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GI2 > tx > Flashcards

tx Flashcards

1
Q

irritation fibroma (traumatic fibroma)

A

surgery bc benign

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2
Q

pyogenic granuloma (preg tumor)

A

complete surgical excision (bc cld be malig

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3
Q

Keratocystic odontogenic tumor

A

complete surgical excision (60% recur)

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4
Q

mucocele

A

complete surgical excision of cyst + minot saliv gland

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5
Q

congenital pyloric stenosis

A

splitting of muscularis (myotomy) (curative)

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6
Q

Hirschprung’s dis

A

Surgical resection with anastomosis of nml proximal colon to rectum

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7
Q

Achalasia

A
  • Laparoscopic myotomy.
  • Pneumatic balloon dilation.
  • Botox injections to inhibit LES cholinergic neurons
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8
Q

GERD

A

PPIs

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9
Q

eosinophilic esophagitis

A

dietary restriction +/- topical or systemic corticosteroids

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10
Q

esophageal varices

A

Splanchnic vasoconstriction, sclerotherapy (injection of thrombotic drugs), balloon tamponade, variceal ligation

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11
Q

H pylori causing chronic gastritis

A

antb + ppi

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12
Q

PUD

A
  • H. Pylori eradication, neutralization of acid via PPI.

- D/c nsaids that prolong mucosal healing

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13
Q

Ménétrier disease

A
  • IV albumin + parenteral nutrition (supportive).
  • TGFα blocking agents show promise.
  • Severe? Gastrectomy
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14
Q

Zollinger-Ellison syndrome

A
  • ppi
  • PUD to heal
  • tx tumor
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15
Q

gastric adenocarcinoma

A

surgical resection

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16
Q

MALToma

A

antb’s if no translocation

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17
Q

GI stromal tumor

A

if KIT, PDGFRA (+) = imatinib tx

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18
Q

intussusception

A

kids: air enema
adults: surgery

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19
Q

ischemic bowel dis

A

surgery if bowel sounds absent or if gualrding/rebound dev

20
Q

cystic fibrosis

A

oral enzs

21
Q

cholera

A

oral rehydration

22
Q

shigella

A
  • Antibiotics shorten duration of s/s

- Ø antidrhls: delay clearance

23
Q

salmonella

A
  • Antibiotics are not recommended, prolong carrier state, no effect on duration of drh.
  • Vaccination available
24
Q

salmonella enterica (typhoid fever)

A

antb’s to prevent dis progression

25
Q

EHEC, O157:H7 type

A

not give antb’s bc incrasese amt shiga toxin released –> enhances HUS

26
Q

giardia lamblia

A

antimicrobial

27
Q

chrons dis

A
  • anti-TNF antb’s

- surgial resection of fibrotic strictures

28
Q

colitis-assoc neoplasia (carcinoma)

A

fecal transplant to repop the colon w nml flora

29
Q

Familial adenomatous polyposis

A

Prophylactic colectomy to prevent colorectal cancer, but not prevent neoplasia elsewehre

30
Q

hemorrhoids (anal varices)

A

Sclerotherapy, rubber band ligation, infrared coagulation, surgery

31
Q

HCV

A

Genotype 2 & 3 have best response to Tx, esp in pts w/IL-28B polymorphisms.
–Better response to IFNa and ribavirin.

IFNγ = resistance to HCV

32
Q

AI hepatitis

A

immunosuppression

33
Q

drug/toxin damage to the liver

A

remove the offending agent

34
Q

NFALD

A

correct underlying risk factors: obesity, hyperlipidemia, insulin resistance

35
Q

hemochromatosis

A

removal of excess (regular phelbotomy)–> reversible!

-except if neonatal,,, then liver transplant

36
Q

wilsons dis

A
  • Long term chelation therapy or zinc based therapy.

- Liver transplant if unmanageable cirrhosis develops

37
Q

α1-antitrypsin deficiency

A

liver transplant, and not smoke

38
Q

biliary atresia

A

♣ dz limited to common duct (type I) or right/left hepatic ducts (type II): correct w/Kasai (surgical) procedure (intestine attached to liver so bile can drain)
♣ Obst above the porta hepatis (type III): not correctable (90%) and need liver transplant

39
Q

obliterative portal venopathy

A

liver transplant

40
Q

budd-chiari synd

A

need prompt surgical creation fo of portosystemic shunt to reverse blood flow

41
Q

B-catenin activated adenomas (hepatocellular adenoma)

A

resected, bc very high risk malig transformation

42
Q

hepatoblastoma

A

surgical resection and chemo

43
Q

GB adenocarcinoma

A

surgery, but chemo used too

44
Q

acute pancreatitis

A

o Restricted oral intake to rest pancreas.
o Analgesia.
o Nutrition + volume support

45
Q

-AI pancreatitis

A

steroid therapy

GI2 (8 decks)

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