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Fennel the Cat Step 2 > GI > Flashcards

GI Flashcards

1
Q

Primary presenting sx of pancreatic cancer?

A

Elevated Conj. billi. and alk phos + upper abdominal pain

+weight loss

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2
Q

Infant w upper GI series that shows corckscrew shaped duodenum that is abnormally located in right abdomen?

A

Malrotation and volvulus. BILLIOUS VOMITING! Surgical tx.

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3
Q

Two colonic etiologies causing billious vomiting.

A

Hirschprung disease and meconium illeus. Affected infants fail to pass meconium in first 2 days of life. XR shows distended loops of bowel and absent rectal gas

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4
Q

Venodilation of nitrates does what to preload?

A

REDUCES preload, which leads to reduction in myocardial demand

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5
Q

Diagnostic modality when U/S is equivocal for cholecystitis

A

HIDA

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6
Q

Most common cause of SBO in pts w no history of abdominal surgery?

A

Hernia

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7
Q

Identify the organism causing the diarrhea:

most common:

A

campy

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8
Q

Identify the organism causing the diarrhea:

traveling

A

ETEC

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9
Q

Identify the organism causing the diarrhea:

Picnic

A

staph aureus

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10
Q

Identify the organism causing the diarrhea:

uncooked meat

A

E. Coli O157:H7

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11
Q

Identify the organism causing the diarrhea:

poultry/eggs

A

salmonella

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12
Q

Identify the organism causing the diarrhea:

raw seafood

A

vibrio, Hep A

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13
Q

Identify the organism causing the diarrhea:

AIDS

A

Isospora, cryptosporidium, MAC, yersinia, campy

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14
Q

Identify the organism causing the diarrhea:

Pseudoappy

A

Yersinia, campy

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15
Q

IBD with increased risk of colon cancer. which one is higher risk

A

UC

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16
Q

Tx for IBD

A

5-ASA and steroids during acute exacerbations

17
Q

30 yo with UC now with fatigue, jaundice and pruritis

A

PSC: progressive chronic inflammation of both the intrahepatic and extrahepatic bile ducts. Laboratory abnormalities include elevated liver function tests and autoantibodies (pANCA in up to 80% of cases). Magnetic resonance cholangiopancreatography (MRCP) or endoscopic retrograde cholangiopancreatography (ERCP) is performed to confirm the diagnosis. Management is primarily symptomatic, with liver transplantation reserved for end-stage liver disease.

18
Q

Charcot Triad

A

Fever, RUQ pain, Jaundice

19
Q

Raynaud pentad

A

Fever, RUQ pain, Jaundice (charcot) + AMS and hypotension

20
Q

4 yo w oliguria, petechiae, jaundice, following illness w bloddy diarrhea. Dx? cause?

A

HUS 2/2 E.Coli O157H7

21
Q

what drugs cause hepatitis?

A

TB meds (except ethambutol), acetaminophe, and tetracyclines

22
Q

abd pain out of proportion to physical exam

A

mesenteric ischemia

23
Q

Ileus dx

A

abdominal radiographs (could also perform CT)

24
Q

Diarrhea, dehydration, muscle weakness and flushing. Dx?

A

VIP (fluids, +/- surg and octreotide)

Fennel the Cat Step 2 (15 decks)

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