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First Aid CK Rapid Review ❤️ > Gastrointestinal > Flashcards

Flashcards in Gastrointestinal Deck (33)
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1

Pt presents with sudden onset of severe, diffuse abdominal pain. Exam reveals peritoneal signs, and AXR reveals free air under the diaphram. Management?

Emergent laparotomy to repair perforated viscus.

2

The most likely cause of acute lower GI bleed in pt >40 years of age?

Diverticulosis

3

Diagnostic modality used when ultrasound is equivocal for cholecystitis

HIDA Scan

4

Risk factors for Cholelithiasis?

Fat
Female
Fertile
Forty
Flatulent

5

Inspiratory arrest during palpation of the RUQ

Murphy's Sign, seen in acute cholecystitis

6

The most common cause of SBO in pt with no history of abdominal surgery

Hernia

7

The most common cause of SBO in pt with a history of abdominal surgery

Adhesions

8

Identify Key Organisms causing Diarrhea:

Most common organism

- Campylobacter

9

Identify Key Organisms causing Diarrhea:

Recent antibiotic use

Clostridium difficile

10

Identify Key Organisms causing Diarrhea:

Camping

Giardia

11

Identify Key Organisms causing Diarrhea:

Traveler's Diarrhea

ETEC

12

Identify Key Organisms causing Diarrhea:

Church Picnics / Mayonnaise

S. Aureus

13

Identify Key Organisms causing Diarrhea:

Uncooked Hamburger

E.-Coli 0157-H7

14

Identify Key Organisms causing Diarrhea:

Fried Rice

B. Cereus

15

Identify Key Organisms causing Diarrhea:

Poultry / Eggs

Salmonella

16

Identify Key Organisms causing Diarrhea:

Raw Seafood

Vibrio

HAV

17

Identify Key Organisms causing Diarrhea:

AIDS

Cryptosporidium

Mycobacterium Avium Complex (MAC)

18

Identify Key Organisms causing Diarrhea:

Pseudoappendicitis

Yersinia

19

25 y/o Jewish man presents with pain and watery diarrhea after meals. Exam shows fistulas between the bowel and skin and nodular lesions on his tibias

Crohn's Disease

20

Inflammatory disease of the colon with the increase risk of colon cancer

Ulcerative colitis

21

Extraintestinal manifestations of IBD

Uveitis
Ankylosing Spondylitis
Pyoderma Gangrenosum
Erythema Nodosum
1 Sclerosing cholangitis

22

Medical treatment for IBD

5-ASA
Steroids during acute exacerbations

23

Difference between Mallory-Weiss and Boerhaave Tears

Mallory Weiss- Superficial tear in esophgeal mucosa

Boehaave- Full thickness esophageal rupture

24

Charcot's Triad

RUQ Pain
Jaundice
Fever / Chills

in setting of Adscending Cholangitis

25

Reynold's Pentad

Charcot's Triad plus

Shock
Mental Status Change

26

Medical Treatment for Hepatic Encephalopathy

Decrease protein intake
Lactulose
Rifaximin

27

First step in the management of patient with an acute GI bleed

Establish the ABCs

28

Four year old child presents with Oliguria, petechiae and jaundice following an illness with bloody diarrhea. Most likely diagnosis and cause?

Hemolytic-Uremic Syndrome (HUS) due to E-Coli 0157-H7

29

Post HBV exposure treatment

HBV Immunoglobulin

30

Classic Causes of drug induced hepatitis

TB Meds (INH, Rifampin, Pyrazinamide)
Acetaminophen
Tetracycline