GI Flashcards
Barret’s esophagus risk
Adenocarcinoma
Small intestine obstruction + air in the biliary tract
Gallstone ileus
H pylori triple treatment
Amoxa
Clarithro
Omeprazole
Zollinger Ellison syndrome
Multiple ulcers due to gastrinoma
Think in MEN I
Carcinoid tumor
5HT secreting > flushing, cramps, diarrhea, wheezing, right sided valvular lesions
tx: ocreotide
Hepatocellular injury + obese + Negative biomarkers for viral or autoimmune hepatitis
> > > Non alcoholic fatty liver disease«<
Associated with insulin resistance
AST/ALT <1
Hyperechoic on ultrasound
Acute pancreatitis
Alcohol 40% , stones 40%, hypertriglyceridemia
If stones suspected US > ERCP
Arsenic poisoning
Acute: vomiting, diarrhea, QTc prolongation
Chronic: Hypo/hyperpigmentation, hyperkeratosis, glove neuropathy
Tx: Dimercaprol, DMSA,
C. difficile
Hospitalized+Clynda > highest risk
Dx: C diff toxin in stool or PCR
Tx: Metronidazole > 2nd line: Oral vanco or fidaxomicin
Colon cancer screening
> 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
Previous adenomatous polyp
Colonoscopy every 3 to 5 years
Meconium ileus
Cystic fibrosis
Aganglionic colon
Down syndrome
Primary biliary cholangitis
Cholestasis with autoimmune destruction of the intrahepatic bile ducts
Dx: Normal AST, ALT, ⬆️Alk Phos > ➕ Ursodeoxycholic
Minimal bright red blood per rectum, what’s next?
<40 yo: anoscopy
40-49 yo: Sigmoidoscopy or colonoscopy
>50 yo: colonoscopy