GI Flashcards
Primary presenting sx of pancreatic cancer?
Elevated Conj. billi. and alk phos + upper abdominal pain
+weight loss
Infant w upper GI series that shows corckscrew shaped duodenum that is abnormally located in right abdomen?
Malrotation and volvulus. BILLIOUS VOMITING! Surgical tx.
Two colonic etiologies causing billious vomiting.
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
Venodilation of nitrates does what to preload?
REDUCES preload, which leads to reduction in myocardial demand
Diagnostic modality when U/S is equivocal for cholecystitis
HIDA
Most common cause of SBO in pts w no history of abdominal surgery?
Hernia
Identify the organism causing the diarrhea:
most common:
campy
Identify the organism causing the diarrhea:
traveling
ETEC
Identify the organism causing the diarrhea:
Picnic
staph aureus
Identify the organism causing the diarrhea:
uncooked meat
E. Coli O157:H7
Identify the organism causing the diarrhea:
poultry/eggs
salmonella
Identify the organism causing the diarrhea:
raw seafood
vibrio, Hep A
Identify the organism causing the diarrhea:
AIDS
Isospora, cryptosporidium, MAC, yersinia, campy
Identify the organism causing the diarrhea:
Pseudoappy
Yersinia, campy
IBD with increased risk of colon cancer. which one is higher risk
UC
Tx for IBD
5-ASA and steroids during acute exacerbations
30 yo with UC now with fatigue, jaundice and pruritis
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.
Charcot Triad
Fever, RUQ pain, Jaundice
Raynaud pentad
Fever, RUQ pain, Jaundice (charcot) + AMS and hypotension
4 yo w oliguria, petechiae, jaundice, following illness w bloddy diarrhea. Dx? cause?
HUS 2/2 E.Coli O157H7
what drugs cause hepatitis?
TB meds (except ethambutol), acetaminophe, and tetracyclines
abd pain out of proportion to physical exam
mesenteric ischemia
Ileus dx
abdominal radiographs (could also perform CT)
Diarrhea, dehydration, muscle weakness and flushing. Dx?
VIP (fluids, +/- surg and octreotide)
