Misc Crunch Time Gastro

Question 1

Lost 3 drugs associated with acute pancreatitis

Answer 1

• azathioprine
• 6-mercaptopurine
• didanosine (HIV medication)
  -valproic acid
  -angiotensin-converting–enzyme inhibitors
• mesalamine
• tetracyclines
• diuretics
• oestrogens

Question 2

List 4 causes of acute pancreatitis

Answer 2

• gallstones
• drug induced
• autoimmune (IgG4, idiopathic)
  *note in IgG4 disease, symptoms resolve with pred
• ERCP
• severe hypercalcaemia
• severe TG

Question 3

What is the haplotype associated with AIH?

Answer 3

DRB1*031

Question 4

Explain the clinical scenario where you see a pseudocyst

Answer 4

usually after an episode of CHRONIC PANCREATITIS
> this is a collection of fluid adjacent to the pancreas

Question 5

Explain how the pain differs between choledocolithalis and pancreatisi

Answer 5

• choledoco - RUQ is an important risk factor
• pancreatitis - think more epigastric pain

Question 6

What is the feature of this AXR?

Answer 6

calcification of the pancreas
*usually associated with alcoholic abuse (but not the only cause)

Question 7

There are two types of AIH. List two antibodies associated with type 1

Answer 7

• ANA
• AMSA
• anti action
• anti SLA
• ANCA

Question 8

List the main antibody associated with type II AIH

Answer 8

• anti LKM-1
• anti liver cytosol 1