abdo Flashcards

1
Q

where can UC occur

A

confined to colon

always involves rectum

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2
Q

granuloma are found in whihc IBD

A

crohns

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3
Q

genetic IBD

4 genes

A

NOD2
HLA
ATG
IL23R

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4
Q

what investigations 1st line

A

stool samples; calprotectin

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5
Q

what condition is first presentation of crohns confused with?

A

appendicitis

RLQ pain ileocecal valve

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6
Q

what is the most important thing you can see in Crohns

A

crp, esr, wcc all raised

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7
Q

why do you get kidney stones/ gallstones with crohns?

A

malabsorption = increased fatty acid
calcium +oxolate bind to fatty acids
= get into kidney / gallbladder and form stones

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8
Q

treatment for crohns

induce remission

A

corticosteroids

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9
Q

induce remission

UC

A

aminosalycylates

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10
Q

copper - liver screen

A

wilsons disease

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11
Q

ceruloplasmin

A

low in wilsons disease

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12
Q

why look at liver screen ferritin?

A

acute phase reactant

ferritant goes up any sign of infection

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13
Q

what is fulminant hepatitis?

A

liver failure that involved all liver

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14
Q

what blood test?

A

hbSAg
HbEAg
anti-Hbc IgG
anti-Hbc IgM

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15
Q

chronically infected

A

HBsAg +
anti-HBc +
IgM anti -HBc-
anti HBs -

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16
Q

HBsAG

Hb

A

surface antigen
surface antibody
core antibody

17
Q

what is 1st line diuretic in liver failure?

what is the main complication?

A

spironolactone - aldosterone antagonist
potassium sparing

HYPERKALAEMIA - so you might give furesomide

18
Q

why is hyperkalaemia bad?

A

affects cardiac rhythm

arrthymia