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Phase 2 Med > GI condition Treatments > Flashcards

GI condition Treatments Flashcards

1
Q

ascites

A
  1. Reduce Dietary Sodium
  2. If sodium is less than 125 then fluid restriction
  3. Aldosterone antagonist diuretic - Spironolactone
  4. Drainage - paracentesis (large volumes require albumin cover)
  5. prophylactic antibiotics - ciprofloxacin
  6. TIPS
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2
Q

haemochromatosis

A
  1. Venesection
  2. Iron Chelator - desferrioxamine
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3
Q

ruptured osophogeal varicies

A

Terlipressin & IV Ciprofloxacin

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4
Q

osophogeal varicose prophylaxis

A

propanolol

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5
Q

Hepatic encephalopathy

A

Lactulose & Rifaximin

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6
Q

Acute alcohol withdrawal

A

Chlordiazepoxide (librium)

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7
Q

Reduction of cravings in alcoholism

A

Acamprosate

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8
Q

Prevention of Wernicke-Korsakoff syndrome in alcohol withdrawal patients

A

High dose Thiamine (vitamin B1) - Pabrinex

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9
Q

Non-Alcoholic Fatty liver Disease

A

Weightloss

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10
Q

Autoimmune Hepatitis

A
  1. Prednisolone
  2. Azathioprine
  3. Vaccination against Hep A & B
  4. Liver Transplant
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11
Q

Wilsons Disease

A

Penicillamine

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12
Q

Primary Biliary Cholangitis

A
  1. Ursodeoxycholic acid
  2. Cholestyramine
  3. Fat Soluble Vitamins
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13
Q

Primary Sclerosing Cholangitis

A
  1. Liver Transplant
  2. Cholestyramine (for pruritis)
  3. Fat Soluble Vitamins
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14
Q

Celiac Disease

A

Gluten Free Diet

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15
Q

constipation

A
  1. Bulk Forming Laxative - fybogel (ispaghula husk)
  2. Osmotic Laxative - Macrogol / Lactulose
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16
Q

Crohns Inducing Remission

A
  1. Oral / Topical / IV Steroids - Prednisolone
  2. 5-ASA - mesalazine
    +/- azathioprine / mercaptopurine
17
Q

Crohns Maintaining Remission

A
  1. Mercaptopurine / Azathioprine
  2. Methotrexate
18
Q

Refractory / fistulating Chrohns Disease

A

Infliximab

19
Q

Isolated Peri-anal Crohns Disease

A

Metronidazole

20
Q

Complex Peri-anal Fistula Crohns

A

Draining Seton

21
Q

Peri-anal abscess management Crohns

A

Incision and drainage with antibiotic therapy

22
Q

Achalasia

A
  1. Pneumatic Balloon Dilation
  2. Heller cardiomyotomy
  3. intra-sphincteric injection of botulinum toxin
23
Q

Alcoholic Hepatitis

A
  1. Prednisolone
  2. Pentoxyphilline
24
Q

C.diff - 1st infection

A
  1. Oral vancomycin
  2. Oral fidaxomicin
  3. Oral Vancomycin & IV metronidazole
25
Q

C.diff - repeat infection

A

oral fidaxomicin

26
Q

C.diff - life threatening

A

Oral vancomycin & IV metronidazole

27
Q

Pernicious anemia

A

IM B12 replacement (Hydroxycobalamin)

28
Q

Bile acid malabsorption

A

BILE ACID SEQUESTRANTS = CHOLESTYRAMINE

29
Q

Pancreatic Cancer

A
  1. Whipple Resection
  2. Adjuvent chemotherapy
  3. ERCP with stenting - for palliative care and relief of symptoms
30
Q

H.pylori Eradication

A
  1. PPI + amoxicillin + (clarithromycin / metronidazole)
31
Q

small bowel overgrowth syndrome

A

Rifaximin

32
Q

Patients with dyspepsia (indigestion)

A
  1. Review medications for possible causes of the dyspepsia
  2. Lifestyle advice
  3. Trial of full dose PPI for 1 month / ‘test and treat’ approach for H. pylori
33
Q

Barrett’s Osophagus

A
  1. High dose PPI
  2. Metaplasia –> endoscopic surveillance with biopsies every 3-5 years
  3. Dysplasia –> endoscopic intervention
34
Q

Carcinoid Syndrome Management

A
  • Somatostatin analogues –> OCREOTIDE
  • for the diarrhoea - cyproheptadine

Phase 2 Med (9 decks)

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