review Flashcards

1
Q

nocturnal diarrhea

A

organic caused not a functional problem but more of an inflammatory issue

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2
Q

inflammatory diarrhea usually presents with

A

bloody diarrhea except microscopic colitis which is inflammatory but does not present with blood

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3
Q

ways to identify causes of inflammatory diarrhea

A

stool cultures and colonoscopy w/ biopsys

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4
Q

diarrhea that will slow down if you dont eat

A

osmotic

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5
Q

diarrhea will not slow down with absence of eating

A

secretory

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6
Q

carcinoid syndrome is only present when

A

mets it reaches the liver.

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7
Q

identifying osmotic vs secretory

A

using the fecal osmotic gap:

osmotic > 125
secretory <50

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8
Q

electrolytes form a major role in this type of diarrhea

A

secretory

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9
Q

ways to identify steathorrea

A
  1. stool for detection of fat
  2. fecal elastase- pancreatic insufficiency
  3. serum IgA TTG- celiac
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10
Q

secretin stimulation test

A

invasive test for checking pancreatic insufficiency since secretin stimulates bicarb release… very sensitive test

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11
Q

NOD2 and CARD15

A

genetic susceptibility to crohs disease that involves the ileum

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12
Q

IBD is due to a

A

chronic inflammation mediator imbalance such as TNA-alpha and IL-12 that are elevated pro-inflammatory agents

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13
Q

UC will present with what type of diarrhea

A

bloody

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14
Q

complication seen only in UC and not in CD

A

toxic megacolon

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15
Q

long term of UC consequence

A

colon cancer; risk increases with years and surveillance is needed

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16
Q

microscopic colitis

A

possible drug induced chronic inflammation disorder of the colon

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17
Q

which one is more common acute colonic ischemia or acute mesenteric ischemia involving small intestine

A

acute colonic ischemia

18
Q

which hepatitis viral infection will rarely result in fulmiant liver

A

HCV

19
Q

HBsAg+

A

marker of chronic HBV

20
Q

antibody produced in HCV

A

not protective just a marker

21
Q

anti HBcIgM

A

acute HBV to the core antigen

22
Q

resolved acute infection HBV serology

A
  1. antiHBs
  2. anti- HBcIgG
  3. anti-Hbe
23
Q

non cirrhotic risk for people with a crhonic infection active immune

A

Hepatocellular carcinoma

24
Q

in hereditary hemochromatosis where is starts first the deposits

A

periportal hepatocytes

  • iron overload in blood transfusion starts at kuppfer cells
25
Q

treatment for PBC and PSC

A

ursodiol

26
Q

beaded apperance of the intrahepatic and extraheptic bile ducts

A

PSC

27
Q

PSC will have

A

UC and CD

and there is an increase risk for colorectal cancer- cholangiosarcoma

28
Q

benign non -neoplastic liver tumor

A
  1. nodular hyperplasia: FNH and NRH

2. Bile duct hamartoma

29
Q

hepatic adenoma associated with

A

OCP

we have to watch this type of growth carefully due to their neoplastic capability

30
Q

most common malignant tumor

A

mets

31
Q

HCC risk

A

cirrhosis of any kind

32
Q

most common cause of Portal HTN

A

intrahepatic- cirrhosis of sinusoids

33
Q

what will be values of WHVp and FHVP in portal vein thrombosis

A

since this occurs pre-hepatic they will have normal values

34
Q

SAAG > 1.1

A

cirrhosis- measures albumin gradient

35
Q

potential triggers of hepatic encephalopathy

A
  1. GI bleed
  2. infection
  3. renal insufficiency
  4. sedative
  5. constipation
36
Q

sitz marker study

A

check for constipation

37
Q

diverticulitis

A

no bleeding but a lot of pain

38
Q

diverticulosis

A

a lot of painless bleeding

39
Q

most common cause of a small bowel obstruction

A

adhesion

40
Q

tests that detect cancer and pre-cancerous polyps

A

structural tests