GI hepatitis and more Flashcards
Viral hepatitis AST and ALT?
Up about the same. Also have high alk phos and bili
Hep B core antibody means what?
IgM early in infection, IgG late (or past infection)
HbEAg means what?
High transmissibility, if low, not being transmitted (MEANS ENVELOPE, so that makes sense)
What is the window period?
Almost everything comes back NEGATIVE!! (surface antigen equals antibodies, it is a STALEMATE!!!)
Core antibody comes back IgM!
SO THAT MEANS POSITIVE for infection!!! (IgM for core antibody HBcAb)
Chronic hep B trasmissible vs not?
HBsAg is present b/c still infected. But HBeAg is present, so transmissible.
HBeAb is absent b/c able to infect
Hep B tx?
Hep B vaccine
IFN alpha or other antivirals
Extrahepatic manifesto of hepatitis B?
Polyarteritis nodosa. And glomerular disease
REMEMBER THAT HITS KIDNES, but not lungs
Glom disease with hepatitis B?
Membranous nephropathy or rarely membranoproliferative GN
Proteinuria
Hep C tx?
Ribavirin or IFN alpha.
80% get it chronic
50% will get cirrhosis
Hep c extrahepatic manifestation?
Membranoprolif kidney, essential cryoglobin, Lichen plans…. A ton of stuff
Tx hep D?
IFN alpha, prevent by preventing Hep B
Hep c is higher risk of what compared to Hep B?
B is higher risk for what than C
C more likely chronic
B more likely to lead to cancer
HBsAg is present with infection
Gone if absent infection, immune, or WINDOW PERIOD!
Most common neoplasm of salivary?
Pleomorphic adenoma (benign)
Plumer vinson syndrome?
Iron deficiency, dysphagia, esophageal webs
Dysphagia workup?
First barium, then EGD, then manometry.
Acalculus cholecystits is complication of TPN
oho ok
Chest pain with dysphagia?
What do you see on barium swallow?
Tx?
Cork screw on swallow for diffuse esophageal spasm
Monometry shows uncoordinated
Tx: CCBs, TCA, Nitrates
Zenker tx?
Cricopharyngeal myotomy. IT IS A CANCER RISK IF LEFT
Think about all the brewing infection in that stuff
Milk of magnesia can help acid, but causes what?
diarrhea
Calcium and aluminum antacids can cause what?
N/V
Best to use less than 2 times per week
All GERD meds are safe in preggers
OH OK
Barrets is risk of what cancer?
ADENO
Esophageal cancer has poor prognosis, sow hat do you do?
RESECT AND THEN CHEMORADIATION
Mallory wise vs boorehave?
Wise is tear in mucosa, BOORHAVE is bad rupture all the way through
