Sixth-MKSAP Flashcards
With the use of ___, ____, ____, Acute anal fissures can resolve within weeks
Sitz bath
Psyllium
Bulking agents
What topical agents can be used for anal fissures?
Topical nitroglycerin
Topical calcium channel blocker
If continuous pain and bleed, consider topical anesthetics, topical anti-inflammatories
Pathophysiology behind anal fissures?
Trauma due to passage of hard stool
Receptive anal intercourse
Foreign body insertion
Endoscope or enema
Clinical presentation of anal fissure
Painful defecation
___And___version of___medication is superior for induction of remission of ulcerative colitis compared with either of these versions of therapies alone
Oral, topical, 5-ASA
Amino salicylate
MEN tumor type 1 involves
pituitary (anterior)
pancreas (insulinoma)
parathyroid
inactive HepB that is chronic is called this phase
immune control
Hep B DNA level _____ and ALT __ (elevated/low) indicates immune control phase
<2000
low
Hep B DNA level _____ and ALT __ (elevated/low) indicates immune active phase
> 2000
elevated
when is albumin infused in SBP
renal dysfunction like AKI
Hepatic dysfunction ie Tbili>4
stool osmotic gap formula
290- (2x) (stool Na + Stool K)
post cholecystectomy diarrhea is ____ secretory/ostmotic?
secretory
ecoli diarrhea is secretory/osmotic?
secretory
vip-oma is secretory/osmotic?
secretory
types of chronic diarrhea
and wat timeline considered chornic
secretory
osmotic
steatorrhea
inflammatory
motility
4wk or more
gap is ___ for secretory diarrhea
<100
sudden onset abd pain with afib….think ____
acute mesenteric ischemia
metformin can cause acute or chronic diarrhea?
chronic
clinical indication for EMERGENT cholecystectomy
gallbladder perf
emphysematous cholecystitis
in acute pancreatitis, start oral feeds within this time period
24-48hrs
in psc there is increased risk for ____ and _____
UC
cholangiocarcinoma
