GI Diseases

Question 1

Key indicators of Diverticular disease

Answer 1

Alternating constipation and diarrhoea 
Pain in left iliac fossa 
Rectal bleeding (5%)

Question 2

Key indicators of Ulcerative Colitis

Where does UC start?

Answer 2

STARTS IN RECTUM

Rectal bleeding (90%)
Bloody Diarrhoea + tenesmus (66%)
Abdo pain
Weight loss

Question 3

Key indicators of Crohn’s

Answer 3

Colicky bowel pain 
Tender abdominal masses
PERI-ANAL DISEASE - fatty tags, fistulas around anus 
Oral ulcers  
Intestine has COBBLESTONE APPEARANCE 

TERMINAL ILIUM + CECUM INFLAMED - right side presentation

Question 4

Ischaemic Colitis

How long does it last?
Where does it mostly affect?

Answer 4

2 weeks

Affects left colon (splenic flexure, rectum, cecum)

Question 5

Where do juvenile polyps most commonly occur?

Who do juvenile polyps most commonly occur in?

Answer 5

Rectum + distal colon

Kids

Question 6

Adenoma - key features

Answer 6

Rectal Bleeding + Diarrhoea

Same as polyps

Question 7

What gene mutation causes FAP?

Answer 7

APC (Type of TSG)

Question 8

What gene mutation causes Lynch?

Answer 8

One of the caretaker genes (HMLH)

Question 9

Key indicators of Quincy (peritonsilar abscess)

Answer 9

Painful swallowing
Uvula deviated towards unaffected side
Trismus (jaw spasm)

Question 10

Key indicators of Pretracheal space infection

perforation of anterior oesophagus

Answer 10

Severe dyspnoea
Hoarseness
Fluid regurgitated through the nose

Question 11

Key indicators of Lumiere - Suppurative Jugular Vein Thrombophlebitis

Answer 11

trismus
induration
swelling below the angle of the mandible
MEDIAL BULGING OF PHARYNGEAL WALL 
Systemic toxicity with fever + rigor

Question 12

What organ does Whpple’s disease affect?

What are the symptoms?

Answer 12

Distal duodenum

arthralgias, diarrhoea, abdominal pain, weight loss

Question 13

Where is H Pylori commonly found?

Answer 13

Antrum of stomach

Diet/ H Pylori cause cancer in stomach antrum/ body