Gastrointestinal Buzzwords Flashcards

1
Q

Gingival Hypertrophy –> gingivectomy/biting on own gum

A

Side effect of CCB or phenytoin

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2
Q

bird beak appearance (and distended oesophagus)

A

achalasia

If in lower Gi imaging is a sign of bowel obstruction

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3
Q

Grey Turner’s (lumber redness) and Cullen’s sign (umbilical redness) positive

A

acute pancreatitis

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4
Q

Murphy’s sign positive

A

Cholecystitis

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5
Q

pale stools, jaundice, abdominal pain

A

biliary obstruction

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6
Q

abdominal distension, caput medusae, shifting dullness

A

portal hypertension + ascites

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7
Q

pyoderma gangernosum, erythema nodosum

A

Crohn’s/UC

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8
Q

“tinkling bowel sounds”

A

bowel obstruction

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9
Q

vesicular rash + weight loss

A

coeliac disease

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10
Q

Virchow’s node (left supraclavicular)

A

gastric cancer

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11
Q

urea breath test

A

H.Pylori

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12
Q

14C breath test

A

bacterial overgrowth

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13
Q

“rice-water” like stools

A

vibrio cholera

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14
Q

presence of AMA

A

Primary biliary stenosis

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15
Q

presence of ASMA

A

autoimmune hepatitis

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16
Q

Alpha feto protein assay

A

hepatocellular carcinoma

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17
Q

cobblestone mucosa - indicating deep fissuring ulceration of mucosa

A

Crohn’s disease

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18
Q

diuretics fro ascites (due to cirrhosis)

A

spironolactone

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19
Q

corkscrew oesophagus on barium swallow

A

diffuse oesophageal spasm

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20
Q

Sever abdominal pain _ D&V after raw milk

A

campylobacter

21
Q

Russel’s sign

A

self induced vomiting

22
Q

mallory’s hyaline bodies

A

alcoholic liver disease (acute hepatitis) and chronic active hepatitis

23
Q

Crypt abscess/cryptitis

A

inflammatory bowel Crohn’s

24
Q

onion skin fibrosis, bleeding of bile duct

A

primary sclerosing cholangitis

25
Q

signet ring cells seen on biopsy

A

linitis plastica - diffuse stomach cancer

26
Q

thumb-printing on X-ray commonly at splenic flexures

A

ischaemic colitis

27
Q

charcot’s triad

A

acute cholangitis ie fever, jaundice and abdominal pain secondary to cholelithiasis

28
Q

causes for abdominal mass?

A

A CHEMICAL

AAA
Crohn's 
Hernia 
Enlarged organ
Malignancy 
Intersusception 
Crypt or Abcess 
Appendicitis 
Lymphadenopathy
29
Q

Causes for bowel obstruction?

A
BATH VIPS 
Bolus 
Adhesions 
Tumour 
Hernia 
Volvulus 
Intersussception 
Pseudo-obstruction 
Stricture
30
Q

diarrhoea - source of infection?

A

undercooked poultry, ill grandchild

31
Q

side effect of spironolactone?

A

gynaecomastia

32
Q

dental stuff

A

indicator of recent damage, indicator of prolonged history of damage

33
Q

what type of mouth disease do people with Crohn’s have?

A

stomatis gangrenosum

34
Q

replacement of oesophagus stratified squamous epithelium by simple columnar epithelium with goblet cells

A

barrett’s oesophagus/ precancer

35
Q

duke’s classification

A

colorectal cancer
A - confined to bowel wall
B - local spread outwith bowel wall
C - lymph node metastases

36
Q

Causes of liver disease:

A
ABCDEFGHI 
Autoimmune 
hep B 
hep C 
Drugs eg paracetamol 
Ethanol 
Fatty Liver Disease (NASH - obesity) 
Growth (cancer/metastases) 
Haemodynamic eg congestive heart failure 
Infiltration [iron] (eg haemochromatosis, Wilson's disease) OR Infective
37
Q

AST raised

A

wASTed

Alcoholic liver disease

38
Q

ALT is more what than AST

A

ALT is more specific to the Liver

39
Q

Causes of pancreatitis

A
I GET SMASHED 
Idiopathic 
Gallstones 
Ethanol 
Trauma 
Steroids 
Mumps 
Autoimmune 
Scorpion Stings 
Hyperlipidaemia/hypercalcaemia 
ERCP 
Drugs
40
Q

megaloblastic anaemia

A

Cytotoxic drugs eg methotrexate
B12 deficiency
Folate deficiency

41
Q

pruritus causes

A
ITCH 
Iron deficiency anaemia/internal malignancy 
Thyroid/Type I diabetes 
CRF/Chronic liver disease 
HIV/Hereditary Haemochromatosis
42
Q

how much water is reabsorbed in the small intestine?

A

90%

43
Q

how much water is reabsorped in the large intestine?

A

10%

44
Q

malnutrition score

A

MUST score

45
Q

treatment of ascites?

A

spironolactone

46
Q

where does a femoral hernia occur

A

inferior lateral to pubic tubercle

47
Q

where does a direct inguinal hernia occur?

A

medial to pubic tubercle

48
Q

where does an indirect inguinal hernia occur?

A

lateral to pubic tubercle

49
Q

diarrhoea in AIDs/HIV

A

cryptosporidium