GI/Nutrition Flashcards
“birds beak” on barium swallow
Achalasia
Dilations of the veins of the esophagus – generally at distal end. Caused by portal hypertension from cirrhosis.
Esophageal varices
This occurs from forceful vomiting or retching, causing hematemesis. Often associated with alcohol use.
Mallory-Weiss tear
What commonly presents with epigastric pain, especially after eating. Can present as indigestion, nausea, or cough.
GERD
This is similar to GERD, but worse. Pain is common on an empty stomach and is relieved with food. More likely to have nausea.
Peptic Ulcer Disease
How do we treat H. pylori?
PPI + Clarithromycin + Metronidazole
Out of Hepatitis A, B, C, D and E – which are transmitted by bodily fluids and which are transmitted by fecal oral?
B, C, D – bodily fluids
A, E – fecal oral
When testing for Hep B, if the patient has a positive surface antigen and IgM, what does that mean?
they have an active infection
What does it mean if a patient has a positive core antibody?
they either have the infection or have had it in the past
What if patient has a positive surface antibody?
They have either been vaccinated or had Hep B in the past
What are the most common causes of cirrhosis?
Hep C and alcoholism
How do patients with acute cholecystitis typically present?
RUQ pain, fever. Pain may radiate to the right shoulder. Pain worse after a fatty meal.
Someone with cholecystitis will show what on ultrasound?
stone in the cystic duct.
What are the 5 F’s associated with cholelithiasis?
Female, Fat, Fair, Fertile, Forty
Where is the location of the stone if someone has choledocolithiasis?
common bile duct