GI Flashcards

1
Q

ICD-10 for anorexia

A

Low body weight (15% below expected)
self induced weight loss
overvalued ideas around weight
endocrine disturbance

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2
Q

ICD-10 Bulimia

A

Binge eating
Strong cravings for food
Methods to counteract weight gain
Over valued idea

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3
Q

Physical symptoms to ask about in anorexia

A
Syncope 
Presyncope 
Palpitations 
Tiredness 
Muscle weakness
Sensitivity to cold
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4
Q

2 ways to induce remission of Crohns

A

Enternal nutrition

Glucocorticoids

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5
Q

2 ways to induce remission in UC

A

Glucocorticoids

Aminosalicylates

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6
Q

Ddx diarrhoae in children

A
IBD 
Gastroenteritis 
IBS 
Appendicitis 
Coeliac disease
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7
Q

What is coeliac disease

A

autoimmune disease, inflammatory response to gluten

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8
Q

specific test for coeliac disease

A

tissue transglutaminase AB

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9
Q

Type of stool in a child with intersussception

A

red current jelly stool

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10
Q

gold standard investigation in intersussception

A

Abdo USS

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11
Q

Non oprerative management of intersussception

A

fluid resuscitation
broad IV AB - co-amoxiclav
Pneumatic reduction enema

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12
Q

Surgical management of intersussception =

A

failed enema
highly distended abdomen
peritonitis

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13
Q

triad of HUS

A

Microangiopathic non-immune haemolytic anaemia
thrombocytopenia
AKI

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14
Q

common aetiology of HUS

A

E.coli diarrhoea

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15
Q

3 main clinical features of HUS

A

diarrhoea
severe abdo pain
vomiting

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16
Q

Investigations in HUS

A
FBC 
blood film 
Group and save 
COOM 
LDH 
Coag screen 
Biochem 
Stool culture
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17
Q

Fluid bolus in children

A

20ml/kg of 0.9% NaCl

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18
Q

What is used for maintenance fluids

A

0.9% NaCl + 5% dextrose

19
Q

Total fluids in 24hrs = D

A+B+C=D

A
B
C

A

100ml/kg first 0-10kg

50ml / kg 10-20kg

20ml/kg 20kg+

20
Q

Prolonged jaundice defined as

A

> 2 weeks after birth

21
Q

Causes of haemolytic anaemia in new born

A

G6PD
Rheasus
ABO incompatibility

22
Q

Hepatic cause of jaundice in new born

A

Sepsis
Hepatitis
TORCH

23
Q

Post hepatic causes of jaundice in new born

A

biliary atresia
Choledochal cysts
Bilary stricture

24
Q

Physiological jaundice normally resolves within….

25
Pathological jaundice - if any of these 3 things in the hx
Serum bilirubin <95 percentile After first 24hrs Or 14 days of life
26
Questions in PC for neonatal jaundice
How old was the child at onset How marked is the jaundice Color of stools and urine
27
Associated symptom to check for in neonatal jaundice
Brushing
28
Bedside test in neonatal jaundice
Trans cut bilirubinometer
29
Gold standard test in neonatal jaundice
Serum bilirubin
30
Investigations in neonatal jaundice
``` Direct Coombs test Haematocrit FBC Reticulocyte count Blood smear Blood groups ```
31
Emergency in neontal jaundice
Kernicterus - acute bilirubin encephalopathy
32
Prolonged jaundice defined as
>2 weeks after birth
33
Causes of haemolytic anaemia in new born
G6PD Rheasus ABO incompatibility
34
Hepatic cause of jaundice in new born
Sepsis Hepatitis TORCH
35
Post hepatic causes of jaundice in new born
biliary atresia Choledochal cysts Bilary stricture
36
Physiological jaundice normally resolves within....
2 weeks
37
Pathological jaundice - if any of these 3 things in the hx
Serum bilirubin <95 percentile After first 24hrs Or 14 days of life
38
Questions in PC for neonatal jaundice
How old was the child at onset How marked is the jaundice Color of stools and urine
39
Associated symptom to check for in neonatal jaundice
Brushing
40
Bedside test in neonatal jaundice
Trans cut bilirubinometer
41
Gold standard test in neonatal jaundice
Serum bilirubin
42
Investigations in neonatal jaundice
``` Direct Coombs test Haematocrit FBC Reticulocyte count Blood smear Blood groups ```
43
Emergency in neontal jaundice
Kernicterus - acute bilirubin encephalopathy