GI Flashcards
Charcot’s triad
Fever, Jaundice, RUQ pain
Reynold’s Pentad
Fever, Jaundice, RUQ + hypotension, confusion
Tx pt’s with Charcot’s triad
Fever, jaundice, RUQ pain–> cholangitis–>ERCP diagnostic and therapeutic
Birth cohort to test for Hep C?
1945-1965
Pregnant pt with Hep B
Tx with antivirals, risk of transmission to fetus is 90%
Most common causes of cirrhosis
Hep C and alcoholism
Which is more specific and sensitive for pancreatitis: amylase or lipase?
Lipase
Triad sx chronic pancreatitis
steatorrhea, diabetes, pancreatic calcification
Rovsing’s sign
palpation LLQ causes pain RLQ
Obturator sign
internal rotation R hip causes RLQ pain
TX diverticulitis
Augmentin OR metronidazole + Cipro
6 weeks after ABX–> colonoscopy
Tx intusussception
Barium enema: therapeutic and diagnostic
Gold standard diagnosis ischemic bowel
angiography
Five year survival rate for colon CA stage 1 vs stage 4
Stage 1: 95 %
Stage 4: under 10%
umbilical hernia in a child
usually resolved by age 3, if not resolved by age 3- surgery
C Diff most commonly associated with what antibiotic?
Clindamycin
TX C Diff
Metronidazole
2nd line Vanco
Most common organism causing infectious diarrhea?
Campylobacter
Why should you not treat a pt with suspect enterhemorrhagic E Coli diarrhea with ABX?
Possible hemolytic uremic syndrome
Diarrhea sx that begin within 6 hours suggest what organisms?
Staph or Bacillus Cereus
Zencker Diverticulum
outpouching of the pharynx, causes foul smelling breath and regurgitation of undigested food
Medication to control bleeding from esophageal varices
Octreotide
non bleeding esophageal varices treated with what medication as prophylaxis?
Propranolol
Diagnostic test for pyloric stenosis
abdominal US
2 most common causes of cirrhosis
Hep C and ETOH
What AST: ALT ratio indicative of alcoholic cirrhosis?
2:1 AST to ALT (AlcoholicS)
Grey Turner sign
ecchymosis of flanks (pancreatitis)
Cullen’s: umbillical ecchymosis
PANCA positive
UC
Xray findings toxic megacolon
Dilation> 6cm
cobblestoning
crohns