Random From Book Notes Flashcards
used to visualize jejunum or ileum. Must make an incision in pts. abdomen
Enteroscopy
what is the gold standard for visualizing the small bowel and to investigate obscure GI bleeding
video capsule endoscopy
What is an ERCP used to visualize?
Biliary and pancreatic ducts
Presents with progressive dysphagia, weight loss, chest pain and regurg. Due to a tonically contracted LES.
Achalsia
what is fibrous tissue in the proximal part of the esophagus known as? What is is associated with?
Web
iron-deficiency anemia
has cardinal symptoms of urgency, tenesmus, bloody diarrhea
ulcerative colitis
abdominal pain that radiates to back (worse when supine), guarding, high blood glucose
acute pancreatitis
gold standard for diagnosis of chronic pancreatitis
Secretin stimulation
tx for Hep B
lamivudine
tx for Hep C
interferon – alpha + ribavirin
is jaundice common with fatty liver?
No
commonly have mallory bodies, fever, anorexia, weight loss, N/V, hepatomegaly, jaundice.
Gynecomastia
parotid gland enlargement
testicular atrophy
alcoholic hepatitis
what is the most frequent cause of chronic hepatitis?
Nonalcoholic steatohepatitis (NASH)
dull/achy postprandial pain (“abdominal angina”) – epigastrum or mid-abdomen within one hour of eating. Also have abdominal bruits or extra-abdominal signs of atherosclerotic vascular dz.
Chronic messenteric insufficiency
subtle/nonspecific, include episodes of nocturnal diarrhea, flatulence, and weight loss w/iron deficiency
• Bloating, fatigue, vague abdominal discomfort common
Celiac dz
what is urine coproporphyrin used for?
To lead for lead poisoning
o Present with fever and peritoneal signs + oligoarthritis and/or pleuritis
Familial Mediterranean fever
Very high amplitude contractions in distal esophagus
Principal sx – chest pain
Supersensitivity to gastrin and cholinergic agents
nutcracker esophagus
test of choice of nutcracker esophagus
manometry
what will an endoscopy show with celiac sprue?
broad and flattened villi
tx for celiac spure
gluten free diet
what does secretory diet produce a fluid rich in?
Cl- and bicarb ions
in what type diarrhea will there be an elevated osmotic gap?
osmotic diarrhea
presents with relatively painless but brisk rectal bleeding
Diverticulosis
Steady ache in epigastrium or RUQ, sudden onset, reaching plateau of intensity over a few minutes, subsides gradually over 30 min to several hours
Biliary colic
Often seen in young males with UC. Will prsent wil jaundice, abdominal pain, fever chills. Idiopathic condition nonmalignant, nonbacterial, chronic inflammatory fibrosis and obliteration of intrahepatic/extrahepatic bile ducts
Primary sclerosing cholangitis
onset of encephalopathy occurring within 8 wks of onset of jaundice in pt w/hepatic injury and no prior hx of liver disease
Fulminant Hepatic failure
irreversible, end result of a variety of inflammatory, toxic, metabolic, and congestive insults to liver
Cirrhosis
pt. presents with jaundice, abnormal liver span, splenomegaly, ascites, spider angiomas, nail changes, caput medusae, asterixis, testicular atrophy
cirrhosis of the liver
Ascities tx
Spironolactone (aldosterone antagonist), supplemented w/loop diuretic
Pt. presents with RUQ pain, hepatomegaly, ascities and jaundice. they have occlusion of the major hepatic veins or inferior vena cava (especially intra/extrahepatic segments)
Budd Chiari Syndrome
how do you diagnose Budd Chiari syndrome?
Doppler US
