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Medicine > onlinemeded-GI > Flashcards

onlinemeded-GI Flashcards

1
Q

order in figuring out malabsorption work up

A
  1. 100 g fat- 72 hrs

if >14 g/d fat in stool:
2. give d-xylose abs

  1. if absorbed–give pancreatic enzymes
    if not abs– do EGD and bx
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2
Q

dx of celiac

A

ttg abs

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3
Q

dx of tropical sprue

A

EGD and bx

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4
Q

dx and tx of whipples dz

A

EGD and bx

bactrim, doxy

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5
Q

sxs of whipples

A

malabsorption

+ brain + joint + lymph

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6
Q

is diverticular hemorrhage painful or painless?

A

painless

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7
Q

extra-GI sxs of Turcots vs Garderns’s colon cancer variations

A

T: brain tumors (think turcot turban)

G: jaw tumors

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8
Q

what qualifications post-c scope make you low risk (q5-10 yrs)

A

1-2 polyps
<1 cm
tubular
low grade dysplasia

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9
Q

what qualifications post-c scope make you high risk (q1-3 yrs)

A

> 3 polyps
1 cm
villous
high grade dysplasia

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10
Q

what qualifications post-c scope make you mega risk (q2-6 mo)

A

> 10 polyps

piece sessisle polyp

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11
Q

wilsons sxs

A

cirrhosis

kayser fleisher rings

chorea (basal ganglia)

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12
Q

dx of wilsons

A

1) slit lamp
2) measure ceruplasmin
3) bx

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13
Q

tx wilsons

A

penicillamine –> transplant

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14
Q

sxs hemochromatosis

A

cirrhosis

bronze DM

diastolic CHF

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15
Q

dx of hemochromatosis

A

ferritin>1000
transferrin>50%

best- bx

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16
Q

tx hemochromatosis

A

deferoxitime

phlebotomy

transplant

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17
Q

PAS pos macrophages seen in which type of cirrhosis

A

alpha 1 antitrypsin

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18
Q

dx of PSC

A

1) MRCP
beads on a string

bx-onion skin fibrosis

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19
Q

PBC dx

A

imaging nl

positive AMA

best- bx

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20
Q

tx of hepatic encephalopathy

A

lactulose
rifaximin
zinc

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21
Q

poly’s above what to be SBP in ascites analysis

A

250

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22
Q

tx of SBP

A

ceftriaxone

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23
Q

evaluating SAAG interpretation

A

> 1.1: CHF, cirrhosis (portal HTN)

<1.1: TB, cancer (non-portal)

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24
Q

what separates upper from lower GI bleed

A

ligament of treitz

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25
Q

orders to stablilize GI bleed

A 
2 large bore IV's, IVF
IV PPI
T&amp;S
call GI
if cirrhotic- add ceftriaxone, octreotide
26
Q

if lower GI bleed, evaluate rate of bleed. how?

A

stopped –> c-scope

brisk –> arteriogram, embolize

increasing –> tagged RBC scan

27
Q

dieulafoy

A

normal variant

artery close to mucosal surface

dx with EGD

tx: resect

28
Q

dx and tx of ischemic colitis

A

dx: c-scope
tx: supportive care

29
Q

AVM associated with

A

aortic stenosis

30
Q

dx and ts of gastroparesis

A

dx: 1) EGD 2) emptying study

tx: metoclopramide (stable), erythromycin (for flares)
avoid opiates, ACs
small meals

31
Q

plummer vinson sxs

A

esophageal webs
dysphagia
Fe def anemia
esophageal cancer

32
Q

tx of esophageal stricture

A

PPI

dilation

33
Q

dx of dysphagia

A

if motility: barium swallow, manometry, EGD + bx

if mechanical: barium swallow, EGD + bx

34
Q

peptic ulcer appearnance in NSAIDS vs h pylor vs malignancy etiologies

A

NSAIDS: shallow, multiple

H pylori: single

malignancy: heaped, necrotic

35
Q

h pylori dx techniques and when to use which one

A

urea breath- initial dx

serology- test & treat (if never been tested and have sxs)

EGD + bx- best

stool Ag- good to monitor eradication

36
Q

zollinger- ellison sx

A

gastrin level

  • <250: nl
  • > 1600: gastrinoma
  • in between: secretin stim test (will stimulate gastrin level by >200)

somastostain receptor s

CT

37
Q

which hepatitis can be acute

A

hep A

Hep B

38
Q

which hepatitis can be chronic

A

hep B
hep C
Hep D

39
Q

which hepatitis have vaccines

A

hep A and B

40
Q

RNA or DNA for hepatits

A

A: RNA
B: DNA
C: RNA
D: DNA

41
Q

treatment for hep C

A

PI= direct acting antagonists (borcephexin)

42
Q

which IBD has crypt abscesses

A

UC

43
Q

which IBD has noncaseating granulomas

A

crohns

44
Q

extra- intestinal symptoms of UC

A

PSC

p-ANCA

45
Q

cullen vs turner sign

A

cullen: umbilical hematoma

turner- flank hematoma (turn on side)

signs of pancreatits

46
Q

whats more specific for pancreatits- amylase vs lipase

A

lipase

47
Q

when do you do an ERCP with pancreatitis

A

only if gallstone etiology

48
Q

early complications of pancreatitis (1-3 days)

A

ARDS

hypocalcemia

pleural effusion

ascites

49
Q

mid complications of pancreatitis (1-3 weeks)

A

sepsis- check with CT

50
Q

late compications of pancreatitis (3-7 weeks)

A

abscess

pseudocyst

51
Q

when to drain and biopsy pancreatic pseudocyst

A

> 6 cm or >6 weeks

52
Q

what test in suspected cholecystits if US neg

A

HIDA scan

53
Q

what test in suspected choledocholithiasis if US neg

A

MRCP

54
Q

what sxs in choledocholithiasis

A

jaundice
+/- hepatitis, pancreatits (stuck in bile duct)
murphy’s

55
Q

tx choledocholithiasis and cholangitis

A

1) ERCP
npo, ivf, iv abx

2) chole

56
Q

dx esophagitis

A

EGD + bx

57
Q

types of esophagitis

A 
Pill-induced
Infectious
Eosinophilic
Caustic (ingestion of substance)
GERD
58
Q

when to do EGD + bx in GERD

A

if alarm sxs

or if 6 week PPI trial fails

59
Q

treatment for barret’s esophagus

A

increase PPI dose

60
Q

tx for esophagus dysplasia

A

local ablation (rad, laser, cryo)

61
Q

stool osmotic gap for secretory vs osmotic diarrhea

A

= mean Osm - 2(Na+K)

if <50: secretory
if >100: osmotic

Medicine (31 decks)

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