GI Flashcards

1
Q

Gingival Hypertrophy

A

Gingivectomy/Biting on own gums → Side effect of Calcium Channel Blockers or phenytoin

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2
Q

Bird beak appearance (and distended oesophagus)

A

Achalasia; if in lower GI imaging is a sign of bowel obstruction

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3
Q

Grey Turner’s (lumbar redness) and Cullen’s sign (umbilical redness) positive

A

acute Pancreatitis

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4
Q

Mnemonic for causes of acute pancreatitis

A

I GET SMASHED: Idiopathic, Gallstones, Ethanol, Trauma, Steroids, Mumps, Autoimmune, Scorpion bites/stings, Hyperlipidaemia/hypothermia/hypercalcaemia, ERCP, Drugs

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5
Q

Murphy’s sign positive

A

Cholecystitis

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6
Q

Pale stools, jaundice, abdo pain

A

biliary obstruction

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7
Q

Abdo distension, caput medusae, shifting dullness

A

portal hypertension + ascites

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8
Q

Pyoderma gangrenosum, erythema nodosum

A

Crohn’s/UC

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9
Q

“Tinkling bowel sounds”

A

bowel obstruction

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10
Q

Vesicular rash + weight loss

A

Coeliac Disease

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11
Q

Virchow’s node (left supra-clavicular)

A

gastric cancer

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12
Q

Urea breath test

A

H pylori

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13
Q

13C breath test

A

bacterial overgrowth

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14
Q

“Rice-water”-like stools

A

vibrio cholera

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15
Q

Primary Biliary Cirrhosis

A

Presence of AMA (Anti mitochondrial antibodies)

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16
Q

Autoimmune hepatitis

A

Presence of ASMA (anti smooth muscle antibodies)

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17
Q

Alpha Feto Protein assay

A

hepatocellular carcinoma (or teratoma)

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18
Q

‘Cobblestone mucosa’; indicating deep fissuring ulceration of mucosa

A

found in Crohn’s Disease

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19
Q

Diuretic for ascites (due to cirrhosis

A

spironolactone

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20
Q

Corkscrew oesophagus on barium swallow

A

diffuse oesophageal spasm

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21
Q

Severe abdo pain + D after raw milk

A

Campylobacter

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22
Q

Russell’s sign

A

self induced vomiting

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23
Q

Mallory’s hyaline bodies

A

alcoholic liver disease (acute hepatitis) and chronic active hepatitis

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24
Q

Crypt abscess / cryptitis

A

Inflammatory Bowel ULCERATIVE COLITISAC

25
Onion skinning fibrosis, beading of bile
Primary Sclerosing Cholangitis
26
“Signet RIng” cells seen on biopsy
Linitisplastica - diffuse stomach cancer
27
Thumb-printing on X-ray commonly at splenic flexure
Ischaemic colitis
28
Charcot’s triad
fever, jaundice and abdominal pain secondary to acute cholangitis
29
Causes for abdominal mass
A CHEMICAL: AAA, crohn’s, hernia, enlarged organ, malignancy, intussusception, cyst or abcess, appendicitis, lymphadenopathyR
30
Causes for bowel obstruction:
BATH VIPS: bolus, adhesions, tumour, hernia, volvulus, intussusception, pseudo-obstruction, stricture.tr
31
Virchow’s node
lymph node in left supra-clavicular fossa suggestive of gastric malignancy
32
Colicky loin pain radiating to groin
Ureteric colic
33
what type of mouth disease do people with Crohn’s have
stomatitis gangrenosum
34
Jaundice and constant right upper quadrant pain
Biliary colic
35
Severe epigastric pain radiating to back associated with vomiting
Acute pancreatitis
36
Periumbilical pain radiating to right iliac fossa
Acute appendicitis
37
Central abdominal pain, expansile pulsatile mass
AAA
38
Iliac fossa pain, positive pregnancy test
Ectopic pregnancy
39
Asterixis (liver flap)
encephalopathy
40
Leuconychia
Hypoalbuminaemia
41
Koilonychia and Angular stomatitis
IDA
42
Buccal pigmentation
PJ Syndrome
43
Glossitis
B12 deficiency
44
Aphthous ulceration
Chrons or coeliac disease
45
Craggy hepatomegaly
liver malignancy
46
Bronze pigmentation with DM
haemochromatosis
47
Anti-mitochondrial antibody (AMA) positive
PBC
48
• Usually middle-aged man, presents with: Pruritus, jaundice, abdominal pain ↑ ALP (alkaline phosphatase), AMA negative Associated with inflammatory bowel disease (especially ulcerative colitis)
PSC
49
Causes of liver disease
ABCDEFGHI – Autoimmune, HepB, HepC, Drugs, Ethanol, Fatty liver disease (NASH in obesity), Growth, Haemodynamic flow, Infiltration (iron) or Infective
50
Treatment of Ascites
Spironolactone
51
direct hernia
A reducible mass
52
red currant jelly sputum, cavitating lesions in upper zone CXR
Klebsiella Pneumoniae
53
Bloody diarrhoea, fragmented RBCs, undercooked hamburgers, metallic green stool cultures
E. Coli 0157
54
Red macules on body on examination
Salmonella Typhi
55
Playing with turtles, undercooked chicken/ stale chicken
HSalmonellaEnterididis
56
bloody diarrhoea, haemmoragic mucosa with ulcerations on distal colon
Shigelladysenteria
57
India, severe dehydration, watery diarrhoea
Vibrio Cholerae
58
Unpasturised/raw milk, Guillain Bare Syndrome
Campylobacter jejuni