramps, fever, leukocytosis, and lethargy?
Pseudomembranous colitis–caused by C. diff
Tx: metronidazole or Vanco (PO)
What lab values can be elevated with primary biliary cirrhosis?
Bilirubin Alkaline phosphatase Gamma-Glutamyl Transferase IgM Hypercholesterolemia
What antibody is associated with primary biliary cirrhosis?
antimitochondrial antibody –90% of cases
Which hepatitis virus is associated with a high mortality rate in pregnant women?
HepE virus–Hepevirus family–naked, +ssRNA
Lack of UDP-glucuronyl transferase activity–leading to accumulation of unconjugated bilirubin in the plasma and has a high risk for developing kernicterus?
Crigler-Najjar syndrome–type 1
Type-2–> deficient in the activity of enzyme
Most common causes of travelers diarrhea?
ETEC
Shigella
Campy
What is the tx for travelers diarrhea?
Fluoroquinolones
A benign hereditary disorder involving a deficiency of bilirubin UDP-glucoronyl transferase that has jaundice that occurs with stress, fasting, or infection?
Gilbert syndrome
What increases/decreases in the urine with obstructive jaundice?
Increase-conjugated bilirubin–Dark urine
Decreased-urobilinogen –less bilirubin in the gut so the bacteria can’t make as much urobilinogen–> light colored stool
What is the change that occurs with Barrett esophagus?
Normal–nonkeratinized squamous epithelium undergoes metaplasia to be–nonciliated columnar epithelium
Where is a Meckel diverticulum typically found?
Mid-to-distal ileum
