GI Boards - Sheet1 Flashcards
Relaxed LES. Chronic cough. Aggravated by caffeine, obesity, ETOH, tobacco. PPI
GERD
HIV = Candida
Esophagitis
Undigested food
Zenker Diverticulum
Birds beak
Achalasia
Iron therapy
Plummer Vinson Syndrome
Coughing/Vomiting = blood
Mallory Weiss Tear
Bleed = Octreotide/fluoroquinolone followed by TIPS. Beta blockers to prevent bleeding
Esophageal Varices
> 55 = scope
Dyspepsia
H Pylori, ETOH, and smoking. Palpable mass. Gastric ulcers = repeat endoscopy to rule out cancer.
Gastric cancer
Projectile vomiting; olive sign
Pyloric Stenosis
Murphy’s Sign. Referred pain to right shoulder
Cholecystitis
Hepatitis C and ETOH
Cirrhosis
Epigastric pain radiating to the back. Increased lipase >3x
Pancreatitis
Periumbilical then RLQ. McBurney’s point. Clinical diagnosis
Appendicitis
Tissue transglutaminase and endomysial antibody. Gluten free
Celiac Disease
Red meat and fat. LLQ pain. Constipation. Colonoscopy
Diverticulosis
Skip lesions, transmural, fistulas ASCA positive. 5-asa
Crohn’s
Colon, pANCA positive. 5-ASA
UC
Abdominal pain, currant jelly stool, vomiting. Diagnostic enema
Intussusception
pain relieved with defecation
IBS
Abdominal X-rays - dilated loop of bowel with air fluid levels
Small bowel obstruction
> 6cm dilation
Toxic megacolon
Scrotal mass
Indirect hernia
Self resolves by 3 years of age
Umbilical hernia