GIT2 Flashcards
Spontaneuis bacterial peritonitis hints for diagnosis
low BP, high pulse, Altered mental status (Abnormal connect the number test) , but the temperature is not increased so much.
Paralytic ileus
SAAD >= 1.1
Colon cancer screening in patients with:
Family history of adenomatous polyps or CRC
1 first-degree relative age <60
≥2 first-degree relatives at any age
Age 40 OR 10 years before the age of diagnosis in affected relative*
Repeat every 5 years
Colon cancer screening in patients with:
Inflammatory bowel disease
Ulcerative colitis
Crohn disease with colonic involvement
Begin 8 years after disease onset
Repeat every 1-3 years
Colon cancer screening in patients with:
Classic familial adenomatous polyposis
Age 10-12
Repeat annually
Colon cancer screening in patients with:
HNPCC (Lynch syndrome)
Age 20-25
Repeat every 1-2 years
Treatment of complicated acute diverticulitis:
■ Fluid collection <3 cm → IV antibiotics and observation→ surgery for pts with worsening symptoms
■ fluid collection >3cm→ CT- guided percutaneous drainage→ if Sx not controlled by 5th day→
surgical drainage and debridement
Test of choice for evaluating oropharyngeal dysphagia:
Videofluoroscopic modified barium swallow study
Metabolic and electrolyte abnormalities in factitious diarrhea
Metabolic alkalosis
Hypokalemia
epigastric pain immediately after eating, food aversion, and weight loss. history of vascular disease
Diagnosis:
chronic mesenteric ischemia (CMI)
Esophageal pH monitoring is typically used
to confirm gastroesophageal reflux disease (GERD) in patients who have symptoms consistent with GERD but who fail a trial of proton pump inhibitor (PPI) therapy
Mild GERD symptoms and management
<2 episodes/week
Mild symptoms
Rx. Lifestyle
Low dose H2R antagonist
Severe GERD symptoms and treatment
> 2 episodes/week.
Severe symptoms.
Or
Esophagitis on endoscopy
Rx. Daily PPI therapy
Daily PPI therapy failure for GERD, what to do
Switch PPI or try PPI BID
Still failure
Esophageal pH / impedance testing
