GIT Flashcards
gallstones from hemolysis
pigmented gallstones
pourcentage of gallstones radio opaque
only 10-15 %
definition of diarrhea(2)
> 200 g de feces per day
change in stool consistency
most common etiology of infectious diarrhea
Campylobacter
what you will often find in in patient with IBS
psychiatric disturbances
the leading cause of SBO in adults
adhesions
the leading cause of SBO in kids
hernia
element which slows GI motility(3)
anticholinergics
opiods
hypokaliemia
most common cause of lower GI bleeding in people > 40 ans
diverticular disease
risk factors for diverticulosis(5)
low fiber diet
high fat diet
conective tissue disease
advanced age
connective tissue disease and diverticulosis(2)
marfan
ehler danlos
first cause of lobwer bowel occlusion
colon cancer
anemia in ederly microcytic
cancer du colon a eliminer
asthma and gerd
gerd can mimic asthma
drugs to avoid in patinet with GERD(6)
Caffeine alcohol garlic onions mints nicotine
type of gastritis chronic(2)
A
B
type A chronic gastritis(3)
occurs in fondus
10%
autoantibodies against parietal cells
risk in type A chronic gastritis
gastric adenocarcinoma
type B chronic gastritis where
occurs in the antrum
cause of chronic gastritis
NSAID
H pylori infection
risk of chronic gastritis B(2)
PUD
gastric cancer
leading cause of lower GI bleeding
upper GI bleeding
complication of PUD(4)
HEMORRAGE
OBSTRUCTION
PERFORATION
INTRACTABLE PAIN
SECOND MOST COMMON CAUSE OF LOWER GI BLEEDING
diverticulosis
cause of indirect hernia
congenital patent processus vaginalis
most common hernia in both genders
indirect hernia
definition of indirect hernia
herniation of abdominal content through the internal and then external rings and eventually the scrotum
definition of direct hernia
herniation of abdominal content through the floor of hesselback triangle
quid of hesselback triangle(3)
area bounded by the
inguinal ligament
inferior epigastric artery
rectus abdominus
site of involvement of UC
rectum is always involved
rx of UC(2)
mesalamine=
5-ASA
sulfasalamine
SAAG > 1,1(3)
chronic liver disease
massive hepatic metastasis
CHF
SAAG < 1,1(3)
NEPHROTIC SYNDROME
TB
MALIGNANCY
MALIGNANCY IN SAAG< 1,1
ovarian cancer
quid of wilson’s disease
hepatolenticular degeneration
wilson diseaseAB5CD
asterixis basal ganglia degeneration low ceruloplasmin cirrhosis copper high carcinoma hepatocelullar choreiform mvts dementia
xray in acute pancreatitis(2)
sentinel loop
colon cut off sign
ranson criteria on admission(5)
GA LAW glucose > 200 md/dl Age>55 years LDH> 350 AST>250 WBC> 16000
ranson criteria 48 h after admission CHOBBS
ca < 8.0\ hematocrit decreased by > 10 % o2 pao2 < 60 mm de hg Base excess>4 meg/l BUN increases> 5 mg/dl seequestred fluid> 6 l
painless progressive jaundice
ca du pancreas
SCC of esophagus causes(4)
alchohol
tobocco
radiation
stasis
meaning of ALP
bile duct obstruction
meaning of cholestasis
GGT
meaning of AST/ALT
DAMAGE TO HEPATIC CELLS
DUKE A COLoN CARCINOMA
Limited to mucosa
DUKE B colon carcinoma
extends to serosa
Duke C COLON CARCINOMA
EXTENDS TO REGIONAL LYMPH NODE
Duke D colon carcinoma
distant metastasis
5 year survival for Duke A
> 90 %
5 year survival for Duke B
50-90%
5 year survival for Duke C
20-50%
5 year survival for Duke D
< 5%
Widened medistinum in GIT
rule out achalasia
risk factor for pellagra
corn based diets
zone with corn based diet(3)
india
africa
china
other rsik factor for pellagra(3)
alcoholics
carcinoid syndrome
hartnup disease
when can you have post cholecystectomy pain
years to month afetr cholecystectomy
dysphagia induced by motility problem next step?(2)
baryum esophagram
manometry
fievre plus ascites
SBP a eliminer
RX OF CHRON
SULFASALAMINE
TYPE b GASTRITIS POURCENTAGE
90 %