No like literally I have brain space for ONE word. Flashcards
Pilonidal disease
I&D buttcrack
External hemorrhoids
BRBPR
Internal hemorrhoids
Rubber band ligation
Anal fissure
Advancement flap if severe
Anal abscess
Drain it or else sepsis
Anal fistula
Smelly drainage
Femoral hernia
Bad. Strangulation
Indirect inguinal hernia
@ int inguinal ring
Direct inguinal hernia
@ Hesselbach triangle
Hernias, general
If Sx within 6hr, surg emerg!
Lap mesh repair any >2cm
Adenomatous colon polyps
Could –> CRCa in 7 years!
HNPCC (Lynch Syndrome)
+/- extracolonic malignancies
Colectomy + f/u scopes qyr
Turcot Syndrome
GI hereditary disorder + brain malignancy
FAP
> 100 colonic polyps ~ 16yo; Colectomy
Hamartamous Polyposis Syndromes
FJP, PJS
Peutz-Jeghers Syndrome
Skin discolorations + colon polyps + breast/balls CA
Familial Juvenile Polyposis
ASx, or painless bleed/rectal prolapse/failure to thrive
CRCa
> 40yo + hematochezia + bowel changes
Rectal CA
Narrowed stool
Oxaliplatin
Use with 5-FU; ADR periph neuropathy
Irinotecan
Part of triple chemo
Capecitabine
Can use instead of 5-FU + leucovorin
Leucovorine
Helps 5-FU bind better
EGFR monoclonal antibodies
Cet- and Pan-; don’t work on NRAS+ mutation CRCa
VEGF monoclonal antibodies
Bev-; great for KRAS+ mutation CRCa
Anal CA
Rectal bleeding + condylomata + DRE mass
UC
Diffuse, mucosal, colorectal, friable
Crohn’s
FATASS (Fistulas, Abscesses, Transmural, Adhesions, Sinus tracts, Strictures)
Vedolizumab
Anti-integrin for advanced Crohn’s
Mesalamine
aka 5-ASA, for mild IBD
Celiac
IgA; no villi/hypertrophic crypts
ALT
High if hepatocyte damage
AST
Higher than ALT in EtOHics
Alk Phos
High in biliary obstruction
GGT
Liver-specific. First enzyme to inc in liver damage.
LDH
High in tissue damage
Total Bili
0.3-1.9 mg/dL
Direct Bili
Conjugated; 0-0.3 mg/dL
Hepatocellular-Pattern Labs
High AST/ALT; normal to high total bili/alk phos
Cholestatic-Pattern Labs
High alk phos; normal to high AST/ALT/total bili
Unconjugated Bilirubinuria
Renal disease; occurs simultaneously with albuminuria
Very low albumin
Malnutrition, cirrhosis, or bad hepatitis
Direct Hyperbilirubinemia
Will have conjugated bilirubinuria + albuminuria
High PT
Longer to clot - VitK-def, cholestasis, hepatitis, Rxs