MTB3- GI Flashcards
Best study for Achalasia?
First Barium study and then manometry
Best diagnostic test for Esophageal cancer?
Endoscopy
Tx for esophageal cancer?
Surgical resection+ chemotherapy base on 5 fluorouracil
TX for esophageal spasm?
Ca-channel blockers and nitrates / just like prinzmetal Angina
What’ the difference between plummer vinson and schatzki ring?
Plumme vinson is proximal stricture but schatzi ring is in the distal
What type of cancer is common in Plummer winson?
SCC
How much percent of the chronic cough is caused by GERD?
25%
What is the difference between odynophagia and dysphagia?
Odynophagia is more often happens due to an infection like HIV HSV CMV - and it’s painfull swelling but dysphagia is difficult swallowing
Approach to odynophagia in HIV positive and HIV negative patients?
HIV positive-> and CD4 Fluconazol
HIV negative -> endoscopy
How is the protocol for Barrett esophagus and low grade dysplasia?
Barrett esophagus ppi and endoscopy every 2-3 years/ low grade dysplasia ppi and endoscopy in 3-6 months
Mallory Weiss tear treatment?
Spontaneously of epi
No response to H. Pylori treatment, next step?
Change antibiotics ( metronidazole and tetracycline instead of claritromycine and amoxicillin, )
No response-> Zollinger Ellison
If you ‘recsuspeciouse about zollinger ellison like one large ulcer or multiple ulcers then-> start treatment
First initial test and most accurate test to DX zollinger Ellison?
First initial test: Endoscopic Ultrasound
Most accurate test: Secretin suppression test( in normal people secretin will inhibit Gastrin in Zollinger ellison patients there is no change)
What is an antibody in Crohn?
Anti Saccharomyces ( ASCA )
What is electrolyte abnormality in crohn?
Hypocalcemia because of fat malabsorbtion
What is electrolyte abnormality in Zollinger Elison?
Hypercalcemia( part of Men 1)
What antibody is positive in UC?
ANCA
First treatment for UC and Crohn ?
Mesalamine
Why can’t we use sulfasalazine in UC and Crohn?
Because of these side effects: Rash/ Hemolytic Anemia/ Interstitial Nephritis
When we use steroids in IBD? What is the name of that common steroid?
Acute exacerbation , Budenoside
When should we use metronidazole and cipro in Crohn?
When there is peri anal involvement
When do we use infliximab in crohn?
When there is a fistula associated with crohn.
What is the best initial test in infectiouse diarrhea?
What is the most accurate test in infectiouse diarrhea?
Best initial test-> stool leukocyte
Most accurate-> stool culture
What disease is caused by vibrio parahemolyticus?
Seafood
What disease is associated with vibrio vulnificus?
Shellfish
What are the studies methods for aesophagus and stomach?
Esophagus study is through barium enema , stomach study is through enndoscopy. Exceptions are tumors and Baret esophagus which we have to study by endoscopy and do biopsy.
