Abdominal context cards

Question 1

What are the indications for a PEG/PEJ tube?

Answer 1

1. Head and neck cancers

Neuro:
1. Stroke
2. Parkinson’s
3. ALS (MND)
4. Head injury/ cerebral palsy
5. MS

Question 2

What are the complications for PEG tube insertion? (7)

Answer 2

1. Perforation
2. Haemorrhage
3. Peritonitis
4. Infection
5. Death

Can get blocked or displaced

Question 3

What are the causes of generalised lymphadenopathy? (7)

Answer 3

1. Lymphoma
2. CLL
3. Mono
4. Sarcoid
5. TB
6. CMV/ Toxoplasmosis/ Brucillosis
7. HIV

Question 4

What investigations would you do for a haematological cancer? (4)

Answer 4

1. CT/MRI/PET
2. Excision biopsy
3. Bone marrow
4. USS of lymph nodes

Question 5

What are the features of carcinoid syndrome? (7)

Answer 5

1. Flushing
2. Telangectasia
3. Liver enlargement
4. Tachycardia
5. Bronchocosntriction
6. Weight loss/cachexia
7. Diarrhoea

Question 6

What is carcinoid syndrome?

Answer 6

Carcinoid tumours
Endocromaffin cells
Release serotonin, bradykinin, histamine, tachykinin

Question 7

What are the investigations for carcinoid tumours?

Answer 7

1. Urinary 5-HIAA
2. CT/MRI/PET
3. Somatostatin analouges, surgery, radiotherapy