GI

Question 1

Most Common cause of AKI in kids?

Answer 1

HUS HAT (Hemolytic Uremic Syndrome)

HAT also a/w Shigella and Salmonella

Question 2

what lab finding is most predictive of pancreatitis 2/2 GALLSTONES specifically?

Answer 2

ALT (especially when > 150)

Question 3

risk factors for cholecystitis- 5

Answer 3

1. fat
2. female
3. forties
4. fertile
5. flatulent

dx: US–>HIDA // tx = cholecystectomy

Question 4

Traveler’s Diarrhea is caused by which microbe?

tx in general?

tx for pregnant women and kids?- 2

Answer 4

ETEC EColi (Enterotoxigenic)

tx = Fluids

ADD [AZITHROMYCIN V CIPRO] FOR PREGGOS AND KIDS

Question 5

abx should only be given for Shigella when severe!

Abx and dose?

Answer 5

Ceftriaxone 50 mg/kg IV qDaily x 5d

(severe = bacteremic, hospitalized, day care, nursing home)

Question 6

sx of Acute Ascending Cholangitis- 3

tx?- 2

Answer 6

CHARCOT’S TRIAD

1. Fever
2. Abd Pain
3. Jaundice

(+hypOtension and AMS = Reynolds Pentad = acute obstruction)

tx = Piperacillin/Tazobactam (Broad spec gram neg coverage ) –> ERCP

Question 7

Name the lab markers for the 6 phases of Hepatitis B

Answer 7

Question 8

Alcoholism causes Cirrhosis in about __ years

Which lab test is best indicative of Dx of Cirrhosis? Why?

Answer 8

10-15 y

Portal HTN from Cirrhosis –> splenomegaly –> platelet sequestration by spleen –> THROMBOCYTOPENIA