GI Flashcards
Young woman presents with chronic altering diarrhea and constipation with largely negative testing
I think irritable bowel syndrome
diagnosis of exclusion
In alcoholic and varices, what you get for prophylaxis a variceal bleed
Beta blockers
Presentation suspicious for multiple myeloma but with the addition of hyperviscosity syndrome such as rretinal vein endorsement and easy bruise, suspect
Waldenstorms macroglobinemia
If you see atypical pneumonia and colitis in an immunosuppressive patient
Think CMV. Not PCP
Especially prevalent as a complication of post bone marrow transplant
Patients with the recent gastric bypass are at increased risk for gallstones. What prophylaxis against gallstones
Can be given ursodeoxycholic acid for 6 months
Treated for acute diverticulitis is complicated by fluid collection
Hospitalization and intervenous antibiotics, arrest and observation if fluid collection less than 3 mm
If fluid collection is more than 3 mm, hospitalization IV antibiotics as well as percutaneous drain should be placed
Techicium-pertechetate detects??
Ectopic gastric mucosa. It is often used to diagnoses Merkel diverticulum because Merkels diverticulum usually has gastric tissue in it which is this the likely cause of painless gastric bleeding in kids
Corkscrew appearance is infant with signs of obstructions indicate?
What diagnostic study should be done to confirm?
Midgut Volvulus most likely from intestinal malrotation
Diagnotic upper GI study should be pursued
What AED is associated with pancreatitis
Valproic acid
What is the most important prognostic indicator in Acute Liver failure
Prothrombin Time (PT)
Liver biopsy in Reye’s syndrome will show
Microvesicular steatosis
Pattern seen in alcholic liver disease and fatty liver dz
Macro vesicular steatosis
Difference between rotor syndrome and Dublin Johnson syndrome
Both are benign condition of high of conjugated Bilirubin.
However Dublin Johnson disease is due to impaired excretion of Bilirubin and leads to black liver
While rotor syndrome is due to inability to store Bilirubin in liver thus no black liver
Primary biliary cirrhosis is associated with skin finding
Xanthomas and Xanthelasmas due to reduced ability to as absorb and store fats and fat soluble vitamins
Significance of serum-ascites albumin gradient
Used to determine if portal hypertension is the cause of ascites
Calculated as serum albumin - ascites albumin
SAAG>1.1 indicated that portal hypertension is the cause of ascites and makes SBP likely
