Buzzwords Flashcards Preview

JL Gastrointestinal > Buzzwords > Flashcards

Flashcards in Buzzwords Deck (54):
0

Gingivial hypertrophy

Gingivectomy/biting on own gums - side effect of calcium channel blockers or phenytoin

1

Bird beak appearance (and distended oesophagus)

Achalasia; if in lower GI imaging - is a sign of bowel obstruction

2

Grey Turner's (lumbar redness) and Cullen's sign (umbilical redness) positive

Acute pancreatitis

3

Mnemonic for causes of acute pancreatitis: GET SMASHED

Gall stones
Ethanol
Trauma
Steroids
Mumps
Autoimmune
Scorpion bites/stings
Hyperlipidaemia/hyperthermia/hypercalcaemia
ERCP
Drugs

4

Murphey's sign positive

Cholecystitis

5

Pale stools, jaundice, abdominal pain

Biliary obstruction

6

Abdominal distension, caput medusae, shifting dullness

Portal hypertension + ascites

7

Pyoderma gangrenosum, erythema nodosum

Crohn's/Ulcerative Colitis

8

Tinkling bowel sounds

Bowel obstruction

9

Vesicular rash + weight loss

Coeliac disease

10

Virchow's node (left supra-clavicular)

Gastric cancer

11

Urea breath test (C13)

H.pylori

12

C14 breath test

Bacterial overgrowth

13

Rice-water like stools

Vibrio cholera

14

Primary Biliary Cirrhosis

Presence of AMA (anti mitochondrial antibodies)

15

Autoimmune hepatitis

Presence of ASMA (anti smooth muscle antibodies)

16

Alpha Feto Protein assay

Hepatocellular carcinoma (or teratoma)

17

Cobblestone mucosa; indicating deep fissuring ulceration of mucosa

Found in Crohn's disease

18

Diuretic for ascites (due to cirrhosis)

Spironolactone

19

Corkscrew oesophagus on barium swallow

Diffuse oesophageal spasm

20

Severe abdominal pain + D&V (diarrhoea and vomiting) after raw milk

Campylobacter

21

Russell's sign

Self-induced vomiting

22

Mallory's hyaline bodies

Alcoholic liver disease (acute hepatitis) and chronic active hepatitis

23

Crypt abscess/cryptitis

Inflammatory Bowel CROHN'S

24

Onion skinning fibrosis, beading of bile ducts

Primary Sclerosing Cholangitis

25

Signet Ring cells seen on biopsy

Linitis plastica - diffuse stomach cancer

26

Thumb-printing on x-ray commonly at splenic flexure

Ischaemic colitis

27

Charcot's triad

Acute cholangitis i.e. fever, jaundice, and abdominal pain secondary to cholelithiasis

28

Causes for abdominal mass: A CHEMICAL

AAA
Crohn's
Hernia
Enlarged organ
Malignancy
Intersusception
Cyst or abcess
Appendicitis
Lymphadenopathy

29

Causes for bowel obstruction: BATH VIPS

Bolus
Adhesions
Tumour
Hernia
Volvulus
Intersussception
Pseudo-obstruction
Stricture

30

Swinging fever

Abscess

31

Causes of liver disease: ABCDEFGHI

Autoimmune
Hepatitis B
Hepatitis C
Drugs e.g. paracetamol
Ethanol
Fatty liver disease (NASH ~ obesity)
Growth (cancer/metastases)
Haemodynamic e.g. congestive heart failure
Infiltration [iron] e.g. haemochromatosis, Wilson's disease or Infective

32

To remember AST is increased in alcoholic liver disease

wASTed

or

AST: Alcohol gets you STeaming

33

What is more specific to the liver:

AST or ALT

ALT is more specific to the Liver than AST

34

Causes of abdominal distension - 5 or 6 F's

Fat
Foetus
Flatus
Faeces
Fluid
Fucking massive tumour (especially in OSCE's)

35

Antibiotic for Staph aureus

Flucloxacillin

36

Antibiotic for resistant Staph (MRSA)

Vancomycin or Teicoplanin

37

Antibiotic for Nosocomial pneumonia (severe)

IV amoxicillin + metronidazole + gentamicin

38

Antibiotic for nosocomial pneumonia (mild)

Amoxicillin + metronidazole

39

Antibiotic for CAP (CURB 0-2)

Amoxicillin (if penicillin allergic use deoxycycline)

40

Antibiotic for CAP (3 or more)

IV co-amoxiclav + IC clarithromycin

41

Antibiotic for intra-abdominal sepsis

IV amoxicillin + metronidazole + gentamicin

42

Antibiotic for recurrent/relapse of C. difficile

Fidaxomicin

43

Antibiotic for C. difficile (mild)

Metronidazole

44

Antibiotic for C.diff (severe)

ORAL vancomycin (only time you ever use oral vancomycin)

45

Antibiotics for TB

Rifampicin, Pyrazinamide, Ethambutol, Isoniazid - give all 4 for 2 months then Rifampicin and Isoniazid for a further 4 months

Side effects are orange tears, hepatifc and renal toxicity

RICE-4-RI-2

46

Antibiotics for pneumocystis carinii (HIV patients getting pneumonia)

Co-trimoxazole

47

Antibiotic for Acute exacerbation of COPD

1st line - amoxicillin
2nd line - Deoxycycline

48

Antibiotic for legionnaire's disease

Erythromycin or clarithromycin

49

Antibiotic for epiglottitis (H. influenzae)

Ceftriaxone

50

Antibiotic for Amoebiasis

Metronidazole

51

Antibiotic for Giardiasis

Metronidazole

52

Antibodies found in autoimmune hepatitis

ANA, AMA (anti mitochondrial) ASMA (anti-smooth muscle antibody)

53

The treatment for Ulcerative Colitis - My Ass Is Sore?

Mesalazine (5ASA)
Anti-TNFalpha
Immunosuppressants
Steroids