Random Associations Flashcards
Peripheral eosinophilia
elevated CRP
bowel ischemia
IDA
cholesterol embolization
dystrophic fingernails
alopecia
many hamartomatous polyps
Cronkit-canada syndrome
(not genetically inheritied)
differential for hypertrophic gastric folds
-menetrier’s disease (associated with enteropathy)
-lymphoma
-ZE
differential for pulse-temperature dissociation
leptospirosis (fresh water exposure, conjunctival injection, ALI); treat with doxycycline
typhoid fever (salmon colored spot, splenomegaly, ileal perforation, diagnose with blood culture, treat with fluoroquinolone)
Rheumatoid arthritis (or inflammatory condition)
heart failure
peripheral neuropathy
renal failure
what are the gi manifestations?
Amyloidosis (AA amyloid)
dysmotility
malabsorption
mucosal lesions that can bleed
diagnose with fat pad or rectal targeting blood vessels; biopsy with congo red stain
jaundice at any stage of pregnancy
viral hepatitis until proven otherwise, this is the #1 cause at any stage
number needed to treat
1/ARR
The “snapping uvula”
fibrovascular polyp
endoscopic resection if <2cm otherwise surgery is needed
Medication side effects:
-mesalamine
-mesalamine- pericarditis or pleuritis
Early signs of Boerhaave’s
L. sided pleural effusion
mediastinal air
subcutaneous crepitus
rare cause of dypshagia
esophogram shows a oblique filling defect in the upper esophagus
dysphagia lusoria
aberrant right subclavian artery
what does hemosiderin in the urine mean?
there is intravascular hemolysis
PAS+ stain on pathology
Whipples disease
A1AT
MAC infection
What does it look like if there is publication bias? what should the plot look like?
asymmetric if bias is presents
if no bias, then the plot is an inverted funnel
Difference between gallbladder polyps and stones on ultrasound?
how do you managed polyps?
shadowing w/ a stone
no shadowing with a polyp
if polyp,
-follow with q6 mo ultrasounds
- remove if symptomatic** or >1cm
describe gastrin levels, gastric pH, and parietal cell mass for the following:
1. ZE
2. pernicious anemia
3. corpus HP
4. antral HP
5. chronic PPI
- ZE - high gastrin, low pH, increased parietal cell mass, +secretin stim test >200u increase
- pernicious anemia - high gastrin, high pH, low parietal cell mass
- corpus HP- high gastrin, high pH, low parietal cell mass
- antral HP- high gastrin, low pH, high parietal cell mass
- chronic PPI - high gastrin, high pH, high parietal cell mass
management of superior mesenteric artery embolism
emergent angiography (no CT or endo)
weight loss options
BMI >30 alone or 25 to 30 with comorbidities =medications
BMI >35 or 30 to 35 with comorbidities =surgery
Blastocystis hominis (B hominis)
associated w/ diarrhea, abdominal pain, and nausea
the significance of B hominis as a pathogen is controversial.
A reasonable approach is to treat immunosuppressed individuals or immunocompetent individuals in whom diagnostics have not identified an alternative diagnosis.
metronidazole, paromomycin, or trimethoprim-sulfamethoxazole.
side effect of ribavirin
hemolytic anemia
lichen planus
granulocytic sarcoma or chloroma
green-appearning luminal nodules
path with myeloperoxidase positivity
high LDH
associated with high risk of AML
cryoglobulinemia vs HSP
cryglobulinemia- HCV, RF, low C4, purpuric rash, renal disease
HSP- young adult, abdominal pain, low C4, rash
