GI Investigation Flashcards
What can be tested at the bedside?
BMI (unintentional change) Oximetry ECG Glucose Urine Temp
What can be tested in stool analysis?
Culture
Calprotectin
Elastase
Low fecal elastase is suggestive of what?
Pancreatic insufficiency/malabsorption
Raised calprotectin is suggestive of what?
Inflammatory conditions
What can be tested for in blood analysis?
U+Es Ca/Mg LFTs CRP Albumin Thyroid Function FBC Coagulation Hepatitics Coeliac serology Tumour markers
What does C-reactive protein inform of?
Inflammation
Highly sensitive, low specificity
What are the hepatitic LFTs?
Raised ATL, GGT
What are the obstructive LFTs?
Raised Alk Phos, Bilirubin
When will U+Es fluctuate?
Vomiting (loss of stomach acid)
Low platelet count can be suggestive of what?
IBD
Portal hypertension
A hepatitic screen in blood analysis can test for what?
Hep B, C serology Autoanabodies Immunoglobulins Ferritin a1AT Copper a-fetoprotein
Why is coeliac serology not always useful for a Coeliac diagnosis?
Will test -ve if someone has cut gluten out
Why is the CEA tumour marker not always useful?
Can be raised in smokers and COPD patients
What can be tested for in urine analysis?
5HIAA
Catecholamines
When may catecholamines be raised?
Endocrine tumours