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PANCE > GI > Flashcards

GI Flashcards

1
Q

Celiac Disease

  • screening test
  • definitive test
A
  • IgA Antigliadin ab, IgA Tissue transglutaminase, IgA endomysial ab
  • duodenal bx
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2
Q

Fecal impaction

- RF

A
  • age
  • opioid use
  • dec motility
  • hypothyroidism
  • diminished sensation
  • cog impairment
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3
Q

Fecal impaction

- mgmt

A
  • digital disimpaction
  • enema
  • PEG
  • surgical intervention
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4
Q

Opioid overdose

- mgmt

A
  • airway support
  • supplemental O2
  • Naloxone (pure opioid antagonist)
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5
Q

What is naltrexone used for?

A

oral opioid antagonist with a long half-life that is used to treat opioid use disorders and encourage long-term abstinence from opioids (and etoh). It is not used in an acute setting of overdose.

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6
Q

What serologic marker is used for HCC

A

Alpha fetoprotein

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7
Q

What serologic marker is used for pancreatic cancer

A

CA 19-9

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8
Q

What serologic marker is used for colorectal carcinoma?

A

CEA

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9
Q

MCC anorectal fistula

A

infected anal crypt gland

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10
Q

Zollinger-Ellison Syndrome

- clinical

A
  • abd pain
  • chronic diarrhea
  • dyspepsia
  • weight loss
  • GI bleeding
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11
Q

Zollinger-Ellison Syndrome

- describe

A
  • Gastrin secreting tumor = PUD

- Found in duodenum and pancreas

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12
Q

Zollinger-Ellison Syndrome

- definitive diagnostic test

A

fasting serum gastrin concentration

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13
Q

Zollinger-Ellison Syndrome

- mgmt

A
  • H2RA
  • PPI
  • Sx
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14
Q

How to diagnose diverticulosis in a setting without suspicion for acute diverticulitis

A

Colonoscopy - also allows for endoscopic therapy at time of study.

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15
Q

How to diagnose acute diverticulitis

A

CT - colonoscopy is too risky due to risk of rupture

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16
Q

what is the MCC lower GI bleeding?

A

diverticulosis

17
Q

Barrett’s esophagus

- cellular change

A

Columnar epithelium replaces squamous epithelium that is normally in the lower esophagus, aka specialized intestinal epithelium (metaplasia)

18
Q

Barrett’s esophagus

- RF

A
  • MC is chronic GERD

- smoking

19
Q

Barrett’s esophagus

- predisposes pt to waht

A

adenocarcincoma

20
Q

Known or suspected ingestion of foreign body in child

- mgmt

A
  • XR neck, chest, abd

- EVEN IF NO SX

21
Q

C. diff

- MC abx implicated

A
  • Clindamycin
  • FQ
  • cephalosporins
  • penicillins
22
Q

What is the MC type of esophageal ring?

A

Schatzki Ring

23
Q

Schatzki Ring

  • location
  • patho
A
  • MC distal esophagus

- esophageal acid exposure, hiatal hernia, eosinophilic esophagitis

24
Q

Schatzki Ring

- clinical

A
  • dysphagia to solids, usu intermittent
25
Q

Schatzki Ring

- dx

A
  • barium swallow first line

- upper endoscopy

26
Q

Schatzki Ring

- mgmt

A
  • dilation

- tx underlying condition

PANCE (14 decks)

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