GIT

Question 1

Acute pancreatitis
I GET SMASHED
BISAP score

Answer 1

I - idiopathic
G - gallstones
E - ethanol
T - trauma
S - steroids
M - malignancy /mumps
A - autoimmune
S - scorpion sting
H - hypertrig / hypercal
E - ERCP
D - drugs

B - BUN >8.9
I - impaired mental state
S - SIRS
A - age >60
P - pleural effusion

Question 2

Acute appendicitis
Alvarado score - MANTRELS

Answer 2

M - migratory pain
A - anorexia
N - NV
2T - tenderness Mx burneys point
R - rebound
E - elevated temp
2L - Leucocytosis
S - WCC shift to left

1-4
5-6
7-10

Question 3

Acute cholangitis
Charcot triad
Reynolds pentad

Question 4

Spontaneous bacterial peritonitis

Answer 4

Common in cirrhosis with ascites
GN eg e. Coli
Community acquired/ nosocomial acquired

Risk factors:UGIB /Prev SBP

Abdo pain diffuse *
Fever
Altered mental state
Ascites

Dx: cell count
Culture

Abx: ceftriaxone

Question 5

Barrett’s oesophagus

Answer 5

Oesophageal adenocarcinoma