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Flashcards in Gastro Deck (28)
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1
Q
A

ALARMS2

2
Q
A
Anaemia (IDA or bleeding)
Loss of wt (unexplained)
A mass (epigastric)
Recurrent/persistent vomiting
Melaena/haematemesis
Swallowing difficulty
Suspicious barium meal 

*ALARMS referral for endoscopy regardless of age *

3
Q
A

RUP

4
Q
A

Recent onsent (cf. reccurent)
Unexplained (no precipitant)
Persistent (4-6 weeks; not self limiting)

Referral for endoscopy if older than 55

5
Q
A

PPI1 TTI13

6
Q
A

PPI for 1 month (trial; full dose)
Test and Treat Initiative (C-13 urea test or stool ANTIGEN test)

Treatment for dyspepsia which does not meet referral criteria

7
Q
A

PAC My BAD PUG

8
Q
A
PPI 
\+
Amoxicillin
\+
Clarithromycin
\+-
Metronidazole (replaces amoxicillin)
B-cell lymphoma of MALT
Atrophic gastritis
Duodenal ulcer
PU disease
Gastric Cancer

*Mx and associations of H.Pylori *

9
Q
A

TABaCco TIPPS Proper

10
Q
A

Terlipressin
Abx (prophylaxis)
Band ligation (oesophageal; 2-weekly intervals, PPI cover)
Cyanacrylate injections (gastric bleeding)

TIPS (last resort)
Sengstaken-Blakemore tube (if current heavy bleed)
Propanolol (prophylaxis)

Mx of variceal bleeding-

11
Q
A

GooD GoD

12
Q
A

Gastric Ca.
Dieulafoys lesion (tortuous arteriole)
Gastric ulcer
Diffuse erosive gastritis

Gastric bleeding causes

13
Q
A

KIDAPPAT

14
Q
A
Koilynchia
Dimorphic picture
Angular stomatitis
Poikilocytes
Post-cricooid webs
Atrophic glossitis
Target cells
  • Iron deficiency anaemia*
15
Q
A

P2AS2

16
Q
A

Periodic Acid Schiff (granules in macrophages)
Pericarditis
Pleurisy
Arthritis
Skin changes (hyperpigmentation/photosensitivity)
Seizures (neurological signs)

Whipple’s disease

17
Q
A

STUN 7.3

18
Q
A

Staggered intake (over 1hr)
Treatment line above
Unknown time of ingestion
N-acetylcysteine

  1. 3 (pH: treat if arterial is below)
    * Paracetamol OD*
19
Q
A

A C

20
Q
A
Abx --> ERCP (obstruction)
Charcots triad (Fever, RUQ pain, Jaundice)

Ascending Cholangitis

21
Q
A

GET SMASHED

22
Q
A
Gallstones 
Ethanol 
Trauma
Steroids
Mumps
Autoimmune 
Scorpions 
Hypercalcaemia/chylomicron/TAGS/hypothermia
ERCP
Drugs

Causes of acute pancreatitis

23
Q
A

FED PaSCaL

24
Q
A
Faecal Elastase 
DM (develops 20yrs later)
Pain (on eating)
Steatorrhoea
Calcification of pancreas
Lipase levels (more specific than amylase)

Chronic Pancreatis

25
Q
A
Sulfa = MORH
-salazine = HAPIG
26
Q
A

Megaloblastic anaemia
Oligospermia
Rashes
Headaches/Heinz-body anaemia

Headache
Agranulocytosis
Pancreatitis
Interstitial nephritis
GI upset 

SEs of of sulfasalazine and mesalazine

27
Q
A

SLAR2D

28
Q
A
Schirmers test +ve
Lymphocyte ca. risk x60
ANA +ve (70%)
Ro +ve (70%)
RhF +ve (99%)
Dry mucosal surfaces