Passmedicine extras Flashcards

1
Q

What is a possible complication in children who had surgery for tracheo-oesophageal fistula soon after birth?

A

oesophageal stricture

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2
Q

Gastric Cancer Nodes

What is

  1. Sister Mary Joseph’s node
  2. Virchow’s node
A
  1. palpable node in the umbilicus (due to malignant cancer in pelvis or abdomen)
  2. left supraclavicular lymph node
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3
Q

For patients with chronic liver disease, what is the most sensitive and specific test for diagnosing liver cirrhosis

A

thrombocytopenia (low platelet count)

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4
Q

What should you suspect on an irregular-appearing narrowing of the oesophagus on radiology?

A

oesophageal cancer

  • if looks a smooth constriction then that’s achalasia
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5
Q

What should you suspect in someone who has taken cocaine and has sudden onset abdominal pain +/- rectal bleeding

A

ischaemic colitis

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6
Q

What should you suspect if there is a palpable gall bladder?

A

malignancy - especially pancreatic

this is stated by Courvoisier’s law

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7
Q

When should you stop a PPI prior to endoscopy

A

stop 2 weeks before

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8
Q

What is the treatment for alcoholic ketoacidosis?

A

IV thiamine + fluids

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