Internal Med GI Flashcards

1
Q

s/s of acute hepatitis

A
  • malaise
  • fever
  • distaste for smoking
  • RUQ pain
  • jaundice
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2
Q

treatment for acute hep A

A

symptomatic

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3
Q

treatment for acute hep B

A
  • immune globulin within 7 days of exposure
  • initiation of vaccine series
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4
Q

treatment of acute hep C

A

Harvonni

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5
Q

treatment of acute hep D

A

supportive

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6
Q

treatment of hep E

A

Ribavirin

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7
Q

treatment of chronic hep C

A
  • HVC protease inhibitors
  • HCV polymerase inhibitors

mayret and epclusa (-vir)

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8
Q

etiology of acute pancreatitis

A
  • gallstones
  • alcohol
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9
Q

s/s of acute pancreatitis

A
  • epigastric pain that radiates to the back
  • improves with leaning forward
  • cullen and grey turner sign
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10
Q

diagnosis of acute pancreatitis

A

amylase and lipase

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11
Q

treatment of acute pancreatitis

A
  • NPO
  • IV Fluids
  • IV pain Meds
  • NG Tube
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12
Q

etiology of chronic pancreatitis

A

alcoholism is MC

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13
Q

s/s of chronic pancreatitis

A
  • LUQ pain radiated to back
  • worse 15-20 minutes after eating
  • malabsorption
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14
Q

diagnosis of chronic pancreatitis

A
  • slightly elevated amylase and lipase
  • CT
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15
Q

treatment of chronic pancreatitis

A
  • low fat diet
  • avoid alcohol
  • pain management (no opioids)
  • puestow procedure (for alcoholic pancreatitis)
  • ERCP if biliary cause
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16
Q

etiology of anal fissure

A

consrtipation

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17
Q

s/s of anal fissure

A
  • tearing pain w defecation
  • bleeding
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18
Q

treatment of anal fissures

A

proper toileting

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19
Q

s/s of anal abscesses

A
  • throbbing
  • perianal pain
  • erythema
  • swelling
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20
Q

treatment of anal abscesses

A

I&D (+ abx i think you would use Augmentin or (cipro+metro))

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21
Q

s/s of anal fistulas

A
  • itching
  • tenderness
  • pain

often occur in patients with IBD and Chrons Disease

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22
Q

treatment of anal fistula

A

fistulotomy

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23
Q

s/s of colon cancer

A
  • asymptomatic
  • change in bowel habits
  • hematochezia
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24
Q

diagnosis of colon cancer

A

colonoscopy

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25
Q

treatment of colon cancer

A
  • surgical resection
  • chemo/radiation
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26
Q

s/s of esophageal cancer

A
  • weight loss
  • dysphagia
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27
Q

diagnosis of esophageal cancer

A

endoscopy with biopsy

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28
Q

treatment of esophageal cancer

A
  • surgery
  • chemo/radiation
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29
Q

s/s of gastric adenocarcinoma

A
  • dyspepsia
  • vague epigastric pain
  • weight loss
  • hematemesis
  • postprandial vomiting
  • palpable gastric mass

mets = Left supraclavicular lymph node (virchow’s node)
Umbilical nodule (Sister Mary Joseph nodule)
Rigid rectal shelf (Blumer shelf)

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30
Q

diagnosis of gastric adenocarcinoma

A

EGD

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31
Q

treatment of gastric adenocarcinoma

A
  • surgery
  • chemo
  • radiation
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32
Q

s/s of celiac disease

A
  • diarrhea
  • steatorrhea
  • flatulence
  • dermatitis herpetiformis
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33
Q

diagnosis of celiac disease

A

IgA TTG antibody test

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34
Q

treatment of celiac disease

A

remove all gluten

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35
Q

etiology of cholangitis

A

bacterial infection with obstruction of the CBD

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36
Q

s/s of cholangitis

A
  • RUQ pain
  • fever
  • jaundice
  • hypotension
  • mental status change
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37
Q

diagnosis of cholangitis

A

ERCP

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38
Q

treatment of cholangitis

A
  • ERCP with stone extraction and sphincterotomy
  • cipro + flagyl
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39
Q

etiology of cholecystitis

A

gallstones

40
Q

s/s of cholecystitis

A
  • RUQ pain
  • shoulder blade pain
  • precipitated by fatty meal
  • murphy sign
41
Q

diagnosis of cholecystitis

A

US

42
Q

treatment of cholecystitis

A

lap chole

43
Q

s/s of cholelithiasis

A
  • RUQ pain
  • diaphoresis
  • N/V
44
Q

diagnosis of cholelithiasis

A

US

45
Q

treatment of cholelithiasis

A
  • NSAIDs for pain
  • lap chole
46
Q

s/s of cirrhosis

A
  • weakness
  • esophageal varices
  • spider angioma
  • abdominal pain
  • jaundice
  • ascites
47
Q

diagnosis of cirrhosis

A
  • US
  • liver biopsy
48
Q

treatment of cirrhosis

A
  • avoid alcohol
  • liver transplant
49
Q

s/s of chron’s

A
  • skip lesions
  • cobblestoning
  • RLQ pain
  • diarrhea
  • steatorrhea
  • erythema nodosum
50
Q

diagnosis of chrons

A

colonoscopy with biopsy

51
Q

treatment of chrons disease

A
  • steroids
  • TNF blockers (-imab’s)
  • azathioprine
52
Q

etiology of diverticulosis

A

constipation

53
Q

s/s of diverticulosis

A

asymptomatic

54
Q

s/s of diverticulitis

A
  • LLQ pain
  • palpable mass
  • bowel changes
55
Q

diagnosis of diverticulitis

A

CT scan

56
Q

treatment of diverticulitis

A

cipro + flagyl or zosyn

57
Q

s/s of esophageal strictures

A
  • regurgitation
  • dysphagia
  • heartburn
58
Q

diagnosis of esophageal stricture

A
  • endoscopy
  • barium swallow
59
Q

treatment of esophageal stricture

A

dilators

60
Q

etiology of esophageal varices

A
  • portal hypertension
  • cirrhosis
61
Q

s/s of esophageal varices

A
  • hematemesis
  • coffee ground emesis
  • melena
62
Q

diagnosis of esophageal varices

A

endoscopy

63
Q

treatment of esophageal varices

A
  • fluids
  • octreotide
  • rocephin
  • banding
64
Q

s/s of esophagitis

A
  • odynophagia
  • dysphagia
  • chest pain
  • reflux
65
Q

diagnosis of esophagitis

A

endoscopy

66
Q

s/s of gastritis

A
  • anorexia
  • epigastric pain
  • heartburn
  • nausea
  • GI bleed
67
Q

diagnosis of gastritis

A

endoscopy

68
Q

treatment of gastritis

A
  • PPI
  • H Pylori: Omperazole, amoxicillin and clarithromycin
69
Q

s/s of gastroenteritis

A

abd pain, cramping, N/V, fever, stomach pain, diarrhea

70
Q

diagnosis of gastroenteritis

A

clinical

71
Q

treatment of gastroenteritis

A
  • Fluids
  • antidiarrheals
72
Q

s/s of GERD

A
  • heartburn
  • dysphagia
  • odynophagia
73
Q

diagnosis of GERD

A
  • clinical
  • Upper endoscopy
74
Q

treatment of GERD

A
  • H2 antagonists
  • PPI
75
Q

etiology of hemorrhoids

A

increased pressure

76
Q

internal hemorrhoids

A

rectal bleeding

(mc sign? idk)

77
Q

treatment of hemorrhoids

A
  • proper toileting
  • banding
  • hemorrhoidectomy
78
Q

etiology of liver cancer

A

cirrhosis

79
Q

s/s of liver cancer

A
  • cachexia
  • hepatomegaly
  • RUQ pain
80
Q

diagnosis of liver cancer

A
  • elevated liver enzymes
  • liver biopsy
81
Q

treatment of liver cancer

A

transplant

82
Q

s/s of hiatal hernia

A
  • heartburn
  • may be aymsptomatic
83
Q

treatment of hiatal hernia

A
  • lifestyle modifications
  • surgery
84
Q

s/s of irritable bowel syndrome

A
  • change in stool frequency
  • change in stool form
  • crampy, lower abdominal pain
  • bloating
85
Q

diagnosis of IBS

A

clinical

86
Q

treatment of IBS

A
  • antispasmodics
  • antidiarrheal
  • lifestyle modifications
87
Q

Etiology mallory-weiss syndrome

A

retching due to vomiting

88
Q

s/s of mallory weiss tear

A

hematemesis

89
Q

Diagnosis of Mallory-Weiss tear

A

endoscopy

90
Q

Treatment of Mallory Weiss tear

A
  • fluids
  • blood transfusions
  • PPIs
91
Q

s/s of PUD

A
  • gnawing epigastric pain
  • relieved by food
  • nocturnal pain
92
Q

diagnosis of PUD

A

endoscopy

93
Q

treatment of PUD

A
  • PPI
  • d/c NSAIDs
  • h.pylori abx
94
Q

s/s of ulcerative colitis

A
  • bloody diarrhea
  • crampy lower abdominal pain
95
Q

diagnosis of ulcerative colitis

A

sigmoidoscopy

96
Q

management of ulcerative colitis

A
  • mesalamine
  • steroids