GI Data Flashcards

1
Q

What are the markers of liver synthetic function?

A
  • PT
  • Albumin
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2
Q

Causes of transudate ascites?

A
  • Cirrhosis
  • Cardiac failure
  • Hypoalbuminaemia
  • Nephrotic syndrome
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3
Q

Causes of exudate ascites?

A
  • Pancreatitis
  • Malignancy
  • Infection e.g. TB
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4
Q

Describe the Glasgow Blatchford Score?

A
  • Risk stratify patients following an upper GI bleed
    • 0 - outpatient management
    • 1+ - admitted for investigation
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5
Q

Name some of the parameters of the glasgow blatchford score?

A
  • Urea
  • Haemoglobin
  • Systolic BP
  • Heart rate
  • Melaena
  • Syncope
  • Hepatic disease
  • Heart failure
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6
Q

Signs of small bowel obstruction on an AXR?

A
  • Dilated small bowel
  • Coiled spring appearance of valvulae conniventes
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7
Q

Signs of large bowel obstruction on AXR?

A
  • Dilated large bowel
  • Coffee bean appearance of sigmoid volvulus is present
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8
Q

AXR features of IBD/colitis?

A
  • Lead pipe - loss of normal haustral markings
  • Thumb printing - mucosal thickening of haustra
  • Toxic megacolon - colonic dilation without obstruction
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9
Q

What does asterixis tell us?

A
  • Uraemia
  • Hepatic encepahlopathy
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10
Q

Why do you look under the armpits during the abdominal examination?

A

Acanthosis nigricans

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11
Q

What is angular stomatitis a sign of?

A

B12/folate deficiency

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12
Q

What is glossitis a sign of?

A

B12/folate deficiency

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13
Q

Why do you feel Virchows node?

A

Gastric malignancy

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14
Q

What are mouth ulcers a sign of?

A

Crohns/ coeliac disease

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15
Q

What are spider naevi a sign of?

A

Chronic liver disease

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16
Q

What is gynaecomastic a sign of?

A
  • Cirrhosis
  • Spironolactone use
17
Q

what is hair loss a sign of?

A
  • Malnutrition
  • Iron deficiency anaemia
18
Q

what are the extra areas from abdominal examination?

A
  • Hernias
  • Rectal examination
  • Genitalia if appropriate
19
Q

What does a high SAAG indicate (overall)?

A

The presence of portal hypertension

20
Q

Generally what does the transudate ascites result from?

A

Increased pressure in the portal vein

21
Q

Generally what does the exudate ascites result from?

A

Inflammation or malignancy

22
Q

What is the general standard of treatment for SBP?

A

Third gen cephalosporins