GI Flashcards

1
Q

GERD

A

Relaxed LES
Chronic cough
Aggravated by: obesity, EtOH, tobacco, caffeine
Tx - PPi

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2
Q

Esophagitis

A

if HIV - Candida

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3
Q

Zeker Diverticulum

A

Undigested food

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4
Q

Achalasia

A

Birds-beak on XR

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5
Q

Plummer-Vincent Syndrome

A

Fe2+ therapy

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6
Q

Mallory-Weiss Tear

A

Blood in cough and vomit

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7
Q

Esophageal Varices

A

Portal HTN!

Tx: Octreotide/fluoroquinolone, then TIPS (transjugular intrahepatic portosystemic shunt), then Bb to prevent bleeds

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8
Q

Dyspepsia

A

Scope if >55yo

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9
Q

Gastric CA

A

H. pylori!!!
Other causes - EtOH, smoking
Palpable mass
Repeat scope if gastric ulcers present to r/o CA

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10
Q

Pyloric Stenosis

A

Projectile vomiting

Olive sign

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11
Q

Cholecystitis

A

Referred pain to R shoulder

Murphy’s sign

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12
Q

Cirrhosis

A

Causes - EtOH, HepC

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13
Q

Pancreatitis

A

Evil spirits live in the pancreas. Don’t fuck with the pancreas
Epigastric pain radiating to back most common
Lipase >3x ULN

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14
Q

Appendicitis

A

Periumbilical, then RLQ
McBurney’s point
Dx is clinical!

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15
Q

Celiac

A

Tx: Gluten-free diet

Tissue transglutaminase/endomysial ABs

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16
Q

Diverticulosis

A

Risk - red meat, fat consumption
LLQ pain
Constipation
Dx - colonoscopy

17
Q

Diverticulitis

A

Infection
Dx - CT
Tx: Augmentin, Cipro+Metronidazole

18
Q

Crohn’s

A
Skip lesions
Transmural
Fistulas
\+ASCA
Tx: 5-ASA (mesalamine)
19
Q

UC

A

Colon
pANCA+
Tx: 5-ASA (mesalamine)

20
Q

Intussusception

A

Abd pain
Currant jelly stool
Vomiting
Dx Enema

21
Q

IBS

A

pain relieved c defecation

22
Q

Small Bowel Obstruction

A

Abd XR - dilated loop of bowel c air-fluid levels

23
Q

Toxic Megacolon

A

> 6cm dilation

24
Q

Indirect Hernia

A

Scrotal mass

25
Q

UUmbilical Hernia

A

Self-resolution by 3yo

26
Q

Infectious Diarrhea

A

Campylobacter
Blood, inc WBC
Tx: Fluoroquinolone