GIT Flashcards

1
Q

Patient with cholecystectomy with a significant medical problem (DM) next step for the surgery

A

delay the cholecystectomy until acute inflammation resolves

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2
Q

cause of acute cholangitis(2)

A

choledocholithiasis

sclerosing cholangitis

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3
Q

quid of diarrhea(2)

A

> 200 g of stools per day

change in stool consistency

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4
Q

quid of acute diarrhea

A

< 3 weeks

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5
Q

quid of chronic diarrhea

A

> 6 weeks

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6
Q

cause of acute diarrhea(8)

A
E coli
Campylobacter
vibrio cholerae
giardia
salmonella
shigella
c difficile
HIV related diarrhea
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7
Q

cause of pediatric diarrhea

A

rotavirus

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8
Q

causes of chronic diarhea(6)

A
IBD
intolerance au lactose
celiac sprue
Vipoma
carcinoid
malabsorbtion
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9
Q

when to avoid anti motility in diarhhea(3)

A

bloody diarrhea
high fever
systemic toxicity

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10
Q

clue for acute diarrhea(2)

A

infectious

self limited

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11
Q

most common etiology of infectious diarrhea

A

Campylobacter

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12
Q

first test to do in chronic diarrhea(5)

A
fecal leucocytes
occult blood
flexible sigmoidoscopy
upper GI series
baryum enema
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13
Q
chronic diarrhea with abnormal  fecal leucocytes
occult blood
flexible sigmoidoscopy
upper GI series
baryum enema dx(2)
A

inflammatory bowel disease

cancer

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14
Q
chronic diarrhea with normal  fecal leucocytes
occult blood
flexible sigmoidoscopy
upper GI series
baryum enema next step(2)
A

calculate osmotic gap

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15
Q

chronic diarrhea with high osmotic gap next step

A

calculate fecal fat

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16
Q

chronic diarrhea with high osmotic gap and increased fecal fat dx(3)

A

Malabsorption syndromes
pancreatic insufficiency
bacterial overgrowth

17
Q

chronic diarrhea with high osmotic gap and normal fecal fat dx(3)

A

Lactose intolerance
laxative abuse
sorbitol and lactulose use

18
Q

what to do in chronic diarrhea with normal osmotic gap

A

calculate stool weight

19
Q

chronic diarhea with normal osmotic gap and high stool weight(2)

A

secretory diarrhea

laxative abuse

20
Q

when to talk of increases stool weight

A

> 1000 g

21
Q

chronic diarrhea with normal osmotic gap and normal stool weight(2)

A

IBS

factitious diarrhea