Gi buzzywords Flashcards

1
Q

Side effect of Calcium
Channel Blockers or phenytoin

A

Gingival Hypertrophy -> Gingivectomy/Biting on own gums

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2
Q

Bird beak appearance (and distended oesophagus)

A

→ Achalasia; if in lower GI
imaging is a sign of bowel obstruction

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3
Q

Grey Turner’s (lumbar redness) and Cullen’s sign (umbilical redness) positive →

A

acute Pancreatitis

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4
Q

Murphy’s sign positive →

A

Cholecystitis

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5
Q

Pale stools, jaundice, abdo pain →

A

biliary obstruction

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6
Q

Abdo distension, caput medusae, shifting dullness →

A

portal hypertension + ascites

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7
Q

Pyoderma gangrenosum, erythema nodosum →

A

Crohn’s / UC

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8
Q

“Tinkling bowel sounds” →

A

bowel obstruction

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9
Q

Vesicular rash + weight loss →

A

Coeliac Disease

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10
Q

Virchow’s node (left supra-clavicular) →

A

gastric cancer

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11
Q

Urea breath test →

A

H pylori

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12
Q

“Rice-water”-like stools →

A

vibrio cholera

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13
Q

→ Presence of AMA (Anti mitochondrial antibodies)

A

Primary Biliary Cirrhosis

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14
Q

→ Presence of ASMA (anti smooth muscle antibodies)

A

Autoimmune hepatitis

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15
Q

Alpha Feto Protein assay

A

hepatocellular carcinoma (or teratoma)

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16
Q

‘Cobblestone mucosa’; indicating deep fissuring ulceration of mucosa →

A

found in Crohn’s Disease

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17
Q

Diuretic for ascites (due to cirrhosis) →

A

spironolactone

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18
Q

Corkscrew oesophagus on barium swallow →

A

diffuse oesophageal spasm

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19
Q

Severe abdo pain + D&V after raw milk →

A

Campylobacter

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20
Q

Russell’s sign →

A

self induced vomiting

21
Q

Mallory’s hyaline bodies →

A

alcoholic liver disease (acute hepatitis) and chronic active hepatitis

22
Q

Crypt abscess / cryptitis →

A

Inflammatory Bowel CROHN’S

23
Q

Onion skinning fibrosis, beading of bile ducts →

A

Primary Sclerosing Cholangitis

24
Q

Thumb-printing on X-ray commonly at splenic flexure →

A

Ischaemic colitis

25
Q

Charcot’s triad →

A

Acute cholangitis i.e. fever, jaundice and abdominal pain
secondary to cholelithiasis.

26
Q

Causes for abdominal mass:

A

A CHEMICAL

AAA,
crohn’s,
hernia,
enlarged organ,
malignancy,
intersusception,
cyst or abcess,
appendicitis,
lymphadenopathy

27
Q

Causes for bowel obstruction:

A

BATH VIPS:

bolus,
adhesions,
tumour,
hernia,

volvulus,
intersussception,
pseudo-obstruction,
stricture.

28
Q

Side effect of spironlactone-

A

gynaecomastia
-an increase in the amount of breast gland tissue in boys or men

29
Q

what type of mouth disease do people with Crohn’s have?

A

(stomatitis gangrenosum)

30
Q

dukes classification –

A

A – confined to bowel wall,
B – local spread outwith bowel wall,
C – lymph node metastases

31
Q

causes of liver disease

A

A - Autoimmune
B- Hepatitis B
C- Hepatitis C
D- Drugs e.g. paracetamol
E- Ethanol
F- Fatty Liver Disease (NASH ~ obesity)
G- Growth (cancer/metastases)
H- Haemodynamic e.g. congestive heart failure
I - Infiltration [iron] (e.g. haemochromatosis, Wilson’s Disease) or Infective

32
Q

to remember AST is increased in alcoholic liver disease:

A

wASTed
- or AST: Alcohol gets you STeaming

33
Q

ALT is more specific to the Liver than AST

A

aLt Liver

34
Q

Causes of abdominal distension - 5 (or 6) F’s:

A

Fat
Foetus
Flatus
Faeces
Fluid
Fucking massive tumour

35
Q

causes of pancreatitis

A

I GET SMASHED

I- idiopathic

G-gallstones
E-ethanol
T-trauma

S-scorpion bite
M-mumps
A-autoimmune
S-steroids
H- hyperlididemia/hypercalcaemia
E-ERCP
D-druugs

36
Q

ABCDE (risks for melanoma) →

A

Asymmetry, border, colour, diameter, evolving/elevation

37
Q

Rose spots, spots that blanch on pressure→

A

Typhoid

38
Q

C breath test →

A

bacterial overgrowth

39
Q

South east asia, thickening in small bowel folds, flocculation in barium enema =

A

Tropical Sprue

40
Q

T cell deficiency=

A

DiGeorge system

41
Q

Alpha 1-antitypsin deficiency

A

(Young non-smoker and potentially liver damage)

42
Q

what does salters triad show

A

aspirin induced asthma

43
Q

what is chaplains syndrome

A

Rheumatoid arthritis and pneumoconiosis

44
Q

oblique fissure

A

rib 6

45
Q

horizontal fissure

A

rib 4

46
Q

where is the middle lobe auscultated

A

on right side between rib 4 and 6

47
Q

describe Boyles law

A

pressure exerted by gas varies inversely with the volume of gas – as volume increases, pressure decreases

48
Q

what is type 1 sensitivity

A

IgE mediated (Fc receptors) – mast cell degradation