Gastro/hepatology

Question 1

Movement disorder in children a/w pain from GERD causing paroxysmal dystonic movements, particularly arching of back/head which can resemble seizures, usually triggered by feeding problems is called …

Answer 1

Sandifer syndrome
- can be seen more in children with neurodevelopmental issues

Question 2

Important gastro complication of HSP and treatment?

Answer 2

Intussusception
Hydrostatic reduction/ surgical reduction of affected bowel if fails

Question 3

Histology in coeliac disease, most specific finding

Answer 3

Intraepithelial lymphocytosis

(Also Villous Atrophy, crypt hypertrophy but not specific)

Question 4

Antigens associated with coeliac disease

Answer 4

HLA DQ2
HLA DQ8

Question 5

I GET SMASHED for pancreatitis

Answer 5

Idiopathic

Gallstones
ETOH
Trauma

Scorpion bite
Mumps (RNA virus); other viruses: coxsackie, hep, HIV, EBV, CMV
Autoimmune eg SLE, JIA
Steroids
Hypercalcaemia
ERCP
Drugs eg NSAIDs