Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

My notes - med > GI > Flashcards

GI Flashcards

1
Q

30y female, foul smelling oily diarrhea, bloating, fatigue, weight loss. Papulovesicular lesions on extensors or arms

A

Celiac

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

20yo woman diarrhea. Lost weight over past months. Recurrent abdo pain, mouth ulcers

A

Crohns

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

65yo female, jaundice, weight loss, pale stool. Colicky RUQ pain. Mass in RUQ

A

Cholangiocarcinoma

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

65yo male, hx chronic hep B infx, symptoms and signs of liver cirrhosis, AFP high.

A

Hepatocellular carcinoma

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Anal fissure sx

A

painful, bright red rectal bleeding

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Anal fissure tx

A

bulk-forming laxatives
dietary - increase fluids and fibre
lubricants like petroleum jelly before poop
Can use topical analgesia and anesthetics

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Hemorrhoids

A

Painless

Can use corticosteoids

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Chronic anal fissure tx

A

topical GTN

botulinum toxin injection or surgery

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Anal fissure RFs

A

constipation
IBD
STIs (HIV, syphilis, herpes)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Ascending cholangitis tx

A

IV abx

ERCP after 24-48hr

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Complications of acute pancreatitis

A

ARDS

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Chronic pancreatitis sx

A

abdo pain after meals (15-30min)
steatorrhea
DM

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Acute pancreatitis causes

A 
Alcohol
Autoimmune
Infection
Gallstones
Medications
Trauma
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Chronic pancreatitis causes

A 
Alcohol
CF
Hemochromatosis
tumours
gallstones
Smoking
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Chronic pancreatitis Ix

A

Abdo xray: pancreatic calcification
CT - calcification
Fecal elastase

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Chronic panc. tx

A

pancreatic enzymes
analgesia
antioxidants?

17
Q

gastric MALT lymphoma

A

associated w H Pylori + gastric ulcers

18
Q

gastric MALT lymphoma tx

A

If low grade - eradicate infx

Omeprazole, amox, claryhtromycin/metronidazole

19
Q

Non-hodkin lymphoma tx

A 
R-CHOP chemo
Rituximab
Cyclophosphamide
Doxorubicin
Vincristine
Prednisone
20
Q

Pancreatitis causes

A

Gallstones
Ethanol
Trauma
Steroids
Mumps (and coxachie B)
Autoimmune (polyarteritis nodosa), Ascaris infx
Scorpion venom
Hypertriglycridemia, Hypercholesterolemia, Hypercalcemia, Hypothermia
ERCP
Drugs (azathioprine, mesalazine, didanosine, furosemide, bendroflumethiazide, steroids, sodium valproate)

21
Q

Diverticular disease defn

A

Herniation of colonic mucosa through muscular wall of colon. Usual site between tenia coli where vessels pierce the muscle to supply the mucosa.

22
Q

Diverticular disease Sx

A

Altered bowel habit
Bleeding
Abdo pain

23
Q

Diverticular disease comps

A 
Diverticulitis
Hemorrhage
Fistula
Perforation and fecal peritonitis
Perf and development of abscess
Development of diverticular phlegmon
24
Q

Diverticular dx Tx

A

Increase fibre
Antibiotics for diverticulitis attack
Drain abscess
Recurrent acute diverticulitis - segmental resection
Hinchey 4 perforation - resection and stoma.

25
Q

Imrie/Glasgow pancreatitis scale

A 
PANCREAS
PAO2 <8
Age >55
Neutrophils (WBC) >15
Ca <2
uRrea >16 (or BUN >45)
EnzymesL AST >200 (or lactate >200 or 600)
Albumin <32
Sugar >10
26
Q

Cholecystitis signs

A

Murphys
RUQ pain –> shoulder
Fev/N/V/tachy

27
Q

gallstone removal

A

ERCP

28
Q

Gallstone imaging/cholangitis

A

US
CT
MRCP

29
Q

Opening of common bile duct into duodenum

A

Sphincter of oddi

30
Q

Pancreatitis causes major

A

Gallstones - stuck in ampulla of vater, blocks bile and panc juices from getting into duodenum, they reflux back and inflame it. Common in older and women
Alcohol - toxic to pancreatic cells
ERCP

31
Q

All pancreatitis causes

A 
I GET SMASHED
Idiopathic
Gallstones
Ethanol
Trauma
Steroids
Mumps
Autoimmune
Scorpion sting
Hyperlipidemia
ERCP
Drugs (furosemide, thiazides, azathioprine)
32
Q

Pancreatitis Imrie/Glasgow interpretation

A

0-1 - mild
2 - moderate
>3 - severe

My notes - med (14 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions