GIT

Question 1

Abdominal migraine

Answer 1

Abdominal pain a/w pallor, headaches, anorexia, nausea, +/- vomiting
C.f periodic syndrome and cyclic vomiting syndrome
Family hx of migraine

Question 2

Symptoms of IBD

Answer 2

Anorexia/weight loss/lethargy/abdominal cramps/diarrhoea +/- blood/mucus/urgency and tenesmus (proctitis)/fever

Question 3

GI signs of IBD

Answer 3

Aphthous oral ulcers
Abdominal tenderness
Abdominal distension
Right iliac fossa mass
Peri-anal disease: abscess, sinus, fistula, skin tags, fissure

Question 4

Non GI signs and associations of IBD

Answer 4

Fever
Finger clubbing
Anaemia
Erythema nodosum, pyoderma gangrenosum
Arthritis, ankylosing sppndylitis, 
Poor growth
Delayed puberty
Sclerosing cholangitis
Nutritional deficiencies

Question 5

Causes of Obstructive jaundice

Answer 5

Biliary atresia
Choledochal cyst
Caroli's disease
Primary sclerosing cholangitis
Cholelithiasis
Cystic fibrosis
Obstructive tumours or cysts

Question 6

Sandifer syndrome

Answer 6

18-36 months old
GORD
Spasmodic torticollis
Dystonia
Nodding and rotation of the head 
Neck extension
Gurgling
Writhing movements of the limbs 
Severe hypotonia
Vomiting +/- blood
Abnormal eye movements
Anaemia

Question 7

associated diseases of campylobacter jejuni

Answer 7

Gullain Barré syndrome

Reactive arthritis

Question 8

Associated syndromes of intestinal lymphangectasia

Answer 8

Turner’s syndrome
Noonan’s syndrome
Klippel-Trenaunay syndrome

Question 9

Causes of secondary intestinal lymphangectasia

Answer 9

Cardiac diseases
Retroperitoneal lymph node enlargement due to chemotherapy, infection and toxins
Portal hypertension or hepatic venous flow obstruction after liver transplantation
Congenital hepatic fibrosis