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Year 3 CCC - Amir Sam > GI+ Liver > Flashcards

GI+ Liver Flashcards

1
Q

causes of hepatomagaly

A

infection
inflammation
malignancy

alcohol 
autoimmune -
drugs 
viral 
biliary
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2
Q

causes of splenomegaly

2Hs
2Is

A

portal Hypertension
Haematological - lymphoma, hemolytic anaemia

infection: EBV, Tb, malaria
inflammation: hepatitis

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3
Q

haemodynamic compromise

suggests what?

A

that there is some bleed

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4
Q

epigastric causes

ddx questions

A

nsaid use - peptic ulcer
better with antacid - gord
retrosternal ETOH - gastritis
gallstones

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5
Q

slight discomfort and pain in epigastric / left hypochondriac region
normal amylase

what could this be?
how do you manage?

A

chronic pancreatitis

faecal elastase

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6
Q

suprapubic pain

A

cytitis

urinary retention

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7
Q

diffuse abdominal pain

A

obstruction
infection - peritonitis, gastroenteritis
inflammation - IBD
ischaemia - mesenteric ischaemi ; RF Atrial fibrillation

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8
Q

medical causes of abdo pain

A 
DKA
addisons 
hypercalcaemia 
porphyria 
lead poisoning
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9
Q

celiac artery supplies?

A

stomach
spleen
liver gallbladder
duodenum

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10
Q

SMA supplies?

A

small intestinine and right colon

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11
Q

inferior mesenteric artery

A

left colon

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12
Q

SBP

spontaneous bacterial peritonitis

A

ascites neutrophil > 250

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13
Q

transudate

A

low protein
cirrhosis
cardiac failure

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14
Q

exudate- protein is high

A

malignancy
infection: TB
budd chiari syndrome : hepatic vein thrombosis
portal vein thrombosis

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15
Q

hepatitis
stool
urine
colour

A

stool normal as

urine - dark as conjugated bilirubin will leak out of hepatocytes > urine

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16
Q

why do GI pt gets pruritus

A

because bilirubin excess in blood causes skin to ITCH

17
Q

ca19-9

what tumour marker?

A

pancreatic

18
Q

infective causes blood diarrhoea

CHEST

A 
campylobacter
Hameorrhagic E coli
entamoeba histolytica
salmonella 
shigella
19
Q

acute GI bleed Mx

A

ABC
IV access
fluids
g&S x match blood

OGD

20
Q

variceal bleed mx

A

antibiotics

terlipressin: vasoconstriction

21
Q

acute abdo Ix

A

fbc, U&es, LFTs, CRP, clotting g&s xmatch
erect cxr
ct

22
Q

pabrinex

mx ascites

A

fluid restriction? Iv
spironolactone +furesemide
dietary sodium restriction

paracentesis
IV human albumin

23
Q

serum albumin- ascites albumin

>11g/L

A

cirrhosis - reduced serum albumin

cirrhosis

24
Q

encephalopathy

A

lactulose

phosphate enema

25
Q

high urea and creatinine

A

aki

26
Q

renal causes of

A

glomerulonephritis - blood and protein in urine

27
Q

AST:ALT >3 is suggestive of what?

A

acute alcoholic hepatitis

Year 3 CCC - Amir Sam (4 decks)

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