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GI - 2 > Occult GIB > Flashcards

Occult GIB Flashcards

1
Q

What is an Occult GI bleed?

A

Bleeding that is NOT apparent to the patient

not visible

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2
Q

What are the 2 most common causes of occult GI bleeding with Iron Deficient Anemia?

A
  1. Neoplasm

2. Vascular abnormalities (angioectasia/AVMs)

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3
Q

What are the 2 most common causes of occult GI bleeding with Iron Deficient Anemia?

A
  1. Neoplasm

2. Vascular abnormalities (angioectasias/AVMs)

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4
Q

In pre-menopausal women, is Iron Deficient Anemia normal?

A

Yes

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5
Q

In a person older than 45 with iron deficient anemia, what should you suspect?

A

Colon cancer

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6
Q

In a person older than 45 with iron deficient anemia, what should you suspect?

A

Colon cancer

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7
Q

What are the symptoms of an Occult GI bleed?

A

Iron Deficient Anemia in ABSENCE of visible blood loss

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8
Q

What are the symptoms of an Occult GI bleed?

A

Iron Deficient Anemia in ABSENCE of visible blood loss

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9
Q

In a patient with an Occult GI bleed, what should you evaluate for?

A

Celiac Disease

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10
Q

What tests will be (+) with an Occult GI bleed?

A

Fecal occult blood test

Fecal immunochemical test

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11
Q

What are 3 screenings for an Occult GI bleed?

A

Fecal occult blood test
Fecal Immunochemical test
Fecal DNA test

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12
Q

What can cause a false (+) for the fecal occult blood test?

A

Red meat, iron, aspirin, UGIB

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13
Q

What can cause a false (-) for the fecal occult blood test?

A

Vitamin C, intermittent bleeding

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14
Q

The Fecal Immunochemical test is sensitive to?

A

Hemoglobin

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15
Q

Which Occult GI bleed test is more sensitive to colorectal cancer and adenomas?

A

Fecal Immunochemical Test

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16
Q

Colon cancer usually occurs in those older than?

A

45

17
Q

When should you start screening for Colon Cancer?

A

45

18
Q

When should you start screening for Colon Cancer?

A

45

19
Q

What do most Colon Cancers arise from?

A

Adenomatous polyps

20
Q

There is high prevalence of colon cancer in patients with?

A

Streptococcus Bovis (gallolyticus) Bacteremia

21
Q

There is high prevalence of colon cancer in patients with?

A

Streptococcus Bovis (gallolyticus) Bacteremia

22
Q

Where does colon cancer usually metastasize?

A

Liver

23
Q

Left sided colon cancer symptoms?

A

Change in bowel habits

Bleeding

24
Q

Right sided colon cancer symptoms?

A

Anemia
Weight loss
Occult blood in stool

25
Q

Bleeding and altered bowel habits may indicate colon cancer on the ___ side

A

LEFT

26
Q

Anemia, weight loss and occult blood in stool may indicate colon cancer on the ____ side

A

RIGHT

27
Q

What is the gold standard for detecting colon cancer?

A

Colonoscopy

28
Q

What does a Barium enema show with colon cancer?

A

Apple core sign

29
Q

In those with Arteriovenous Malformations (AVMs)/Angioectasias, what may be history items?

A 
Occult GI bleed
Painless bleeding (melena, hematochezia)
30
Q

Arteriovenous Malformations (AVMs)/Angioectasias are common in patients with what conditions?

A

Renal failure

Aortic Stenosis

31
Q

What are the symptoms of Arteriovenous Malformations (AVMs)/Angioectasia?

A

Iron deficient anemia with NO cause

32
Q

Patients older than 60 with Occult GI bleed and a normal endoscopic evaluation you should consider?

A

Angioectasias/AVMs

33
Q

Patients older than 60 with Occult GI bleed and normal endoscopic evaluation you should consider?

A

Angioectasias/AVMs

34
Q

Occult GI bleed with normal endoscopic evaluation?

A

Angioectasias/AVMs

35
Q

Unintentional weight loss

A

Loss of 5-10% of body weight over 6 months

36
Q

Patients with unintentional weight loss should get what things done during a physical exam?

A

Weigh them
Fecal Occult Blood Test
Screen for depression

37
Q

Males with unintentional weight loss should get what exams?

A

Prostate and rectal exam

38
Q

Females with unintentional weight loss should get what exams?

A

Pelvic

39
Q

Patients with unintentional weight loss should get what things done during a physical exam?

A

Weigh them
Fecal Occult Blood Test
Screen for depression

GI - 2 (61 decks)

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