Misc

Question 1

Double bubble in neonate

Answer 1

Duodenal atresia. More common in Downs syndrome

Question 2

Pseudomembranous colitis

Answer 2

IV metronidazole, PO vancomycin, possible surgery

Question 3

Whipple’s disese

Answer 3

Tropheryma whippelii and symptoms include:
chronic diarrhoea/arthralgia/pyrexia/LN
Diagnosis is by microscopy of jejunal biopsy specimen which shows macrophages with periodic acid-Schiff (PAS) stain positive granules. Treatment is co-trimoxazole.

Question 4

Melanosis Coli

Answer 4

Pigment laden cells in colon –>benign –> think laxative use

Question 5

Zinc deficiency

Answer 5

acrodermatitis which presents with perioral dermatitis, acral involvement, and sometimes alopecia.

Question 6

Korsakoffs

Answer 6

Confabulation and even bilateral wrist drop!

Question 7

Hypertriglyceridaemia is considered a risk factor for pancreatitis when TG level?

Answer 7

triglyceride levels are above 11.2 mmol/L.