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Meds 2 > Gastro > Flashcards

Gastro Flashcards

(51 cards)

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1
Q

Aphthous ulcers aka? Etiology?

A

Canker sores

Stress/hormone/immuno but unknown

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2
Q

Peutz-Jeghers syndrome mucocutaneous manifestations?

A

macules appear during childhood, fade in adolescence mostly on lips and buccal mucosa

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3
Q

Peutz-Jeghers polyps symptoms/associated with?

A

obstruction, bleeding, pain

malignancy - GI, genital

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4
Q

Osler-Weber-Rendu Disease aka?

A

Hereditary Hemorrhagic Telangiectasia (HHT)

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5
Q

HHT type of disease?
Skin lesions?
Complications?

A

vascular malformation
macules 20/30yo
Epistaxis, GI hemorrhage

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6
Q

Oral manifestation of GERD?

A

erosion

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7
Q

External factors that can lead to GERD?

A

High-fat foods
smoking
medication

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8
Q

Suspect GERD, do what to confirm?

A

endoscopy

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9
Q

Alarming symptoms of GERD

A

dysphagia
weight loss
anemia

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10
Q

Lifestyle modifications to treat GERD

A

Elevate head while sleeping
No food 3h before bedtime
Stop smoking
Diet - less fat and volume, avoid acids

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11
Q

Medications for GERD

A

antacids (H2-RAs and proton pump inhibitors)

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12
Q

Solid vs Solid/Liquid Dysphagia

A

Solid: Stricture/Cancer

Solid/Liquid:
Motility
Scleroderma
Achalasia
Esophageal Spasm
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13
Q

Eval of dysphagia

A 
Radiograph imaging
Endoscopy
Motility(manometry)
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14
Q

Two types of esophageal cancer, which type assoc. with Barrets esophagus?

A

SCCA, and Adenocarcinoma

Adenocarcinoma assoc. with Barretts

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15
Q

Peptic Ulcer Disease etiology (3)

A

H. pylori
NSAIDS
Ischemia/smoking

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16
Q

PUD diagnosis

A

pain, nausea, indigestion, anorexia, early satiety, bloating

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17
Q

PUD HOW to diagnose?

A

Barium study

endoscopy

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18
Q

Recurrent rate with/out treatment of PUD?

A

VERY HGH without treatment, 10-20% with.

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19
Q

Treatment for esophageal varices?

A

banding

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20
Q

Acute pancreatitis death cause in 1 week? 2 weeks?

A

multiorgan failure, sepsis

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21
Q

Acute pancreatitis causes?

Study These Flashcards
A

Batdish

Biliary obstruction
Alcohol
Triglycerides, trauma
Drugs
Idiopathic, infectious, iatrogenic
Scorpion bite
Hereditary, hypercalcium
22
Q

How to diagnose acute pancreatitis

Study These Flashcards
A

Need 2 out of 3:

  1. Clinical - pain radiating to back, nausea/vomiting
  2. Biochemical - 3x normal of amylase or lipase (more specific and sensitive)
  3. Imaging - CT scan
23
Q

Acute pancreatitis treatment

Study These Flashcards
A

IV fluids
feeding
Underlying condition

24
Q

Chronic pancreatitis symptom diff from acute?

25
Chronic pancreatitis treatment?
supplements, surgery
26
Lactose intolerance inability to what
digest lactose because no lactase
27
Celiac sprue - sensitive to what?
immunological reaction vs gluten
28
Celiac sprue symptoms?
``` Diarrhea symptoms Steatorrhea Osteoporosis (Ca, D) Easy bruising (K) Peripheral neuropathy (B12) ```
29
How to diagnose celiac sprue?
Blood test for IgA/G | Confirm with biopsy (villous atrophy, cracked earth)
30
Celiac treatment?
Gluten free and nutritional supplementation
31
Rome III diagnostic for IBS
Recurrent Abdominal pain or discomfort at least 3 days/month in last 3 months with 2 or more: 1. improvement with defecation 2. Onset assoc. with frequency of stool 3. Onset assoc wth change in form of stool
32
IBS treatments
modify diet: reduce lactose, gas, increase fiber antispasmodic - levisin antidiarrheal - immodium Promotility - Zelnorm, Amitza
33
C difficile colitis usually after?
Abx treatment in nosocomial setting
34
Symptoms of Cdiff colitis?
Fever, bloody diarrhea, leukocytosis
35
Diagnose cdiff?
stool culture
36
Greatest abx assoc with cdiff?
cephalosporins
37
Treatment of Cdiff colitis?
Flagyl Fida Probiotics Fecal transplant
38
Inflammatory Bowel Disease (IBD) types?
Crohn's Ulcerative colitis
39
Crohn's vs Ulcerative COlitis
Crohn's - patchy inflammation of large / small bowels Ulcerative colitis - continuous ulceration, ONLY colon
40
Crohn's symptoms
pain, diarrhea, obstruction, inflammation
41
Most common site of crohn's
ileum
42
Radiographic apperance of crohn's
string sign
43
endoscopic features of crohn's
cobblestone
44
Ulcerative colitis increased risk for?
Cancer
45
Ulcerative colitis symptoms?
nocturnal, bloody urgent diarrhea
46
2 types of colon polyps?
Hyperplastic benign Neoplastic adenomatous
47
Apirin and NSAIDS and folate and Ca can do what regards to colon cancer
Inhibit progression
48
Colon cancer is # most common cancer in US?
2nd, 150K cases in US
49
Colon cancer risk factors
``` Age (>40) family history IBD Diabetes EtOH Pelvic Rad Smoking ```
50
Colon cancer protective factors
High fiber low fat Aspirin NSAIDS Statins
51
Highest location for colon cancer?
right colon ascending

Meds 2 (7 decks)

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