Gastroenterology

Question 1

What conditions cause pancreatitis?

Answer 1

G-Gall stones (50%)
E-Ethanol
T-Trauma
S-Steroids
M-Mumps/coxsackie B (viral-4%; CMV, HIV, varicella, toxoplasmosis)
A-Autoimmune(IgG4 related disease)
S-Scorpion sting
H-Hyperlipidaemia, Hypertriglyceridaemia, hypercalcaemia, hyperparathyroidism, hyperglycemia (DM)
E-ERCP
D-Drugs(azathioprine, OCPs, ARVs, fibrates, thiazide diuretics)

Question 2

Middle aged man presents 6 weeks post management of acute pancreatitis with persistent LUQ and epigastric pain, intermittent nausea, vomiting, fever, and a mass in the epigastrum. There is also elevated CRP, amylase, lipase, and creatinine. What is the diagnosis?

Answer 2

Pancreatic pseudocyst

Question 3

41 year old man presents with malodorous bulky diarrhoea which started concurrently with symptoms of pneumonia(treated) 3 weeks ago. There is currently progressive arthralgia. What is the appropriate test for a definitive diagnosis?

Answer 3

Small-bowel barium follow-through and biopsy of small intestine. (For Whipple’s disease)

Question 4

What condition is H.pylori infection mostly associated with?

Answer 4

Duodenal ulcer(90%)

This is followed by Gastric ulcer (80%)