PANCE GI round 2 8/14/20 Flashcards
what is the gold standard for GERD
- 24 hr PH
dysphagia of both solids and liquids
achalasia
increased LES pressure
achalasia
how do you tx nutcracker esophagitis
CCB
Botox
how do you tx mallory weiss tear
epi
band ligation
how do you tx esophageal varices
- octreotide
- non selective BB (propanolol)
dyspagia to solids
- esopahgeal neoplasms
how do you dx gastritis
endoscopy
how do you tx gastritis
- CAP
MC cause of upper GI bleed
PUD
what is a SE with a PPI
b12 deficiency
what is a SE of cimetidine
gynecomastia
what type of bili with dubin johnson
direct (conjugated)
what type of bili with Gilbert’s
unconjugated
jaundice with ETOH with normal LFT
Gilbert’s
tx for Gilbert’s
none
tx for Dubin Johnson
none
what bone hormone is increased with cholestasis
alk phos
labs with acute hepatitis 4
- Inc ALT/ AST
- Inc Ammonia
- inc PT/INR
- Hypoglycemia
what lab value is associated with wilsons disease
- decreased ceruloplasmin
what lab value is associated with pancreatic cancer
CA 19-9
how do you dx a lactulose intolerance
hydrogen breath test
MCC of lower GI bleeding
diverticulits
how do you dx crohns
upper GI series
how do you dx UC
barium enema
tx for anal fissure 2
- nitro, CCB
what do you replace ammoxacillin with in CAP for PUD of they are allergic to penacillin
metronightazole
what is the ending for a PPI
azole
what PUD is almost always benign
duodeneal
location of zollinger ellison syndrome 2
duodoneal wall
pancreacus
what type of cancer is gastric carcinoma
adenocarcinoma
what type of bili for crigler nagiar
indirect
what is charcots triad associated with
acute cholangitis
what is murpy’s sign associated with
acute cholecyctitis
PSC tx
liver transplant
tx for wilsons
D penicillamine
what may you see on X ray for acute pancreatitis
sentinal loop
what is the stovepipe sign associated with
UC
what is P ANCA associated with
UC
tx for crohn and CUC
sulfasalazine
mesaamine
what are the three main types of polyps
- psudo
- hyperpastic
- adenomatous
3 types of adenomatous polyps
- tubular adenoma
- tubulovillious
- villious
what is CEA associated with
Colon cancer
what type of hernias can go into scrotum
indirect
what are the boarders for a direct hernia
Rectus abdominous: medial
Inferior epigastric: lateral
Piuoart’s ligamnet: inferior
what type of hemorrhoids hurt
external
3 tx for hemorrhoids 3
higher fiber
sits bath
band ligation
what is the location for anorectal abcess and fistula
posterior rectal wall
what is the tx for anorectal abcess and fistula 2
1. I and D Warm water Analgesic Sits bath High fiber
“severe pain with pooping”
anal fissure
skin tag poterior midline of anus
anal fissure
what anal pathology gets nitro
anal fissure
urine has a musty odor and the child is blond hair and blue eyes what pathology
phenylketonuria
what class is odansetron
antiemetic
what class is kaopectate
antiemeric
what is a GI benefit of an anticholenergic
antidiarrheal
what is the MC cause of gatroenteritis in adults
norovirus
what is the MC cause of gatroenteritis in kids
rotovirus
what general class of diarrhea
vomiting
watery diarrhea no WBC of blood
noninvasive infectious diarrhea
what general class of diarrhea
fever
vomiting
diarrhea blood + leukocytes
invasive infectious diarrhea
invasive infectious diarrhea tx what do you not do
antimotility agents
what are the 5 types of noninvasive infectious diarrhea
- staphylococcus aureus
- bacillus cereus
- vibrocholerae
- exterotoxic e coli
- clostridium difficil
staphylococcus aureus diarrhea cause 4
diary
mayonnaise
meats
eggs
noninvasive infectious diarrhea tx
supportive
rice water stools
vibro choleare
vibro choleare tx
supportive
tetracycline
what is travelers diarrhea that is trasmitted via water
enterotoxogenic e coli
enterotoxogenic e coli tx 2
fluids
fluorquinolones
diarrhea with high lymphocytes and psudomembranous colitis
C diff
Cdiff tx
metronidazole
what are the 5 types of invasive infectious diarrhea
- Campylobactor enteritis
- shigella
- salmonella
- enterohemorragic ecoli E 0157H7
- yersina
Campylobactor enteritis tx
erythromycin
Campylobactor enteritis transmitted
undercooked poultry
how is salmonella transmitted 2
poultry products
exotic animals
salmonella diarrhea tx
cipro
enterohemorragic ecoli E 0157H7
primary transmission
undercooked beef
how does someone get giardia
contaminated water such as backpacking
frothy greasy diarrhea
Giardia lamblia
Giardia lamblia tx
metronidazole
what is courvoisirs sign associated with
pancreatic carcinoma
what are the two tumor markers associated with
- CEA
- CA 19-9
what is a type of esophagitis you may see with kids with allergies
eosinophilic
what is pyrosis
heart burn
what are the 4 alarm symptoms with GERD
- dysphagia
- oodyophagia
- weight loss
- bleeding
what is
- 1st line DX for GERD
- gold standard
- endoscopy
- 24 HR PH
pain with cold or hot liquids
esophageal spasm (corkscrew)
what is the dx for achalasia 2
- CCB
- Botox
what is the dx for nutcracker 2
- CCB
- Botox
what two pathologies have hydrophobia
- Mallory weiss
- rabies
hemaemasis after drinking
mallory weiss tear
what is plummer vinson syndrome assoacited with
esophageal rings / webbs
what are the 3 tx for esophageal varicies
- band ligation
- octreotide
- Beta blocker
what is the MC type pf hernia
sliding
how do you manage sliding hernia
similar to GERD
what is the C is CAP
clarithrymycin
what can a PPI cause (SE)
B12 deficiency
dark urine and light stools mean what
increased direct bilirubin
increased bili with normal LFT 2
- Dubin johnson
- Gilberts
what is the only hereditary syndrome that increased direct Bili
Dubin Johnson
increased jaundice with ETOH
- gilberts
what ALT & AST > 1,000 think what
viral hepatitis
what is boas sign associated with
acute cholescyctitis
what abs 2 for gallbaldder issues
ceftriaxone + metronightazole
how do people get hep A (2) think about it
- fecal oral
- kids
what is the marker of acute hep B infection
HBsAG
what 2 goups have HBsAB
- chronic infection
- cleared
what hep has the highest pregnancy mortality
hep E
how do you tx the pruitis with cirrhosis
cholestryramine
PBC assoacited with what antibody
antimitochondrial
how do you tx PSC
ERCP
what pathology is ransons criteria associated with
acute pacreatitis
what is grey turner and cullen sign associated with
acute pacreatitis
painless jaundice
pacreatic carcinoma
what is the ROME criteria 4
dx for IBS 1 day a week for the past 3 months
- related to defication
- change in frequency
- chnage is stool form
what is the pathology that is intestinal angina
chronic medinteric ischemia
how do you dx CUC
flex sig
what side CRC bleed
right
