GI Flashcards
what is commonly the first nutrient to be malabsorbed?
iron
what do recurrent cold sores point towards?
immune deficiency
bile in vomit. what causes this?
small or large bowel obstruction
why is GORD more common n children?
gastro oesophageal sphincter is weaker in children, no medication that can help this
baby who is back arching and crying?
reflux
immedately coming back up. drooling as can’t swallow own saliva - diagnosis?
oesophageal stricture
food bolus obstruction. History of swallowing chicken, steak and dry bread. A drooling patient that is otherwise well. what do you do?
refer to ENT or gastroenterologist
a drooling patient who is febrile and very unwell?
epiglotitis
sausauge shape mass in iliocaecal valve, red currant jelly and bile in vomit?
intucusseption
how can you differentiate viral and bacterial gastroenteritis ?
bacterial causes bloody diarrhoea, viral does not
where do you usually see skin features of dermatitis herpatiformis?
round the mouth
erythema nudosum. seen in crohns or UC?
crohns
do you get erythema nudosum on the trunk?
no
what do you get on foot in crohns (boots) looks like ulcers?
pyoderma gangrenosa
how do you treat pyoderma gangrenosa?
steroids
what is Haemolytic uraemic syndrome caused by?
shiga like toxin on e coli 0157
main viral causes of gastroenteritis?
NA noro virus and adenovirus
bacterial causes of GE?
e coli 0157, c diff, campylobacter, salmonella, cryptosporidium
why do you get HUS?
giving antibiotics which kill the bacteria and toxins are released.
treatment of gastroenteritis?
Treat gastroenteritis with fluids and rest. Diorelite. They will already be salt depleted so giving water alone will worsen this. Ondansstron can be given to stop vomiting.
GORD vomiting usually resolves around which age?
12-15 months
which HLA is coeliac associated with?
DQ2 and DQ8
diarrhoea, pale stools, abdominal bloating, growth failure and anaemia ?
coaeliac
which antibody is associated with coeliac?
anti endomesial
explosive passage of stool following digital rectal examination?
hirschsprungs disease
