GI/Nutrition Flashcards

1
Q

“birds beak” on barium swallow

A

Achalasia

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2
Q

Dilations of the veins of the esophagus – generally at distal end. Caused by portal hypertension from cirrhosis.

A

Esophageal varices

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3
Q

This occurs from forceful vomiting or retching, causing hematemesis. Often associated with alcohol use.

A

Mallory-Weiss tear

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4
Q

What commonly presents with epigastric pain, especially after eating. Can present as indigestion, nausea, or cough.

A

GERD

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5
Q

This is similar to GERD, but worse. Pain is common on an empty stomach and is relieved with food. More likely to have nausea.

A

Peptic Ulcer Disease

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6
Q

How do we treat H. pylori?

A

PPI + Clarithromycin + Metronidazole

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7
Q

Out of Hepatitis A, B, C, D and E – which are transmitted by bodily fluids and which are transmitted by fecal oral?

A

B, C, D – bodily fluids

A, E – fecal oral

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8
Q

When testing for Hep B, if the patient has a positive surface antigen and IgM, what does that mean?

A

they have an active infection

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9
Q

What does it mean if a patient has a positive core antibody?

A

they either have the infection or have had it in the past

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10
Q

What if patient has a positive surface antibody?

A

They have either been vaccinated or had Hep B in the past

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11
Q

What are the most common causes of cirrhosis?

A

Hep C and alcoholism

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12
Q

How do patients with acute cholecystitis typically present?

A

RUQ pain, fever. Pain may radiate to the right shoulder. Pain worse after a fatty meal.

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13
Q

Someone with cholecystitis will show what on ultrasound?

A

stone in the cystic duct.

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14
Q

What are the 5 F’s associated with cholelithiasis?

A

Female, Fat, Fair, Fertile, Forty

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15
Q

Where is the location of the stone if someone has choledocolithiasis?

A

common bile duct

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16
Q

What are our “go-to” antibiotics for diverticulitis?

A

Cipro and Flagyl

17
Q

What type of Inflammatory Bowel Disease is associated with skip lesions, fistulas, and trash cans full of shit.

A

Crohn’s

18
Q

True or False, Ulcerative colitis is only in the colon.

A

True

19
Q

What are the two main causes of pancreatitis?

A

Alcohol and cholelithiasis

20
Q

Is lipase or amylase more sensitive for pancreatitis?

A

Lipase

21
Q

How do we treat pancreatitis?

A

NPO, pain meds, IV fluids

22
Q

what is the triad for chronic pancreatitis?

A

pancreatic calcification, steatorrhea, and diabetes

23
Q

How do we treat infectious diarrhea?

A

Cipro

24
Q

What is the most common cause of bowel obstructions?

A

post-op adhesions

25
Q

What is Borchadt’s triad?

A

abdominal pain, vomiting, and inability to pass NG tube

26
Q

what does a bowel obstruction look like on x-ray?

A

dilated loops with air fluid levels

27
Q

what are some alarming signs of a esophageal neoplasm?

A

dysphagia, odynophagia, or anemia

28
Q

What is usually the cause of appendicitis?

A

obstruction of the lumen from fecolith

29
Q

How do you treat a pilonidal cyst?

A

I and D

30
Q

What makes a grade 4 hemorrhoid different form a grade 1, 2, or 3.

A

Grade 4 hemorrhoids are not reducible.

31
Q

How do you treat hemorrhoids?

A

Increase fiber/fluids. Topical steroids. Some grade 4 hemorrhoids will require surgery.

32
Q

what is the definitive test to diagnose lactose intolerance?

A

lactose hydrogen breath test

33
Q

What is the most common symptom of B12 deficiency?

A

peripheral neuropathy

34
Q

Do direct or indirect hernias pass into the scrotum?

A

Indirect

35
Q

Are femoral hernias more common in men or women?

A

Women