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SmartyPANCE:GI > GI nutrition word assoc > Flashcards

GI nutrition word assoc Flashcards

1
Q

Fat, forty, female, fertile w/ RUQ pain

A

Cholelithiasis or Cholecystitis

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2
Q

Fever, RUQ pain, radiation to back

A

Cholecystitis

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3
Q

Elevated Alkaline phosphatase, urinary bilirubin

A

Cholecystitis

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4
Q

F, RUQ pain, Jaundice, gallstones & dilated common duct on US

A

Ascending cholangitis (Charcot’s triad)

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5
Q

Hx IBD, progressive RUQ pain, wt loss, F, jaundice & pruritis. Elevated bilrubin & alkaline phosphate. ERCP with bile duct stenosis, dilatation

A

Primary sclerosing cholangitis (diffuse intra- and extrahepatic duct sclerosing and dilatation)

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6
Q

Elevated AST, ALT, indirect bilirubin

A

Hepatitis

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7
Q

Isolated elevated indirect bilirubin

A

Gilbert’s syndrome

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8
Q

Elevated indirect bilirubin w/ defective glucuronyl transferase

A

Crigler-Najjar Dz

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9
Q

Photosensitivity, abd pain w/ neurologic dysfunction, erythema or skin fragility

A

Porphyria

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10
Q

H.pylori gastritis

A

2antibiotics & PPI

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11
Q

Chronic cough, bitter taste in mouth or throat, dyspepsia

A

GERD

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12
Q

Multiple or constant GI ulcer pain despite medications

A

Zollinger-Ellison Syndrome

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13
Q

N/V, epigastric abdominal pain, worse supine, caused by alcohol ingestion, or following fatty meals

A

Acute pancreatitis

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14
Q

Peri-umbilical or flank ecchymosis

A

Acute pancreatitis (Cullen & Grey Turner’s Sign)

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15
Q

Abdominal distension, bloating, intermittent, colicky pain, high-pitched rushes & tinkles

A

SBO

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16
Q

Air fluid levels on upright abd plain film

A

SBO

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17
Q

Air under diaphragm, rigid board-like abdomen

A

Perforated viscus, perforated ulcer

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18
Q

> 60yo F, LLQ pain

A

Diverticulitis. IV Abx, fluids, NPO.

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19
Q

Elderly, Hx atherosclerosis. Dull crampy periumbilical pain post-prandial

A

Mesenteric ischemia

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20
Q

Neonate w/ projectile vomiting. Olive sized mass.

A

Pyloric stenosis

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21
Q

Choking, cyanosis, respiratory distress, increased secretions in 1st hours of life

A

Tracheoesophageal fistula

22
Q

Painless rectal bleeding in pediatrics

A

Meckel’s diverticulum

23
Q

Alcoholic with massive hemoptysis

A

Esophageal varicies (Tx w/ octreotide)

24
Q

Female with recurrent abdominal pain, alternating diarrhea, constipation.
Pain relieved with defecation.

A

IBS. TCA’s (nortriptyline) good if diarrhea predominant symptom

25
Q

Bloody Diarrhea

A

Ulcerative colitis

26
Q

Supraclavicular LAD (L > R)

A

Virchow’s node - metastatic abdominal cancer

27
Q

Hard periumbilical nodule

A

Sister mary Joseph nodule = indicates metastatic gastric and pancreatic cancers

28
Q

PUD, Pernicious anemia (Type A Gastritis), H. pylori

A

Gastric Ca

29
Q

Apple core lesion

A

Colon Cancer

30
Q

Elderly with positive hemmocult.

A

Colon Cancer - get colonoscopy

31
Q

CEA

A

Colon Carcinoma

32
Q

Family history of young age colon cancer, multiple polyps found on colonoscopy

A

Familial adenomatous polyposis (Gardner’s syndrome)

33
Q

AFP

A

Hepatocellular carcinoma, testicular seminoma (germ cell tumor)

34
Q

CA 19-9

A

Pancreatic Ca

35
Q

CA-125

A

Ovarian Carcinoma

36
Q

Chemotherapy induced N&V

A

Treat with Ondansetron (Zofran) (5- HT3 blockers)

37
Q

Traveler’s Diarrhea

A

E. coli is cause. Hydration & Cipro to treat

38
Q

Greasy, foul smelling, floating stools. Pear-shaped flagellated protozoan w/ 2 “eyes”. Water, travel, camping history

A

Giardia

39
Q

Afebrile, watery or loose stool. No blood or mucus

A

Viral Gastroenteritis

40
Q

Abdominal pain, diarrhea after picnic/party. Eaten ham, cream, custards, mayonnaise

A

Staphylococcus aureus infectious diarrhea

41
Q

Acute bacterial diarrhea w/ prodrome of HA, F, then crampy abd pain & diarrhea

A

Campylobacter jejuni - most common cause of acute bacterial diarrhea

42
Q

Painless rectal bleeding. Bulging perianal mass w/ straining

A

Internal hemorrhoids

43
Q

Pediatric with perianal pruritis esp. at PM. Positive cellophane tape test

A

Pruritis ani - Pinworms (enterobiasis). Tx is Mebendazole

44
Q

Weight loss, recurrent greasy stools (steatorrhea) mixed with diarrhea after certain foods

A

Celiac Sprue

45
Q

Anti-endomysial antibodies

A

Celiac Sprue

46
Q

Beriberi

A

Thiamine; Alcoholics, Neuro Sx

47
Q

Pellagra

A

Niacin (4D’s dermatitis, diarrhea, dementia, death), bright red tongue

48
Q

Scurvy

A

Vit C (easy bleeding, bruising, hair & tooth loss, joint pain & swelling)

49
Q

Rickets

A

Vit D (Osteomalacia)

50
Q

Night blindness

A

Vit A deficiency

51
Q

Magenta tongue

A

Riboflavin deficiency (B2)

52
Q

s/p gastric bypass surgery or gastric surgery. N, abd cramping, dizziness after eating. No masses, bleeding

A

Dumping syndrome

SmartyPANCE:GI (5 decks)

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