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Clin Med > GI: match buzzword to disease > Flashcards

GI: match buzzword to disease Flashcards

1
Q

night blindness

bitot’s spot

A

Vit A Def

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2
Q

ataxia, global confusion, opthalmoplegia

A

Wernicke encephalopathy triad with dry beri beri

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3
Q

irreversible memory loss, confabulation, psychosis

A

korsakoff dementia

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4
Q

beriberi

A

vit B1 thiamine deficiency

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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

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6
Q

Dermatitits
Diarrhea
Dementia
(death)

A

Pellagra— bit B3 def aka niacin

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7
Q

PT undergoing isonizaid for TB

A

Vit B6 Pyridoxine def

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8
Q

long-standing vegan PT

A

vit b12 or cobalamin def

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9
Q

PT has pernicious anemia

A

vit b12 or cobalamin def

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10
Q

PT has CD–what vit def?

A

vit b12 or cobalamin def

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11
Q

PT on metformin and/or PPI-=what vit def?

A

vit b12 or cobalamin def

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12
Q

symmetric paresthesia

A

vit b12 or cobalamin def

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13
Q

Macrocytic anemia (iincreased MCV)

A

vit b12 or cobalamin def

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14
Q

hyperkeratosis
hemorrhaging
hematologic s/s

A

Vit C def

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15
Q

bowing of long bones in an adult

A

Osteomalacia

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16
Q

bowing of femur and tibia bones in child

A

rickets

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17
Q

urine has mutsy/mousy odor

A

PKU

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18
Q

pruritic, papulovesicular rash most common on extensor surfaces, neck, trunk & scalp.
+steatorrhea
+bloating

A

Celiac

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19
Q

Borborygmi

A

lactose intol

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20
Q

type 1 hypersenstivity rxn

A

peanut/tree nut allg

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21
Q

elevated transaminases w/o specific history

A

tylenol OD

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22
Q

deep and rapid breathing, tachycardia, tinnitus

A

Salicylates OD

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23
Q

labs show

patient with an anion gap metabolic acidosis

A

Salicylate OD

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24
Q

burning, gnawing epigastric pain +/- N/V

A

PUD

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25
Q

dyspepsia classically relieved with food

A

Duodenal PUD

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26
Q

dyspepsia classically worse with food

A

Gastric PUD

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27
Q

Nocturnal dyspepsia

A

Duodenal PUD

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28
Q

CXR: air under the diaphragm

A

perforated PUD

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29
Q

severe, recurrent, multiple or refractory ulcers & diarrhea

A

Zollinger-ellison

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30
Q

PT has MEN 1

A

Zollinger-ellison

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31
Q

24-hour urinary 5-hydroxyindoleacetic acid/5-HIAA excretion

A

Carcinoid Tumor

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32
Q

Leather bottle

A

linitis plastica–gastric cancer

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33
Q

projectile, non-bilious vomiting

A

pyloric stenosis

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34
Q

PE: olive shaped, non-tender, mobile hard mass in abdomen

A

pyloric stenosis

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35
Q

Upper GI series show: String sign

A

pyloric stenosis

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36
Q

fat, fair, female, forty, fertile

A

cholelethiasis + cholecystitis

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37
Q

biliary colic

A

cholelithiasis

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38
Q

episodic, abrupt RUQ or epigastric pain after eating

A

cholelithiasis

*biliary colic

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39
Q

Continuous RUQ or epigastric pain

A

acute chole

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40
Q

+murphy sign

A

acute chole

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41
Q

+Boas sign

A

Acute chole

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42
Q

pain moves to the right shoulder

A

acute chole (+Boas sign)

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43
Q

LABS: elevated AST and ALT and incr Alk Phosph
PT: jaundice and prolonged biliary colic

A

choledocholithiasis

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44
Q

RUQ+ jaundice + fever

A

Charcot triad

*cholangitis

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45
Q

RUQ+ jaundice + fever + hypotension/shock + AMS

A

Reynolds pentad

*cholangitis

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46
Q

LABS: positive antimitochondrial antibodies (AMA)s

A

Primary biliary cholangitis/cirrhosis

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47
Q

LABS: P-ANCA positive

A

Primary Sclerosing cholangitis

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48
Q

weakness killian triangle

A

zenkers div

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49
Q

halitosis

A

zenkers diver

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50
Q

manometry shows non-peristaltic esoph contractions

A

distal/diffuse esophageal spasm

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51
Q

liquid and solid dysphagia–worsens when liquid is hot/cold

A

distal/diffuse esophageal spasm

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52
Q

barium esophagram shows corkscrew apperance

A

diffuse esophageal spasm

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53
Q

manometry shows increased during peristalsis

A

hypercontractile nutcracker esophagus

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54
Q

barium esophagram shows birds beak

A

achalasia

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55
Q

Noncircumferential thin membrane in the upper/mid esophagus

A

esoph web

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56
Q

PT has iron def anemia and dysphagia

A

esoph web

TRIAD=pummer Vinson syndrome

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57
Q

Circumferential diaphragm of tissue that protrudes into the esophageal lumen

A

Shatzki ring

esoph ring

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58
Q

Longitudinal superficial/mucosal tears

A

mallory weiss syndrome

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59
Q

Severe Retrosternal chest pain worse with deep breathing & swallowing,

A

Boerhaave syndrome

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60
Q

+crepitus on chest palpation

A

Boerhaave syndrome

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61
Q

+crunching sound on asuculation

A

+hamman’s sign aka Boerhaave syndrome

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62
Q

+ Hamman’s sign

A

Boerhaave syndrome

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63
Q

CXR: left-sided hydropneumotharax and pneumomediastinum

A

Borehaave syndrome

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64
Q

odynophagia + dysphagia + retrosternal CP

A

esophagitis –infectious

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65
Q

Atopic patient, dyspahgia to solids, odynophagia, reflux

A

Eosinophilic esoph

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66
Q

endoscopy shows corrugated rings with white exudates in esophagus

A

eosiniophilic esoph

67
Q

Esophageal squamous epithelium is replaced by metaplastic columnar cells

A

Barretts

68
Q

initial dysphagia to solids— then progress to liquid

A

esoph CA

69
Q

Kayser-Fleischer rings

A

wilson dz

70
Q

Decreased serum ceruloplasmin

A

Wilson dz

71
Q

CM: ascites, hepatomegaly, RUQ pain

A

Budd Chiari

72
Q

mildly abnormal LFTs in absence of ETOH abuse

A

NAFLD

73
Q

lab work: + ANA, smooth muscle antibodies, incr LFTs

A

Type 1 auto immune hepatitis

74
Q

lab work: anti-liver/kidney microsomal antibdoies and increased IgG

A

type 2 auto immune hepatitis

75
Q

child + ASA ingestions

A

reye syndrome

76
Q

IV drug use

A

Hep C

77
Q

allergic to bakers yeast

A

do not give Hep B vaccine

78
Q

cullen sign

A

acute pancreatits

79
Q

periumbilical ecchymosis

A

acute pancreatitis

80
Q

flank ecchymosis

A

acute pancrea

81
Q

grey turner sign

A

acte pancreatits

82
Q

Acute onset of severe, persistent epigastric pain often radiating to the back

A

acute pancreatitis

83
Q

serum lipase 3x elevated

A

acute pancreatitis

84
Q

CXR: sentinel loop

A

acute pancreatitis

85
Q

calcifications + steatorrhea + DM

A

chronic pancreatitis

86
Q

painless jaundice

pruritis

A

pancreatic CA

87
Q

trousseau’s sign

A

pancreatic CA

88
Q

migratory thrombophlebitis

A

pancreatic CA

89
Q

Courvoiser’s sign

A

pancreatic CA

90
Q

palpable, NONtender, distended gallbladder

A

pancreatic CA

91
Q

Tumor markers = CA19-9

A

pancreatic CA

92
Q

painless hematochezia) MCC

A

diverticulosis

93
Q

Low grade fever, LLQ pain N/V

A

diverticulitis

94
Q

abdominal pain with altered defectaion/bowel habits

+pain often relived with defecation

A

IBS

95
Q

Rome IV criteria

A

used to diagnose IBS

96
Q

Transmural inflammation colon

A

CD

97
Q

Upper GI series (w/ small bowel follow thru) -> string sign

A

CD

98
Q

Edoscopy shows skip areas with cobblestoning

A

CD

99
Q

anti-Saccharomyces cerevisiae antibodies; iron & B12 deficiency on Lab work

A

CD

100
Q

Diarrhea (often bloody), crampy abdominal pain (esp. LLQ) and tenesmus

A

UC

101
Q

positive P-ANCA

A

UC
and/or
PSC

102
Q

barium enema shows stovepipe or lead pipe sign

A

UC

103
Q

hypotension, tachypnea, lactic acidosis, fever, AMS.

A

signs of intestinal infarction—- acute mes. ischemia

104
Q

Labs: leukocytosis, lactic acidosis**

A

acute mesenteric ischemia

105
Q

atherosclerotic dz

A

chronic mesenteric ischemia

106
Q

Most common at “watershed” areas

A

ischemic colitis

107
Q

(“thumbprinting on CT of abdomen

A

Ischemic colitis

108
Q

+absent bowel sounds

AXR with dilated loops of bowel with no transition zone

A

Paralytic ileus

109
Q

Profound bloody diarrhea, abdominal pain & distention, N/V, tenesmus.
+ s/s of systemic–fever, AMS, tachy, hypotension, etc

A

Toxic megacolon

110
Q

Abdominal CT: ; “bird-beak

A

Volvulus

111
Q

Abdominal X-ray: “bent inner tube” or “coffee bean” sign

A

Volvulus

112
Q

obstipation

A

late findnig for SBO

113
Q

Bowel sounds = high-pitched tinkles on auscultation & visible peristalsis

A

early SBO findings

114
Q

AXR: step ladder appearance

A

SBO

115
Q

mucocutaneous hyperpigmentation

A

Peutz-Jehgers Syndrome (Colorectal CA)

116
Q

anemia, weakness, RLQ mass

A

right sided tumor of colorectcal CA

117
Q

pencile stools

A

MC left

colorectal CA

118
Q

Barium enema: apple core lesion

A

Colorectcal CA

119
Q

painless bright red blood per rectum–esp on toilet paper

A

internal hemorrhoid

120
Q

AXR = double bubble sign

A

duodenal atrisa

121
Q

“currant jelly”

A

intussusception

122
Q

Sausage shaped mass in the RUQ

A

intussusception

123
Q

Abd XR = lack of gas in the bowels

A

intussusception

124
Q

cruise ship, hosptials, restaurants

A

Norovirus

125
Q

young child in winter months presents with vomiting (novemenr-march)

A

Norovirus

126
Q

nonimmunized kid with diarrhea…. fall and winter months…vomiting first s/s..then fever… watery diarrhea

A

rotavirus

127
Q

decreased disaccaridase activity

A

rotavirus

128
Q

ate mayo, dairy, eggs, salads— very quickly dev vomiting and nausea— then diarrhea

A

staph A

129
Q

re-heated fried rice

A

Bacillus Cereus

130
Q

one week into traveling…

A

enterotoxic E Coli

131
Q

History of travel in endemic area

A

vibrio cholera

132
Q

liquid, gray, turbid stool
w/o fecal odor
Rice water stool

A

vibrio cholera

133
Q

voluminous watery diarrhea– about 15L/day

A

vibrio cholera

134
Q

do not give anti motility drugs to what pt

A

infectious invasie tissue damaging pathogens

135
Q

do not give anti motility drugs to what pt

A

invasive

136
Q

safety pin apperance on culture

A

yersinia

137
Q

recently ate pork…

A

Yersinia

138
Q

recently ate tofu

A

yersinia

139
Q

raw undercooked poultry

A

campy

140
Q

domestic pets

A

campy j.

141
Q

kids + puppy=?

A

campy j.

142
Q

Guillan-Barre syndrome assoc with which microbe

A

Campy enteritis

143
Q

“S, comma or seagull shape organism”

A

campy

144
Q

cattle or other ruminants

A

Enterohemmorrhagic E coli 0157:H7

145
Q

infantile diarrhea

A

Enteropathogenic E coli

146
Q

grossly bloody diarrhea

A

hemorrhaigc colitis secondary to Enterohemorrhaigic E coli

147
Q

avoid abx and avoid anti motility in which infectous diarrhes

A

enterohemmorrhagic E coli

148
Q

hx of travel to where sanitation is poor

A

salmonella typhi

149
Q

Pea soup green diarrhea

A

salmonella typhi

150
Q

rose spots

A

salmonella typhi

151
Q

undercooked beef,

A

Enterohemmorrhagic E coli 0157:H7

152
Q

unpast. milk

A

Enterohemmorrhagic E coli 0157:H7

153
Q

unpast apple cider

A

Enterohemmorrhagic E coli 0157:H7

154
Q

day care centers

A

Enterohemmorrhagic E coli 0157:H7

155
Q

undercooked shellfish

A

virbiro

156
Q

MC causes of foodborne dz in US

A

nontyphoidal salmonella

157
Q

contact with reptiles

A

nontyphoidal salmonella

158
Q

explosive watery diarrhea that progresses to mucoid and bloody diarrhea

A

shigella

159
Q

backpackers diarrhea

A

Giardia Lamblia

160
Q

ingestion of water from a stream/well

A

Giardia Lamblia

161
Q

frothy greasy foul smelling diarrhea, steatorrhea NO blood or pus

A

Giardia Lamblia

162
Q

which bacetria can lead to liver complications

A

amebiasis—- amebic liver abscess

163
Q

RUQ pain + right sided pleural effusion + hepatic tendernss

A

liver amebic abscess

Clin Med (52 decks)

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