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Gastero Intestinal system Flashcards

(28 cards)

1
Q

what is the Anatomical Landmark that differentiate B/w upper GI Bleed And Lower GI bleed?

A

ligament of TREITZ (duodenojejunal flexure)

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2
Q

what is the source of Bleeding in Duodenal ulcer?

A

Gastero duodenal artery

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3
Q

what is the source of bleeding in Gastric ulcer?

A

Left gastric artery

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4
Q

what is the leading cause of Hematemesis?

A

Peptic ulcer disease

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5
Q

what are the 2 types of Peptic ulcers?

A

Gastric ulcer
Duodenal ulcer

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6
Q

what is the most common site of Gastric ulcer?

A

Lesser curvature

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7
Q

How will the patient of peptic ulcer bleed present?

A

Crashing blood pressure

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8
Q

what are the steps in managing a case of Crashing Blood pressure? (Peptic ulcer bleed)

A

Grey IV cannula insertion (orange ideally)
fluid bolus
massive Transfusion Protocol
Hemodynamic Stability achieved

upper GI Endoscopy + cautery

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9
Q

what are the Drugs that causes Drug induced gastritis?

A

Cox-1inhibitors

Indomethacin, ketorolac

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10
Q

what type of gastritis is seen in Drug induced gastritis?

A

Erosive gastritis

non erosive gastritis caused by H. pylori

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11
Q

A patient is presented with Cheif compliant of Hematemesis and on examinationHe had splenomegaly

what is the provisional diagnosis?

A

Portal Hypertension

If patient of Pediatric age group presents with similar compliants

we must have to Think about EXTRA HEPATIC PORTAL VEIN OBSTRUCTION (EHPVO)

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12
Q

what is source of Bleeding in Hematemesis due to Portal Hypertension?

A

Esophageal collaterals with gastric veins (coronary veins)

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13
Q

what is the leading cause of Portal Hypertension?

A

Alcholic cirrhosis

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14
Q

what is most common cause for Liver damage in patient with History of No viral markers non alcholic & Non metabolic cause?

A

Cryptogenic cirrhosis / Non-Cirrhotic Portal fibrosis

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15
Q

what is drug used in managing non-bleeding esophageal varices?

A

propranlol

propranolol uses

-non bleeding oesophageal varices
- Prophalaxis of migrane
- Hypertrophic cardiomyoPathy

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16
Q

what Drug is used in managing Bleeding oesophageal varices?

A

Infusion of octreotide > Terlipressin

17
Q

what is treatment of choice in Hematemesas due to Portal Hypertension?

A

upper GI Endoscopy + Sclerotherapy

18
Q

what is the most primary site of tear Mallory weiss syndrome?

A

Lower oesophageal sphincter (strats from cardio part of stomach and goes to Lower esophageal spincter)

19
Q

what types of stains are used to demonstrate Helico bacter pylori ?

A

warthin starry stain
Steiner Stain

20
Q

what type of gastritis is seen in PUD Due to Helicobacter Pylori infection?

A

Type B Gastritis

21
Q

what Triple therapy in managing PUD due to H.pylori infection?

A

Proton Pump Inhibitors for 4-6 weeks
Clarithromycin & Amoxicillin for 2 weeks

22
Q

what is quadruple therapy in PUD management Due to H- pylori infection?

A

Proto Pump Inhibitors
tetracyclines
metronidazole
Bismuth ( Reduces the acid mucosa contact time by acting as surface Protective agent & Helps in Healing of ulcers

Blaksh Discloration of tongue is seen )

23
Q

what is Hybrid therapy in managing PUD Due to Helico bacter pylori ?

A

Proton Pump Inhibitors & Amoxicillin for 7 days

Proton pump Inhibitors & Amoxicillin & clarithromycin & Nitroimidazole for 7 days

24
Q

what is Load therapy used in management of PUD Due to H-Pylori Infection?

A

Levofloxacin & omeprazole & Alina (Nitazoxanide) & Doxycycline

25
True / flase : Erythromycin & Amoxicillin & PPI are used in Triple therapy against H. pylori infection
false ## foot note Erythromycin is not effective against H.pylori. PPI & Amoxicillin &clarithromycin are used in Triple therapy against H.Pylori
26
True/false :-Helico bacter pylori cannot be eradicated As it is sporforming bacteria
false ## Helico batter pylori can be eradicated as it's a non-spore forming Bacteria
27
28
what are the most common sites in which Extracelluar Helico bacter pylori is seen in the stomach?
Antrum and corpus ## Acid load is relatively lesser in those areas