GI Flashcards
ICD-10 for anorexia
Low body weight (15% below expected)
self induced weight loss
overvalued ideas around weight
endocrine disturbance
ICD-10 Bulimia
Binge eating
Strong cravings for food
Methods to counteract weight gain
Over valued idea
Physical symptoms to ask about in anorexia
Syncope Presyncope Palpitations Tiredness Muscle weakness Sensitivity to cold
2 ways to induce remission of Crohns
Enternal nutrition
Glucocorticoids
2 ways to induce remission in UC
Glucocorticoids
Aminosalicylates
Ddx diarrhoae in children
IBD Gastroenteritis IBS Appendicitis Coeliac disease
What is coeliac disease
autoimmune disease, inflammatory response to gluten
specific test for coeliac disease
tissue transglutaminase AB
Type of stool in a child with intersussception
red current jelly stool
gold standard investigation in intersussception
Abdo USS
Non oprerative management of intersussception
fluid resuscitation
broad IV AB - co-amoxiclav
Pneumatic reduction enema
Surgical management of intersussception =
failed enema
highly distended abdomen
peritonitis
triad of HUS
Microangiopathic non-immune haemolytic anaemia
thrombocytopenia
AKI
common aetiology of HUS
E.coli diarrhoea
3 main clinical features of HUS
diarrhoea
severe abdo pain
vomiting
Investigations in HUS
FBC blood film Group and save COOM LDH Coag screen Biochem Stool culture
Fluid bolus in children
20ml/kg of 0.9% NaCl
What is used for maintenance fluids
0.9% NaCl + 5% dextrose
Total fluids in 24hrs = D
A+B+C=D
A
B
C
100ml/kg first 0-10kg
50ml / kg 10-20kg
20ml/kg 20kg+
Prolonged jaundice defined as
> 2 weeks after birth
Causes of haemolytic anaemia in new born
G6PD
Rheasus
ABO incompatibility
Hepatic cause of jaundice in new born
Sepsis
Hepatitis
TORCH
Post hepatic causes of jaundice in new born
biliary atresia
Choledochal cysts
Bilary stricture
Physiological jaundice normally resolves within….
2 weeks
Pathological jaundice - if any of these 3 things in the hx
Serum bilirubin <95 percentile
After first 24hrs
Or 14 days of life
Questions in PC for neonatal jaundice
How old was the child at onset
How marked is the jaundice
Color of stools and urine
Associated symptom to check for in neonatal jaundice
Brushing
Bedside test in neonatal jaundice
Trans cut bilirubinometer
Gold standard test in neonatal jaundice
Serum bilirubin
Investigations in neonatal jaundice
Direct Coombs test Haematocrit FBC Reticulocyte count Blood smear Blood groups
Emergency in neontal jaundice
Kernicterus - acute bilirubin encephalopathy
Prolonged jaundice defined as
> 2 weeks after birth
Causes of haemolytic anaemia in new born
G6PD
Rheasus
ABO incompatibility
Hepatic cause of jaundice in new born
Sepsis
Hepatitis
TORCH
Post hepatic causes of jaundice in new born
biliary atresia
Choledochal cysts
Bilary stricture
Physiological jaundice normally resolves within….
2 weeks
Pathological jaundice - if any of these 3 things in the hx
Serum bilirubin <95 percentile
After first 24hrs
Or 14 days of life
Questions in PC for neonatal jaundice
How old was the child at onset
How marked is the jaundice
Color of stools and urine
Associated symptom to check for in neonatal jaundice
Brushing
Bedside test in neonatal jaundice
Trans cut bilirubinometer
Gold standard test in neonatal jaundice
Serum bilirubin
Investigations in neonatal jaundice
Direct Coombs test Haematocrit FBC Reticulocyte count Blood smear Blood groups
Emergency in neontal jaundice
Kernicterus - acute bilirubin encephalopathy
