Internal Med GI Flashcards
s/s of acute hepatitis
- malaise
- fever
- distaste for smoking
- RUQ pain
- jaundice
treatment for acute hep A
symptomatic
treatment for acute hep B
- immune globulin within 7 days of exposure
- initiation of vaccine series
treatment of acute hep C
Harvonni
treatment of acute hep D
supportive
treatment of hep E
Ribavirin
treatment of chronic hep C
- HVC protease inhibitors
- HCV polymerase inhibitors
mayret and epclusa (-vir)
etiology of acute pancreatitis
- gallstones
- alcohol
s/s of acute pancreatitis
- epigastric pain that radiates to the back
- improves with leaning forward
- cullen and grey turner sign
diagnosis of acute pancreatitis
amylase and lipase
treatment of acute pancreatitis
- NPO
- IV Fluids
- IV pain Meds
- NG Tube
etiology of chronic pancreatitis
alcoholism is MC
s/s of chronic pancreatitis
- LUQ pain radiated to back
- worse 15-20 minutes after eating
- malabsorption
diagnosis of chronic pancreatitis
- slightly elevated amylase and lipase
- CT
treatment of chronic pancreatitis
- low fat diet
- avoid alcohol
- pain management (no opioids)
- puestow procedure (for alcoholic pancreatitis)
- ERCP if biliary cause
etiology of anal fissure
consrtipation
s/s of anal fissure
- tearing pain w defecation
- bleeding
treatment of anal fissures
proper toileting
s/s of anal abscesses
- throbbing
- perianal pain
- erythema
- swelling
treatment of anal abscesses
I&D (+ abx i think you would use Augmentin or (cipro+metro))
s/s of anal fistulas
- itching
- tenderness
- pain
often occur in patients with IBD and Chrons Disease
treatment of anal fistula
fistulotomy
s/s of colon cancer
- asymptomatic
- change in bowel habits
- hematochezia
diagnosis of colon cancer
colonoscopy
treatment of colon cancer
- surgical resection
- chemo/radiation
s/s of esophageal cancer
- weight loss
- dysphagia
diagnosis of esophageal cancer
endoscopy with biopsy
treatment of esophageal cancer
- surgery
- chemo/radiation
s/s of gastric adenocarcinoma
- 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)
diagnosis of gastric adenocarcinoma
EGD
treatment of gastric adenocarcinoma
- surgery
- chemo
- radiation
s/s of celiac disease
- diarrhea
- steatorrhea
- flatulence
- dermatitis herpetiformis
diagnosis of celiac disease
IgA TTG antibody test
treatment of celiac disease
remove all gluten
etiology of cholangitis
bacterial infection with obstruction of the CBD
s/s of cholangitis
- RUQ pain
- fever
- jaundice
- hypotension
- mental status change
diagnosis of cholangitis
ERCP
treatment of cholangitis
- ERCP with stone extraction and sphincterotomy
- cipro + flagyl