GI Learn These Flashcards
What is chorcot’s triad?
RUQPain, Fever, Jaundice
NAFLD IX?
US , Fibroscan, ctokerin 18 and biochem test
Autoimmune liver cx?
PBC - IgM Antimitochondrial
PSC - IgM pANCA
Autoimmune hepatitis - IgG
tx of autoimmne liver diseae?
PBC - Uresodeocycholic
PSC- Biliary stent
AH - Azathiopine
UC Tx?
AntiInflamm - 5ASA
Immunosupress - methotrexate prednisolone
Anticoagulant
Pancreatic Carcinoma SS?
WL, Thromophlebitic migrane, Ascites, portal HT, Tender subcutaneous fat nodules MIDEPIGASTRIC PAIN THAT RADIATES TO MID/LOWER BACK WORSE WHEN SUPINE, TROUSSEAT SIGNS OF MALIGNANCY
assoc condition w/ coeliac disease?
Dermatitis Herpitiform, IDDM, Autoimmune thyroid disease, PBC, IgA deficient
Malabsoprtion infection?
Giardia lamblia
Tx of Giardia lamblia
Metrondiazole
Cx of whipples disease?
Tropheryma Whippeli
What vitamin do you give before feeding in refeeding syndrome?
Thiamine
how much do you feed a patient to avoid overfeeding after starvation?
5-10cal/kg over 24hrs
what are mw tears?
linear tears due to retching
Tx of bleeding peptic ulcers?
adrenaline injection, Resus, PPI, thermal contact, heameostatic clips
What is Diverticular Disease
Protusion of inner musculat mucosa layer through outer layer of muscle forming a pouch if’-itis’ then inflammation is also present
What are colonic angiodysplasia?
Problems with the colons vascualr formation
Tx: antocoag/antiplatlelts
How would you Ix for colonic angiopdysplasia?
Argon phototherapy
What is a symp of isch colotis?
Cramping abdominal pain
What is radiation proctitis?
Damage to colon after exposure to radiation Tx:APC
How would you ix LGI Bleeding?
CT angiography,
SI capsule enteroscopy
Double ballon enteroscopy
Tx for LGI Bleed?
Embolisation, band ligation, surgery
What are high risk of colorectal bleeding?
>6wks Persistant w/ anal symp R side Abd Mass Palapable rectal mass Unexpected Iron Deficiency Anemia
What ix for Colorectal bleeding?
CT Colonography,
Colonoscopy + Biopsy
SIgmoidoscopy w/ Barium Enema
MRI
Tx for Colorectal bleeding?
Bowel anastosmosis.
Foecal Diversion,
Ileal Pouch
Prophylaxis
4 stages of heammorhoides?
1 - anal
2- prolapse internal
3- prolapse ext and reducable
4- prolapse ext and non reducable
Heammorhoides tx?
Banding
Millgan Morgan
stapled anoplexy
US guided ligation
Tx for anal fissures?
SM relaxants
Topical NO, Glyc nitrate paste,
Surgical - int, lat sphincterectomy
Ano rectal cancer imaging?
CT Colonography
MRI guided colonoscopy
Colonoscopy + X RAY
Anal Ulceration cause?
Chrons
Syphilis
Nicorandil
Malignancy