Diseases of the GI System Flashcards Preview

Co-Existing Disease > Diseases of the GI System > Flashcards

Flashcards in Diseases of the GI System Deck (48)
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1
Q

What is dysphagia?

A
2
Q

Dysphagia Symptoms

A
3
Q

Where do patients complain of food getting stuck with dysphagia?

A
4
Q

Diffuse Esophageal Spasm

A
5
Q

Chronic Peptic Esophagitis “GERD”

A
6
Q

Nissen Fundoplication

A

Bougie is inserted (dilator) to use as template to make a faux LES

7
Q

Completed Nissan

A
8
Q

Effect of Agents on LES Tone

A
9
Q

Aspiration Pneumonitis
(Mendelson’s Syndrome)

A
10
Q

Symptoms of Aspiration Pneumonitis
(Mendelson’s Syndrome)

A
11
Q

Patient risks for aspiration

A
12
Q

Treatment for preventing aspiration, after aspiration?

A
13
Q

Hiatal hernia

A

1. Decrease pH with citrate

2. Reduce volume

3. RSI

14
Q

Esophageal Diverticula and symptoms associated with

A
15
Q

Zenkers Diverticulum

A

Be careful with the NG tube, sometimes surgeon can assist placement

16
Q

Mallory-Weiss Syndrome

A

Tumor induced

17
Q

Peptic Ulcer Disease

A
18
Q

Zollinger-Ellison Syndrome

A
19
Q

Symptoms of Zollinger-Ellison Syndrome

A
20
Q

Inflammatory Bowel Diseases

A

Will need to give steriod dose, or else you will be fighting hypotension

21
Q

What Is the Role of Steroids in Septic Shock?

A
22
Q

Peritonitis

A

(Do not see as much, maybe because we give Abx more now a days)

-Most will get a central line

-Volume and electrolyte status is critical

23
Q

Treatment for Peritonitis

A
24
Q

Prognosis of Peritonitis

A
25
Q

Colorectal Cancer

A
26
Q

Colorectal Cancer anesthetic management:

A
27
Q

Pancreas Function

A
28
Q

Pancreatitis

A
29
Q

Causes of pancreatitis:

A
30
Q

How does hard liquor differ from beer/wine with pancreatitis?

A
31
Q

Acute Pancreatitis

A
32
Q

Chronic Pancreatitis

A

Will have excess fat, 7-090% pain, diabetes, etc.

33
Q

Sphincter of Oddi

A
34
Q

Pharmacology of the Sphincter of Oddi

A

1. Glucagon- 0.1mg IV, will decrease sphincter of Oddi baseline pressure
-Can cause PONV, allergic reaction

2. N-butylscopolamine bromide (Buscopan)- 40 mg IV
-Inhibites spasms, takes 3-8min, may facilitate intubation of papilla

3. Nitroglycerin-1.2 mg sublingual

35
Q

Pancreatic Cancer treatment

A
36
Q

Whipple surgery

A
37
Q

Carcinoid Tumors

A
38
Q

Carcinoid Syndrome

A
39
Q

Treatment of Carcinoid Syndrome

A

Octreotide or Lanreotide (somatostatin analogues)

40
Q

Octreotide or Lanreotide (somatostatin analogues)

A
41
Q

Anesthetic management for Carcinoid Syndrome

A

Cardiac workup
-Listen for heart murmor
-R sided heart failure
-Calcium deposits on valves

Complaining of wheezing and asthma

Check electrolytes/dehydration

Serotonin levels are high!

 

42
Q

Prevention of Mediator Release for Carcinoid syndrome

A

Avoid histamine releasing drugs, maybe?

43
Q

Treatment of a Carcinoic Crisis:

A
44
Q

Management of anesthesia for Carcinoid anesthesia:

A
45
Q

GI Procedures

A
46
Q

Propofol for Sedation - Advantages

A
47
Q

Propofol for sedation - Disadvantages

A
48
Q

Endoscopic Retrograde Cholangiopancreatography (ERCP)

A