GI: match buzzword to disease Flashcards
1
Q
night blindness
bitot’s spot
A
Vit A Def
2
Q
ataxia, global confusion, opthalmoplegia
A
Wernicke encephalopathy triad with dry beri beri
3
Q
irreversible memory loss, confabulation, psychosis
A
korsakoff dementia
4
Q
beriberi
A
vit B1 thiamine deficiency
5
Q
Oral = magenta colored tongue, glossitis, angular cheilitis, stomatitis, lesions of mouth, pharyngitis Ocular = photophobia, corneal lesions Genital = scrotal dermatitis
A
B2 riboflavin def
6
Q
Dermatitits
Diarrhea
Dementia
(death)
A
Pellagra— bit B3 def aka niacin
7
Q
PT undergoing isonizaid for TB
A
Vit B6 Pyridoxine def
8
Q
long-standing vegan PT
A
vit b12 or cobalamin def
9
Q
PT has pernicious anemia
A
vit b12 or cobalamin def
10
Q
PT has CD–what vit def?
A
vit b12 or cobalamin def
11
Q
PT on metformin and/or PPI-=what vit def?
A
vit b12 or cobalamin def
12
Q
symmetric paresthesia
A
vit b12 or cobalamin def
13
Q
Macrocytic anemia (iincreased MCV)
A
vit b12 or cobalamin def
14
Q
hyperkeratosis
hemorrhaging
hematologic s/s
A
Vit C def
15
Q
bowing of long bones in an adult
A
Osteomalacia
16
Q
bowing of femur and tibia bones in child
A
rickets
17
Q
urine has mutsy/mousy odor
A
PKU
18
Q
pruritic, papulovesicular rash most common on extensor surfaces, neck, trunk & scalp.
+steatorrhea
+bloating
A
Celiac
19
Q
Borborygmi
A
lactose intol
20
Q
type 1 hypersenstivity rxn
A
peanut/tree nut allg
21
Q
elevated transaminases w/o specific history
A
tylenol OD
22
Q
deep and rapid breathing, tachycardia, tinnitus
A
Salicylates OD
23
Q
labs show
patient with an anion gap metabolic acidosis
A
Salicylate OD
24
Q
burning, gnawing epigastric pain +/- N/V
A
PUD
25
dyspepsia classically relieved with food
Duodenal PUD
26
dyspepsia classically worse with food
Gastric PUD
27
Nocturnal dyspepsia
Duodenal PUD
28
CXR: air under the diaphragm
perforated PUD
29
severe, recurrent, multiple or refractory ulcers & diarrhea
Zollinger-ellison
30
PT has MEN 1
Zollinger-ellison
31
24-hour urinary 5-hydroxyindoleacetic acid/5-HIAA excretion
Carcinoid Tumor
32
Leather bottle
linitis plastica--gastric cancer
33
projectile, non-bilious vomiting
pyloric stenosis
34
PE: olive shaped, non-tender, mobile hard mass in abdomen
pyloric stenosis
35
Upper GI series show: String sign
pyloric stenosis
36
fat, fair, female, forty, fertile
cholelethiasis + cholecystitis
37
biliary colic
cholelithiasis
38
episodic, abrupt RUQ or epigastric pain after eating
cholelithiasis
| *biliary colic
39
Continuous RUQ or epigastric pain
acute chole
40
+murphy sign
acute chole
41
+Boas sign
Acute chole
42
pain moves to the right shoulder
acute chole (+Boas sign)
43
LABS: elevated AST and ALT and incr Alk Phosph
PT: jaundice and prolonged biliary colic
choledocholithiasis
44
RUQ+ jaundice + fever
Charcot triad
| *cholangitis
45
RUQ+ jaundice + fever + hypotension/shock + AMS
Reynolds pentad
| *cholangitis
46
LABS: positive antimitochondrial antibodies (AMA)s
Primary biliary cholangitis/cirrhosis
47
LABS: P-ANCA positive
Primary Sclerosing cholangitis
48
weakness killian triangle
zenkers div
49
halitosis
zenkers diver
50
manometry shows non-peristaltic esoph contractions
distal/diffuse esophageal spasm
51
liquid and solid dysphagia--worsens when liquid is hot/cold
distal/diffuse esophageal spasm
52
barium esophagram shows corkscrew apperance
diffuse esophageal spasm
53
manometry shows increased during peristalsis
hypercontractile nutcracker esophagus
54
barium esophagram shows birds beak
achalasia
55
Noncircumferential thin membrane in the upper/mid esophagus
esoph web
56
PT has iron def anemia and dysphagia
esoph web
| TRIAD=pummer Vinson syndrome
57
Circumferential diaphragm of tissue that protrudes into the esophageal lumen
Shatzki ring
| esoph ring
58
Longitudinal superficial/mucosal tears
mallory weiss syndrome
59
Severe Retrosternal chest pain worse with deep breathing & swallowing,
Boerhaave syndrome
60
+crepitus on chest palpation
Boerhaave syndrome
61
+crunching sound on asuculation
+hamman's sign aka Boerhaave syndrome
62
+ Hamman's sign
Boerhaave syndrome
63
CXR: left-sided hydropneumotharax and pneumomediastinum
Borehaave syndrome
64
odynophagia + dysphagia + retrosternal CP
esophagitis --infectious
65
Atopic patient, dyspahgia to solids, odynophagia, reflux
Eosinophilic esoph
66
endoscopy shows corrugated rings with white exudates in esophagus
eosiniophilic esoph
67
Esophageal squamous epithelium is replaced by metaplastic columnar cells
Barretts
68
initial dysphagia to solids--- then progress to liquid
esoph CA
69
Kayser-Fleischer rings
wilson dz
70
Decreased serum ceruloplasmin
Wilson dz
71
CM: ascites, hepatomegaly, RUQ pain
Budd Chiari
72
mildly abnormal LFTs in absence of ETOH abuse
NAFLD
73
lab work: + ANA, smooth muscle antibodies, incr LFTs
Type 1 auto immune hepatitis
74
lab work: anti-liver/kidney microsomal antibdoies and increased IgG
type 2 auto immune hepatitis
75
child + ASA ingestions
reye syndrome
76
IV drug use
Hep C
77
allergic to bakers yeast
do not give Hep B vaccine
78
cullen sign
acute pancreatits
79
periumbilical ecchymosis
acute pancreatitis
80
flank ecchymosis
acute pancrea
81
grey turner sign
acte pancreatits
82
Acute onset of severe, persistent epigastric pain often radiating to the back
acute pancreatitis
83
serum lipase 3x elevated
acute pancreatitis
84
CXR: sentinel loop
acute pancreatitis
85
calcifications + steatorrhea + DM
chronic pancreatitis
86
painless jaundice
| pruritis
pancreatic CA
87
trousseau's sign
pancreatic CA
88
migratory thrombophlebitis
pancreatic CA
89
Courvoiser's sign
pancreatic CA
90
palpable, NONtender, distended gallbladder
pancreatic CA
91
Tumor markers = CA19-9
pancreatic CA
92
painless hematochezia) MCC
diverticulosis
93
Low grade fever, LLQ pain N/V
diverticulitis
94
abdominal pain with altered defectaion/bowel habits
| +pain often relived with defecation
IBS
95
Rome IV criteria
used to diagnose IBS
96
Transmural inflammation colon
CD
97
Upper GI series (w/ small bowel follow thru) -> string sign
CD
98
Edoscopy shows skip areas with cobblestoning
CD
99
anti-Saccharomyces cerevisiae antibodies; iron & B12 deficiency on Lab work
CD
100
Diarrhea (often bloody), crampy abdominal pain (esp. LLQ) and tenesmus
UC
101
positive P-ANCA
UC
and/or
PSC
102
barium enema shows stovepipe or lead pipe sign
UC
103
hypotension, tachypnea, lactic acidosis, fever, AMS.
signs of intestinal infarction---- acute mes. ischemia
104
Labs: leukocytosis, lactic acidosis**
acute mesenteric ischemia
105
atherosclerotic dz
chronic mesenteric ischemia
106
Most common at “watershed” areas
ischemic colitis
107
(“thumbprinting on CT of abdomen
Ischemic colitis
108
+absent bowel sounds
| AXR with dilated loops of bowel with no transition zone
Paralytic ileus
109
Profound bloody diarrhea, abdominal pain & distention, N/V, tenesmus.
+ s/s of systemic--fever, AMS, tachy, hypotension, etc
Toxic megacolon
110
Abdominal CT: ; “bird-beak
Volvulus
111
Abdominal X-ray: “bent inner tube” or "coffee bean" sign
Volvulus
112
obstipation
late findnig for SBO
113
Bowel sounds = high-pitched tinkles on auscultation & visible peristalsis
early SBO findings
114
AXR: step ladder appearance
SBO
115
mucocutaneous hyperpigmentation
Peutz-Jehgers Syndrome (Colorectal CA)
116
anemia, weakness, RLQ mass
right sided tumor of colorectcal CA
117
pencile stools
MC left
| colorectal CA
118
Barium enema: apple core lesion
Colorectcal CA
119
painless bright red blood per rectum--esp on toilet paper
internal hemorrhoid
120
AXR = double bubble sign
duodenal atrisa
121
“currant jelly”
intussusception
122
Sausage shaped mass in the RUQ
intussusception
123
Abd XR = lack of gas in the bowels
intussusception
124
cruise ship, hosptials, restaurants
Norovirus
125
young child in winter months presents with vomiting (novemenr-march)
Norovirus
126
nonimmunized kid with diarrhea.... fall and winter months...vomiting first s/s..then fever... watery diarrhea
rotavirus
127
decreased disaccaridase activity
rotavirus
128
ate mayo, dairy, eggs, salads--- very quickly dev vomiting and nausea--- then diarrhea
staph A
129
re-heated fried rice
Bacillus Cereus
130
one week into traveling...
enterotoxic E Coli
131
History of travel in endemic area
vibrio cholera
132
liquid, gray, turbid stool
w/o fecal odor
Rice water stool
vibrio cholera
133
voluminous watery diarrhea-- about 15L/day
vibrio cholera
134
do not give anti motility drugs to what pt
infectious invasie tissue damaging pathogens
135
do not give anti motility drugs to what pt
invasive
136
safety pin apperance on culture
yersinia
137
recently ate pork...
Yersinia
138
recently ate tofu
yersinia
139
raw undercooked poultry
campy
140
domestic pets
campy j.
141
kids + puppy=?
campy j.
142
Guillan-Barre syndrome assoc with which microbe
Campy enteritis
143
“S, comma or seagull shape organism”
campy
144
cattle or other ruminants
Enterohemmorrhagic E coli 0157:H7
145
infantile diarrhea
Enteropathogenic E coli
146
grossly bloody diarrhea
hemorrhaigc colitis secondary to Enterohemorrhaigic E coli
147
avoid abx and avoid anti motility in which infectous diarrhes
enterohemmorrhagic E coli
148
hx of travel to where sanitation is poor
salmonella typhi
149
Pea soup green diarrhea
salmonella typhi
150
rose spots
salmonella typhi
151
undercooked beef,
Enterohemmorrhagic E coli 0157:H7
152
unpast. milk
Enterohemmorrhagic E coli 0157:H7
153
unpast apple cider
Enterohemmorrhagic E coli 0157:H7
154
day care centers
Enterohemmorrhagic E coli 0157:H7
155
undercooked shellfish
virbiro
156
MC causes of foodborne dz in US
nontyphoidal salmonella
157
contact with reptiles
nontyphoidal salmonella
158
explosive watery diarrhea that progresses to mucoid and bloody diarrhea
shigella
159
backpackers diarrhea
Giardia Lamblia
160
ingestion of water from a stream/well
Giardia Lamblia
161
frothy greasy foul smelling diarrhea, steatorrhea NO blood or pus
Giardia Lamblia
162
which bacetria can lead to liver complications
amebiasis---- amebic liver abscess
163
RUQ pain + right sided pleural effusion + hepatic tendernss
liver amebic abscess
