Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Clinical Rotations > Inpatient Med - GI > Flashcards

Inpatient Med - GI Flashcards

1
Q

pain radiating to back, guarding, feels better laying forward - dx, TOC, tx

A

acute pancreatitis
CT
fluid, bowel rest, cholecystectomy if appliable

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

chronic pancreatitis - dx

A

calcified pancreas on xr

lipase/amylase NL due to calcification

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

what cholesterol lab elevated w/ gallstone

A

TGs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

TOC gallstone

A

US, acoutic shadow

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

RUQ radiating to shoulder

A

cholecystitis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

cholecystitis tx

A

bowel rest
ceftraizxone _ metro
holecystectomy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

where would you find eso SCC?

A

upper 1/3, tobacco/etoh/toxic expose people

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

where would you find adeno eso Ca?

A

lower 1/3, fat white ppl

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

ToC eso Ca

A

UGD or esophogram

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

ToC eso stricture

A

esophogram, gold stnadrd manometry (showing increased pressure at LES)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

pressing on neck helps you swallow - dx and toc

A

zenker’s diverticulum, esophogram

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

stabbing CP worse with hot/cold food & corkscrew eso- dx & tx

A

eso spasm

tx: nitrate, CCB, PPI

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

mallory weiss tx

A

PPI, if severe bleeding epi, band ligation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

red wale markings and cherry red spots in eso

A

varices

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

mallory weiss v varice tx

A

mallory weiss- supportive

varice - 2 bore IV, endo ligation, octreotide, vasopressin (lower portal venous pressure)
*ballon tamp or TIPS if refrac

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

varice 2ndary ppx

A

propranalol - dec. portal venous pressure

isosorbide - decrease varice pressure

FQ or cef as well

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

tx for GERD refractory to anatacid, ppi/h2 block, metaclompromide (prokinetc)

A

nissen fundiplication

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

tx of H.Pylori gastritis/PUD

A

CAP

clarith, amox, PPI

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

tx gastrits (-) Hpyloric/PUD

A

PPI, antacid, sulfacrate

+ misoprostol if PUD

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

gnawing belly pain worse at night - food makes it better

A

gastric ulcer

if duodenal get skinny

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

gastric ulcer dx

A

EGD (need to r/o malig)

22
Q

MC gastric cancer (cell type)

A

adenocarcinoma

23
Q

type of hepatitis with highest mortality in pg

A

hep E

24
Q

will a person with resolved HCV have + or - HCV RNA

A

(-)

they don’t always have the Ab either

25
Q

tests for HCC screening in hep C pt

A

AFP, and ultrasound

26
Q

If you have HBeAg are you more infective or less

A

MORE - it’s the antigen

if u have the antibody, less

27
Q

If you have HBcAb what does that mean

A

acute infxn

1st sign is HBsAg tho

28
Q

tx Hep B

tx Hep C

A

Hep C: Peg inteferon, ribavirin, Harvoni, some -virs

(think C aunt peg)

Hep B: alpha-interforn, lamivudine, -FOvirs

(think alpha-Beta party FOvirs)

29
Q

dupuytrens contractures and palmar erythema are a/w wtith what liver condition

A

cirrhosis

30
Q

dx cirrhosis

A

US, bx, CT

31
Q

is liver Ca most often primary or due to mets

A

mets

but an ex of primary is HCC

32
Q

Celiac dx

A

anti-endomysial IgA Ab
and
transglutaminase Ab

33
Q

vitamins you’re def in w/ Celiac

A

vit D, Ca, Fe, Folate

34
Q

IBS v IBD

A

IBD has inflammation of intestinal mucosa (PANCA and ASCA +)
also a/w
arthritis, episcleritis, uveitis, constitional

35
Q

IBS tx

A

imodium, lopermide, -amines for ANTI diarrhea

lubiprostone for cinstipation

TCA, SSRI for pain

36
Q

IBD tx

A

5-ASA, meslamine, sulfsalazine

CCS for flares

6mercaptpurine, azathioprine, mtx (Immune modify)

37
Q

anal fissure tx besides WASH

A

topical nifidpine and NG (vasodilator)

38
Q

colon Ca common mets

A

liver, lungs, LN

39
Q

UC sx, Cx, and dx

A

LLQ bloody diarrhea
cx PSC, megacolon, Ca
dx flex sig

40
Q

Crohns sx, cx, dx

A

RLQ nonbloody diarrhea, wtloss

cx: perianal stuff, Fe, B12 def
dx: gi series w small bowel follow through

41
Q

if you have lynch syndrome what’s your colonoscopy schedule

A

start age 20-25, colonoscropy q1-2 y

42
Q

if you have NO 1st deg relatives w Colon Ca whats your colon Ca screening schedule

A

start at 50

  • annual FOBT
  • Cscopy q10 or flexsig q5
43
Q

if you have a 1st degree relative w Colon Ca whats your screening schedule

A

start at 50

  • annual FOBT
  • Cscopy (q10 if >60yo, q5 if <60yo)
44
Q

MC location of divericular dz

A

sigmoid colon, LLQ

45
Q

diverculosis diet

A

high fiber

46
Q

diverticulosis refrac bleeding

A

vasopressin

47
Q

diverticulitis dx

A

NPO
Cipro/batrim + metro
genta +clinda

48
Q

diverticula imaging

A

CT

49
Q

internal hemmorhoid sx

A

rectal bleeding, itching, fullness

50
Q

external hemorrhoid sx

A

perianal pain w/ poop, tender palpable mass

51
Q

hemmorhoid conservative tx

A

WASH, topica CCS

52
Q

is type 1 or type 2 hernia better for pt

A

type 1 - stomach and GE junction slide into mediatnum, treat like gerd.

in 2, the fundus pops up and you can have strangulation so possible surgery

Clinical Rotations (9 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions