28/02 Flashcards
What is gold standard investigation for coeliac disease and what preparation should be completed for it?
OGD with biopsy of the duodenum and jejunum
Patient must be eating grains for the 6wks running up to the procedure
What is the management of alcoholic ketoacidosis?
IV 0.9% saline and IV thiamine
Alcoholic ketoacidosis often occurs in alcoholics following a period of reduced food intake
What are haematological findings of anaemia of chronic disease?
Low iron
Normal or decreased TIBC
Normal or raised ferritin
What are side effects of PPIs?
Hyponatraemia
Osteoporosis
C diff infection
Microscopic colitis
What is gilberts syndrome?
Autosomal recessive disorder leading to defective bilirubin conjugation
High UCB- no changes to urine or stools
What are red flag symptoms for gastric cancer?
Age >55 and new onset dyspepsia Unexplained weight loss Unexplained persistent vomiting Progressively worsening dysphagia Odynophagia Epigastric pain
What are complications of GORD?
Oesophagitis Ulcers Anaemia Barretts Oesophagus Oesophageal cancer Benign strictures
How can an upper GI bleed be differentiated from a lower GI bleed?
Upper will likely to have a raised urea also
What is the key finding of autoimmune hepatitis?
Smooth muscle antibodies
Which serum marker demonstrates immunisation for HepB?
Anti HbS
What are features of Crohns disease?
Can affect entire GI tract
Skip lesions
Spreads through all mucosal layers
Increased goblet cells
How can you calculate the units of alcohol consumed per week?
Volume times the % alcohol divided by 1000
If a large volume of ascitic fluid is being drained, what should be given?
IV albumin solution
