Gastro 2 Flashcards
(31 cards)
Diarrhoea in truck driver
Check stool for ova and cyst
Mother and sister colon cancer 63 and 48, colonoscopy
10 years earlier than mother,
from 50 every 5 years
Glucose screening
From 40 every 3 years
Asymptomatic gallstone become symptomatic at rate
2% per year
Cholecystitis most commonly caused by
E Coli
Paraesophageal hernia Inv
Barium swallow
Inv for patient with blunt abdominal trauma after playing football - splenic trauma
FAST ultrasound if haemodynamically unstable
CT abdomen if stable
Pain relief post operatively after cholecystectomy
Morphine
Diarrhoea,
pain in R iliac fossa that resolved
Pain on digital rectal exam
Pelvic appendicitis
Auto immune hepatitis : auto antibodies with the worst response to therapy
Anti-liver-kidney microsomal antibody
Screening marker for hepatoma in patient with chronic hepatitis C
Alpha feta protein
Diabetes type 1 patients are at risk of developing
Coeliac disease
As both are immune mediated
Mechanism of bacterial peritonitis in patient with ascites
Bacterial translocation from gut to mesenteric lymph node
Most common symptom of haemorrhoids
Rectal bleeding
Barrett oesophagus monitoring
Endoscopy and biopsy every 2 to 5 years
most common cause of large bowel obstruction in Australia
Colon cancer
Calcified gallbladder management
Prophylactic cholecystectomy
Patient is 25 and his father had colon cancer at 35
Management
Colonoscopy now
Patient is 82
Dysphagia for solids and liquids
Decreased contractions on manometry
Presbyoesophagus
Achalasia is between 25 and 60
First test for patients with epigastric pain for two years
Endoscopy
Then HPylori can be tested
Coeliac disease lab
Low calcium due to vitamin D deficiency
High INR vitamin K deficiency
Low iron
Bacterial peritonitis treatment
Cefotaxime and albumin
Or Ceftriaxone and albumin
Albumin reduces rate of renal failure
Jaundice, dark urine and pale stool
No pain
Periampullary tumour
Acute diverticulitis investigation
Abdominal CT
Pain in L iliac fossa, fever