GI/Hepatobilliary

Question 1

what is cyclical vomitting

Answer 1

idiopathuc, recurrent, self limited episodes of N/V

**NO abd pain constipation or diarrhea

Question 2

what is eosinophillic esophagitis

Answer 2

allergic response to food in esopagus, presents like GERD but is unrespinsive to PPIs

Question 3

tx for eosinophillic esophagitis

Answer 3

PO steroids

Question 4

Tx for bleeping esophageal varicires

Answer 4

octreotide and PPX with BBlockers

Question 5

neonate with bloody diarrhea and eosinophills in stool

Answer 5

milk protein intolerance

Question 6

bilious vomitting, abd pain and distension

next step?

Answer 6

worry about malrotation, get barium enema

if newborn, think meconium ileus

Question 7

treatment for meconium ileus

Answer 7

gastrograffin enema

Question 8

what infection mimics appendicitis (assc with chitterlings and daycare)

Answer 8

mesenteric adenitis

Question 9

treatment for CF

Answer 9

pancreatic enzymes, vitamins ADEK, chest physiotherapy, mucolytics (N-acetylcysteine)

Question 10

celiac dz like presentation with normal GI biopsy in a kid

Tx?

Answer 10

abetalipoproteinemia

ADEK supplements and low fat diet

Question 11

viral hepatitis fatal in pregnancy

Answer 11

HEV

Question 12

cirrhosis and panacinar emphysema

Answer 12

Alpha anti-trypsin 1 deficiency

Question 13

chirrosis + movement disorder + hemolytic anemia + corneal rings

tx

Answer 13

wilson’s disease

D penicillamine

Question 14

viral infction + aspirin causes

Answer 14

reye’s syndrome (fatty liver/liver failure)

**die from cerebral edema and herniation

Question 15

mild jaundice when stressed or starved

Answer 15

gilberts (AD defect in UGTglucuronyl transferase