Quesmed GI Flashcards
What is the cause of an itchy papulovasicular rash with rash, with chronic abdominal bloating and loose stools?
Coeliac disease, with dermatitis herpes inform is Anti-endomyseal antibodies
What is pellagra?
Disease caused by edifice in of niacin and results in:
Diarrhoea
Dementia
Dermatitis with hyper pigmented and around t he neck known as Casal’s necklace
Death
Whic
What is the initial treatment for suspected upper GI bleed?
Fluid BEFORE blood transfusion
Terlipressin, an analogue of vasopressin for upper GI bleed
What is giardiasis?
Parasitic enteric infection which causes small bowel malabsorption. It presents with weight loss, diarrhoea, steatorrhoea and frequent belching.
How is giardiasis diagnosed?
Stool microscopy for cysts and trophozoites
How does Mallory-Weiss tear present?
severe retrosternal pain and subcutaneous emphysema, which occurs due to the pneumomediastinum
What does caput medusae and spider naevi with chronic alcoholism indicate?
Oesophageal varices
What is the features of the Rockall score?
Age
Tachycardia
Hypotension
Malignancy
Mallory Weiss tear
Stigmata of recent haemorrhage
What scores highly on Rockall score?
Malignancy -> highest
Renal failure and liver failure
Blood in upper GI tract
Adherent clot
What is the first-line treatment for patients with acute, non-variceal upper gastrointestinal bleeding?
Endoscopy treatment with resection of mucosal irregulaties and ablation
What is the marker for chronic pancreatitis?
Faecal elastase
What does hydrogen breath test used to diagnose?
Small intestinal bacterial overgrowth syndrome
What is a significant Rockall score?
More than 8 indicates increased mortality risk
What score of Rockall is an excellent prognosis?
Score of 2 or less
What is the supplement for pancreatitis?
Creon, a pancreatic enzyme supplement
What is the initial approach for A to E medical emergency?
A to R approach
Ensure 2 wide bore cannulae in antecubital fossae
IV fluid resuscitation
Blood transfusion
Suspected variceal bleeds, give Terlipressin and prophylactic antibiotics
Which demographic is affected by Whipple disease?
Men aged 30-60 years old
What is the first line test for coeliac disease?
Anti-TTG
What is the second line test for coeliac disease?
Anti-endomysial antibiotics
