Flashcard 5

1
Q

management peritonitis

A
  • IV antibiotics
  • analgesia
  • treat underlying cause/ surgery if indicated
  • ascitic fluid drainage
  • PEG/ NG tube if needed
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2
Q

causes of anaemia

A
  • heavy periods
  • pregnancy
  • stomach/ small intestine cancer
  • insufficient dietary intake
  • inflammation e.g. crohns
  • stomach ulcers
  • haemorrhoids
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3
Q

symptoms:
- tetany
- osteomalacia

A

Ca, Mg, vit D deficiency

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4
Q

symptoms:

  • diarrhoea
  • abdo pain
  • bloating
  • flatulence
  • dyspepsia
  • fatigue
  • constipation
  • weight loss
  • peripheral neuropathy
  • ataxia
A

coeliac disease

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5
Q

ataxia

A

shaky movements and unsteady gate that results from the brains failure to regulate body posture

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6
Q

potential causes malabsorption

A
  • inflammation e.g. crohns
  • infection
  • iatrogenic
  • pancreatic
  • impaired mobility
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7
Q

symptoms:

  • vomitting (lacks bile, fermented foodstuffs)
  • early satiety
  • abdo distension
  • weight loss
  • gastric splash
  • dehydration
  • metabolic alkalosis
A

gastric outlet obstruction

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8
Q

management eosinophilic oesophagitis

A

immunosuppressants
steroids (topical/ swallowed)
endoscopic dilation to manage strictures

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9
Q

how would you get Hep E

A

raw pork

seafood

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10
Q

symptoms:

  • distended abdomen
  • severe constipation
  • vomittiing bile
  • failure to thrive
A

hirschsprungs disease

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11
Q

investigations ulcerative colitis

A
calprotectin
colonoscopy with biopsies 
rectal exam
stool culture
FBC
CRP
WCC
albumin
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12
Q

crohns management

A

immunosuppressants (e.g. infliximab)
resections of particularly bad bits of bowel
corticosteroids

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13
Q

where in GI tract is diverticulitis most common

A

sigmoid colon

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14
Q

what does MSM stand for

A

men who have sex with men

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15
Q

fistula-in-ano

A

anal fistula.

small tunnel connecting end of bowel to skin near anus

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16
Q

symptoms:

  • rectal bleeding
  • itching and pain @ anus
  • small lumps around anus
  • mucus discharge from anus
  • sometimes bowel incontinence
A

anorectal cancer

17
Q

symptoms:

  • heart burn
  • cough
  • water brash
  • sleep disturbance
  • hoarse voice
  • bad breath
  • bloating
  • nausea
A

GORD

18
Q

what change is seen in Barretts oesophagus

A

squamous -> gastric type mucosa (mucous secreting columnar)

19
Q

management Barretts oesophagus

A
  • endoscopic musosal resection
  • radio frequency ablation
  • oesophagectomy rare
20
Q

symptoms:

- severe episodic chest pain +/- dysphagia

A

oesophageal hyper mobility