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Internal Medicine Shelf > GI - Emma Holliday Review > Flashcards

GI - Emma Holliday Review Flashcards

1
Q

Inflammatory bowel disease… involves terminal ileum?

A

Crohn’s

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2
Q

What can crohn’s mimic?

A

Appendicitis

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3
Q

Nutritional deficiency associated with Crohn’s?

A

Fe

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4
Q

Inflammatory bowel disease… continuous involving rectum?

A

UC

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5
Q

UC has an increased risk for what?

A

Primary sclerosing cholangitis –> cholangioCA

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6
Q

Inflammatory bowel disease… with fistulaes? Tx?

A

Crohn’s

Metronidazole

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7
Q

Inflammatory bowel disease… granulomas on biopsy?

A

Crohn’s

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8
Q

Inflammatory bowel disease… transmural inflammation?

A

Crohn’s

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9
Q

Inflammatory bowel disease… cured by colectomy

A

UC

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10
Q

Inflammatory bowel disease… smokers have a lower risk? higher risk?

A

LR - UC

HR - Crohn’s

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11
Q

Inflammatory bowel disease… higher risk for colon cancer?

A

UC

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12
Q

Inflammatory bowel disease… associated with p-ANCA?

A

UC

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13
Q

Inflammatory bowel disease… Tx?

A

ASA

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14
Q

Inflammatory bowel disease… maintain remission?

A

sulfasalzine

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15
Q

Inflammatory bowel disease… induce remission?

A

Corticosteroids

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16
Q

What do you give patients with CD and ANY ulcer or abscess?

A

Metranidazole

17
Q

Inflammatory bowel disease… tx severe dz?

A

Azathiprine, 6MP. and methotrexate

18
Q

AST > ALT (2x) + high GGT?

A

Alcholic hepatitis

19
Q

ALT>AST & in the 1000s

A

Viral hepatitis

20
Q

AST and ALT in 1000s after surgery or hemorrhage?

A

Ischemic hepatitis (“shock liver”)

21
Q

Elevated d-bili?

A

Obstructive (stone/cancer) or Dubin’s johnson, Rotor

22
Q

Elevated i-bili?

A

Hemolysis or Gilbert’s, Crigler Naijer

23
Q

Elevated alk phos and GGT? If IBD?

A

Bile duct obstruction

PSC

24
Q

Elevated alk phos, normal GGT, normal Ca?

A

Paget’s disease

25
Q

Signs and symptoms of paget’s disease?

A

Increase head size, HA, hearing loss

26
Q

ANA + antismooth muscle antibody? tx?

A

Autoimmune hepatitis

steroids

27
Q

Antimitochondrial antibody?

A

primary biliary cirrhosis

28
Q

High Fe, low ferritin, low Fe binding capacity? S&S?

A

Hemachromatosis - hepatitis, DM, golden skin

29
Q

Low ceruloplasmin, high urinary Ca? S&S?

A

Wilson’s - hepatitis, psychiatric symptoms, corneal deposits

Internal Medicine Shelf (4 decks)

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