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Flashcards in Gastro Deck (110):
1

Villous atrophy, crypt hyperplasia and lymphocyte infiltration

Coeliac disease

2

Bile stained vomitus

Small bowel obstruction

3

Pointing sign

PUD

4

Vomit 10 times then last one had blood

Mallory-Weiss tear

5

Projectile vomiting in kid

Pyloric stenosis

6

RUQ pain, fever, jaundice

Charcot's triad of ascending cholangitis

7

Cullen's sign

Necrotising pancreatitis

8

Anti-SMA

Autoimmune hepatitis

9

AMA (anti-mitochondrial antibodies)

Primary biliary cirrhosis

10

IgA deficiency

Coeliac disease

11

Beading on ERCP

Primary sclerosing cholangitis

12

Grey-Turner's sign

Necrotising pancreatitis, retroperitoneal bleeding

13

Anti-endomysial antibodies

Coeliac disease

14

Serum ceruloplasmin

Wilson's disease

15

Perls/Prussian blue stain

Haemochromatosis (staining for iron)

16

Skip lesions, cobblestoning

Crohn's disease

17

Murphy's sign positive

Cholecystitis

18

Elevated lipase/amylase

Pancreatitis

19

AST:ALT >2:1

Alcoholic liver disease

20

Painless jaundice

Head of pancreas carcinoma (Courvoisier's sign)

21

Liver cirrhosis with lung disease

Alpha 1 anti-trypsin deficiency

22

Positive slipping sign

Lipoma

23

Kayser-Fleischer rings

Wilson's disease

24

Apple-core sign

Colorectal cancer

25

Diarrhoea and PR bleeding following usual constipation

Diverticulitis

26

Early satiety and constitutional symptoms

Gastric cancer

27

Transmural inflammation

Crohn's disease

28

Anti-transglutaminase or anti-gliadin

Coeliac disease

29

String sign on barium enema

Crohn's disease

30

Pseudopolyps

Ulcerative colitis

31

Lump below inguinal ligament which disappears upon lying down with distended veins

Saphena varix

32

Coffee bean appearance on X-ray

Sigmoid volvulus

33

Corkscrew oesophagus

Diffuse oseophageal spasm OR presbyoesophagus

34

Rokitansky-Aschoff sinus

Chronic cholecystitis

35

Prophylactic drug against SBP

Bactrim 2nd line - norfloxacin

36

Leather bottle stomach

Diffuse stomach cancer

37

Blood in the stool with changing bowel habit

Colorectal cancer

38

Pneumonuria

Fistula formation (Crohn's disease)

39

Ringed oesophagus

Eosinophilic oesophagitis

40

Toxic megacolon as a complication

Ulcerative colitis

41

Signet ring cells

Gastric cancer

42

Thumb printing

Ulcerative colitis On AXR, due to oedema

43

CEA

Colorectal cancer Monitoring

44

CA 19-9

Pancreatic cancer

45

Macronodular cirrhosis

Typically hepatitis

46

Micronodular cirrhosis

Typically alcoholic liver disease

47

Alternating between constipation and diarrhoea

IBS

48

Lead pipe sign

Ulcerative colitis

49

Dysphagia post antibiotic use

Oesophagitis caused by doxycycline

50

Fried rice

Bacillus cereus

51

Diarrhoea and vomiting 1-6 hours after ingestion of food that has been 'left around'

Staph. aureus

52

Chronic, offensive, watery diarrhoea

Giardia lamblia

53

Diarrhoea post abx use

C. difficile Pseudomembranous colitis

54

Subacute, worsening diarrhoea with jaundice

Entamoeba histolytica

55

Rice-water stools

Vibrio cholerae

56

Diarrhoea with neurological motor symptoms

Campylobacter jejuni

57

Diarrhoea in an HIV positive patient

Shigella OR cryptosporidium

58

Bloody diarrhoea after eating chicken

Salmonella typhi

59

Bloody diarrhoea in nursing home

E. coli

60

Pain on defecation and skin tag

Anal fissure

61

Micronodular cirrhotic liver node

Hepatocellular carinoma

62

Malabsorption and painful blisters on the skin

Coeliac disease (Dermatitis herpeteformis)

63

Track marks

IVDU

64

Nutmeg liver

RHF/paracetamol overdose

65

a-fetoprotein

Hepatocellular carcinoma

66

Mallory hyalin

Alcoholic liver disease, NASH

67

Jaundice, xanthelasma and pruritis

Primary biliary cirrhosis

68

Epigastric pain relieved by eating

Duodenal ulcer

69

Epigastric pain aggravated by eating

Peptic ulcer

70

Multiple duodenal ulcers unresponsive to antacids

Gastrinoma (Zollinger-Ellison syndrome)

71

Obese man with dry cough after URTI, worse with eating

GORD

72

Liver mass and lethargy after working on a farm

Hydatid cyst

73

Ascites and lower thigh paraesthesia

Meralgia paraesthetica

74

Associated with PSC

UC

75

Hepatomegaly + abdominal pain + ascites + hypercoagulable state

Budd-Chiari syndrome

76

Sentinel loop + absent psoas shadow on AXR

Acute pancreatitis

77

Constipation + PR bleeding + dark freckles on skin and mucosa

Peutz-Jeghers syndrome

78

Scrotal swelling with impalpable testis

Hydrocoele

79

Rx rectal carcinoma with anal inolvement

Abdominoperineal resection

80

Rx perforated sigmoid

Hartmann's

81

Rx toxic megacolon

Subtotal colectomy with ileostomy

82

Porcelain gallbladder

Gallbladder carcinoma (calcification)

83

Haematemesis in burns patient

Gastric erosions (Cushings stress ulcer)

84

Superficial ulceration with chronic inflammatory infiltrate, goblet cell depletion and crypt abscesses

Crohn's disease

85

Chronic pancreatitis + epigastric mass + epigastric pain + vomiting

Pancreatic pseudocyst

86

Dark gastric lesion in HIV patient

Kaposi's sarcoma

87

Punched out ulcer

Chronic peptic ulcer

88

Positive CLO

H. pylori

89

Succession splash

Pyloric stenosis

90

Hernia through the semilunar line

Spigelian hernia

91

Renal colic in patient with resection of terminal ileum

Oxalate stones

92

Eye involvement in IBD

Iritis/anterior uveitis

93

Hernia lateral to inferior epigastric vessels

Indirect hernia

94

Diarrhoea mimicking appendicitis

Yersinia enterolytica

95

Diarrhoea causing HUS in a child after eating raw beef

EHEC

96

Abdominal pain with meals in a known arteriopath 

Ischaemia

97

Lesion 60cm from ileocaecal valve (Gamma camera)

Meckel's diverticulum

98

Jaundice + dementia

Wilson's disease

99

Jaundice with positive p-ANCA

PSC

100

Elderly with chronic constipation, pain on defecation and tenesmus

Rectal prolapse

101

Small painless lump under healing sutures

Resolving haematoma

102

PAS showing cytoplasmic granules in hepatocytes

Alpha 1 antitrypsin deficiency

103

Car salesman

Alcoholism

104

DRUG SE: antacid causing constipation

Aluminium salt

105

DRUG: acute UC

IV hydrocortisone

106

DRUG: IBS

Hyoscine OR mebeverine

107

DRUG SE: antacid causing diarrhoea

Magnesium salt

108

DRUG SE: vaginal bleeding, diarrhoea

Misoprostol

109

DRUG SE: gynaecomastia (7)

Cimetidine, cannabis, digoxin, spironolactone, cyproterone, oestrogen "Beware the dyspeptic hippie with atrial fibrillation, heart failure and carcinoma of the prostate"

110

DRUG: induction drugs for UC

  • Mesalazine +5-aminosalicylate
  • Hydrocortisone (severe)