Passmedicine extras Flashcards
What is a possible complication in children who had surgery for tracheo-oesophageal fistula soon after birth?
oesophageal stricture
Gastric Cancer Nodes
What is
- Sister Mary Joseph’s node
- Virchow’s node
- palpable node in the umbilicus (due to malignant cancer in pelvis or abdomen)
- left supraclavicular lymph node
For patients with chronic liver disease, what is the most sensitive and specific test for diagnosing liver cirrhosis
thrombocytopenia (low platelet count)
What should you suspect on an irregular-appearing narrowing of the oesophagus on radiology?
oesophageal cancer
- if looks a smooth constriction then that’s achalasia
What should you suspect in someone who has taken cocaine and has sudden onset abdominal pain +/- rectal bleeding
ischaemic colitis
What should you suspect if there is a palpable gall bladder?
malignancy - especially pancreatic
this is stated by Courvoisier’s law
When should you stop a PPI prior to endoscopy
stop 2 weeks before
What is the treatment for alcoholic ketoacidosis?
IV thiamine + fluids