GI Flashcards

1
Q

Barret’s esophagus risk

A

Adenocarcinoma

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2
Q

Small intestine obstruction + air in the biliary tract

A

Gallstone ileus

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3
Q

H pylori triple treatment

A

Amoxa
Clarithro
Omeprazole

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4
Q

Zollinger Ellison syndrome

A

Multiple ulcers due to gastrinoma

Think in MEN I

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5
Q

Carcinoid tumor

A

5HT secreting > flushing, cramps, diarrhea, wheezing, right sided valvular lesions

tx: ocreotide

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6
Q

Hepatocellular injury + obese + Negative biomarkers for viral or autoimmune hepatitis

A

> > > Non alcoholic fatty liver disease«<

Associated with insulin resistance
AST/ALT <1
Hyperechoic on ultrasound

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7
Q

Acute pancreatitis

A

Alcohol 40% , stones 40%, hypertriglyceridemia

If stones suspected US > ERCP

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8
Q

Arsenic poisoning

A

Acute: vomiting, diarrhea, QTc prolongation
Chronic: Hypo/hyperpigmentation, hyperkeratosis, glove neuropathy

Tx: Dimercaprol, DMSA,

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9
Q

C. difficile

A

Hospitalized+Clynda > highest risk

Dx: C diff toxin in stool or PCR

Tx: Metronidazole > 2nd line: Oral vanco or fidaxomicin

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10
Q

Colon cancer screening

A

> 50 yo Colonscopy every 10 years

––Family member: 10 years before it was diagnosed orat 40 yo
––Three family members, 2 generations, 1 <50 yo: Hereditary nonpolyposis > starts at 25

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11
Q

Previous adenomatous polyp

A

Colonoscopy every 3 to 5 years

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12
Q

Meconium ileus

A

Cystic fibrosis

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13
Q

Aganglionic colon

A

Down syndrome

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14
Q

Primary biliary cholangitis

A

Cholestasis with autoimmune destruction of the intrahepatic bile ducts

Dx: Normal AST, ALT, ⬆️Alk Phos > ➕ Ursodeoxycholic

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15
Q

Minimal bright red blood per rectum, what’s next?

A

<40 yo: anoscopy
40-49 yo: Sigmoidoscopy or colonoscopy
>50 yo: colonoscopy

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16
Q

Chrohn’s disease

A

Any portion, discontinuous, transmural inflammation.

Fistulas, tenderness.

Colonoscopy> cobblestoning & skip lesions

Tx: 5ASA agents

17
Q

Ulcerative colitis

A

Rectum always involved, mucosa & submucosa only. Bloody diarrhea

Colonoscopy: Friable mucosa, pseudopolyps

Tx: 5ASA agents > surgery

18
Q

Sclerosing cholangitis

A

Jaundice, pruritus, fatigue
⬆️AP⬆️bili
ERCP: multiple bile duct strictures and dilations

Biopsy: Liver: periductal sclerosing

❗️Highly associated with ulcerative colitis

High dose of ursodil

19
Q

Unconjugated hyperbilirubinemia, normal CBC, blood smear

A

Gilbert’s syndrome

20
Q

Wilson’s disease lab results

A

⬇️ Ceruloplasmin

High urine cooper