gi, i fucking hate gi Flashcards
barretts esophagitis, squamous epithelium is replaced by _____ epithelium
columnar
barretts/smoking lead to this type of esophageal cancer
adenocarcinoma
etoh leads to this type of esophageal cancer
squamous cell
gold standard test for achalasia
manometry
corkscrew esophagus
esophageal spasm
test of choice for zenkers
Ba swallow/esophagram
pt has vomiting + chest pain + pneumomediastinum (crepitus), what do you suspect
Boerhaave’s syndrome
- dysphagia
- esophageal webs
- Fe def anemia
this is a triad for what
plummer vinson syndrome
treatment of choice for esophageal varices
ligation
MC esophageal neoplasm
squamous cell
young person with esophageal neoplasm is most likely what?
adenocarcinoma
MC cause of gastritis
H PYLORI YAY MICHELLE I HOPE YOU’RE READING THIS
3 drug tx for ulcers
clarithro
amox
PPI
4 drug tx for ulcers
PPI
bismuth
tetracycline
flagyl
ulcer that is better with meals, worse 2-5h after meals, occurs in younger pts
duodenal ulcers
ulcer that is worse with meals, esp 1-2h after, occurs in older pts
gastric ulcers
ulcers caused by an increase in damaging factors
duodenal
ulcers caused by a decrease in protective factors
gastric
kissing ulcers =
zollinger-ellison syndrome
best test to screen for z-e syndrome
fasting gastrin level (inc)
there will also be + secretin
MC type of gastric cancer
adeno
string sign on upper EGD
pyloric stenosis
- ascites
- hepatomegaly
- ruq pain
prob a woman in a hypercoag state
what is this
budd-chiari syndrome
wtf is this
i hate gi
in lieu of my question on the last card saying “wtf is this,” what is budd chiari syndrome
hepatic vein obstruction
whatever imaging you get for budd chiari syndrome (us/venography) what is it most important to assess
whether vena cava is being occluded
tx to break up gallstones
ursodeoxycholic acid
why dont you use morphine in gallbladder or pancreatic pain
increased sphincter of oddi spasm
jaundice occurs at a bili of > _____
2.5
increased direct/conjugated bili suggests what
obstructive/posthepatic
increase indirect/unconjugated bili suggests what
prehepatic/hemolytic
physiologic jaundice occurs on what days
3-5
if hcv has resolved, with HCV RNA be positive or negative
negative
lab to screen for HCC
serum alfa fetoprotein
HBs Ag indicates what
+ infx at some point
HBs Ab indicates what
vaccination OR resolved infx
HBc Ag indicates what
exposed at some point
HBc Ab indicates what
hx of acute or chronic infx
HBe Ag
infective! treat!
HBe Ab
infection cleared, don’t treat
what if you get allll the HBV tests and the ONLY thing that comes back positive is the HBc Ab. what does that mean?
this is the window period for HBV don’t ask me what that means
what drug do you give for cirrhosis with pruritis
cholestyramine (questran)
score to assess end stage liver disease
MELD score
incidental finding of asx increased alk phos is probably what disease
primary biliary sclerosis
+ anti-mitochondrial Ab
primary biliary sclerosis
liver/gallbladder sx in a person who has ulcerative colitis is most likely this disease
primary sclerosing cholangitis
Ransons Criteria for pancreatitis
glucose > 200 age > 55 ldh > 350 ast > 250 wbc > 16,000
person has steatorrhea, new DM diagnosis, what disease should you think
chronic pancreatitis
currant jelly stool
intussusception
how do you dx AND treat intussusception
Ba enema
how do you tx volvulus
decompression w/ endoscopy
llq pain and blood diarrhea, obviously you think of diverticulitis, but what else should you also think that presents this way
ischemic colitis
string sign on colonoscopy
crohns (from strictures)
stovepipe sign on colonoscopy
UC (from loss of haustra)
when do you confirm h pylori eradication after treatment
4 weeks
what disease can be induced by ercp
pancreatitis
pancreas shows heterogenous appearance and fat stranding
chronic pancreatitis
what is the tumor marker for panc cancer
ca19-9
what is the tumor marker for colon cancer
cea
mrcp shows “beading” of the bile ducts
primary biliary sclerosis
kid pulls his knees up to chest
intussuception
