GI Flashcards
What is the MCC of large bowel obstruction?
Other causes?
How to differentiate between large and small bowel obstruction on imaging?
Adenocarcinoma.
Other causes: diverticular disease, volvulus.
Haustral markings on radiograph.
MCC of acute abdominal disorder in 3mo old - 3 year old. Classic Triad: abd pain, currant jelly stool (mucus & blood), palpable abd mass (sausage shaped mass).
Abd US shows Target Sign.
The condition? Treatment?
Intussusception.
Treat with therapeutic enema.
Cancer caused by adenocarcinoma and appearance of Virchow Node (L.supraclavicular) and Sister Mary Joseph Nodule (umbilical)–What is this?
Gastric Cancer with Metastatic Spread
Name the disorder: 3 week old baby with nonbilious vomiting that is projectile and olive shaped mass palpated during or immediately after feeding.
Pyloric stenosis.
What type of IBD is predominantly right sided and has skip areas and has trans mural lesions anywhere along the GI tract from mouth to anus?
What are the common sxs?
Crohn’s Disease.
D and RLQ pain.
What type of IBD involves the large intestine and rectum, is distal to proximal, continuous?
Sxs?
Ulcerative Colitis.
Bloody, pus-filled D; tenesmus.
What ulcer feels better with food?
Without food?
Duodenal ulcer likes food.
Gastric ulcer doesn’t like food.
What is the MCC of small bowel obstruction? What is seen on x-ray?
Adhesions.
See air-fluid levels on x-ray.
In what GI disorder do you see an apple core lesion?
Colon Cancer.
What is the best treatment for mild to mod acute pancreatitis with N, V and abdominal distension?
NPO, bed rest, nasogastric suction(used with distension and V present), analgesia
Name this disorder: RUQ or epigastric pain, fever with chills, leukocytosis with a left shift(a high number of immature WBCs due to infection or inflammation) and jaundice(more specific to this)
Ascending Cholangitis: jaundice and sepsis is usually more specific to this than acute cholecystitis
What is the best imaging study for an unstable patient where an AAA is suspected?
Abdominal US
Which type of cancer is associated with Barrett’s?
Adenocarcinoma
What are RFs for gastric adenocarcinoma?
H. Pylori and pernicious anemia(achlorhydria: production of hydrochloric acid is low/absent).
