GI Flashcards Preview

Integrative Week Two > GI > Flashcards

Flashcards in GI Deck (66):
1

Mesenteric Ischemia

Pain out of proportion to exam
older person with CAD

2

Ectopic pregnancy

younger woman, sudden lower abdominal pain

3

chronic discharge and lower abd pain

PID

4

nephrolithiasis

paroxysmal, can't sit still, hematuria

5

Volvulus

older person, debilitated, abd distention
massive colon on x ray

6

Diverticulitis

older person, LLQ pain, fever

7

Intussusception

1-2 year old
intermittent, jelly like stools

8

Causes of chronic pancreatitis

alcohol, gall stones
hypertriglyceridemia
hypercalcemia

9

Causes of acute pancreatitis

HCTZ, exenatide, valproic acid

10

consquences of chronic pancreatitis

calcifications

11

consequences of acute pancreatitis

pseudocysts
necrosis

12

cause of biliary colic

CCK, makes GB contract

13

5-HIAA

carcinoid
flushing

14

Zollingerr-Ellison

elevated gastrin

15

most common cause of traveler's diarrhea

E coli

16

most common cause of food poisioning (immediate, w/ vomitting)

S. aureus

17

cholera

shellfish, watery, travel, low K

18

HIV and chronic diarrhea

cryptosporidium
Giardia
isospora
cyclospora
CMV

19

chronic steatorrhea

celiac dz

20

Strongdyloides

outdoor exposure
eosinophils

21

fever, RUQ pain, palpable gallbladder

cholangitis
common bile duct stone

22

hemolytic anemia

mild jaundice
elevated LDH, reticulocyte count
perpiheral smear findings

23

Gilberts

asymptomatic unconjugated hyperbilirubinemia
deficiency of glucuronyltransferase

24

breast milk and vitamin def

vitamin D

25

wilson's disease

low ceruloplasmin
liver disease, altered mental status, young person

26

Hemochromatosis

HFE genotype
diabetes, CHF, liver dz, skin or testicular findings

27

PBC

40ish woman, itching, liver dz
high alk phos
anti mitochondrial Abs

28

Autoimmune hepatitis

40ish woman, jaundice
very high transaminases
anti-smooth muscle Abs, Anti-LKM

29

HbsAg
anti-HBc IgM

Acute Hep B

30

HBsAg
anti-HBc IgG

chronic Hep B

31

Anti-HBs
anti-HBc IgG

recovery from hep B

32

Anti-HBs

immunization with HBsAg

33

AST/ALT ration >2

alcoholic hepatitis

34

Crohn's

transmural inflammation
skip lesions, fistulas
noncaseating granulomas

35

Ulcerative Colitis

bloody diarrhea
toxic megacolon

36

IBD Extraintestinal manifestations

sclerosing cholangitis, uveitis, arthritis, colon cancer risk
erythema nodusum
pyoderm gangrenosum

37

erythema nodosum

red nodules on shins

38

pyoderma gangrenosum

necrosis
purple red borders

39

dysphagia with solids and liquids
vomit undigested food

achalasia
decreased ability of LES to relax

40

psoas sign

resist active extension of hip

41

varices - what bleeds

left gastric vein
azygos vein

42

bleeding duodenal ulcer - cause

gastroduodenal artery

43

Familial Adenomatous polyposis

100 polyps at young age
high malignant potential

44

Gardner's Syndrome

associated with osteomas, dental, lipomas/skin, ampullary cancers, retinal pigment hypertrophy
SMALL INTESTINE

45

Nonpolyposis syndrome/Lynch

proximal LARGE INTESTINE
assoc. with endometrial/ovarian tumors

46

Peutz-Jegher's syndrome

SI, LI, stomach polyps
mucocutaneous pigmentation
ovary/breast/uterus/pancreas

47

Juvenile polyposis

LI, SI, stomach polyps - malignancy, rare
hamartomas
congenital abnormalities

48

N-acetylcystein

acetaminophen OD
restores glutathione as precursor
binds NAPQ1

49

Budd-Chiari

hepatic vein obsturction
OCP, onset of ascites

50

MTX AE

hepatic fibrosis

51

Metoclopromide AE

tardive dyskinesia

52

tardive dyskinesia

smacking lips
tongue protrudes
limbs, tics
torticollis

53

Nitrofurantoin, minocycline

autoimmune hepatitis

54

Hirschsprung

don't pass meconium
failure of neural crest migration

55

Duodenal atresia

down syndrome
abd distention/vomitting day 1
double bubble on x ray

56

Mecklet's diverticulum

<10 years old
painless lower GI bleed w/o diarrhea

57

Galactosemia

days old infant
jaudnice, HSM
e coli sepsis, low glucose, urine reducing substances

58

Tracheo-esophagela fistula

newborn
coughing/chocking in feeds
aspiration pneumonia

59

Pyloric Stenosis

5-6wk old infant
forceful postprandial vomitting
alkalosis, low Cl

60

Vit Be/niacin def

dermaitis
demetnia
diarrhea

61

Vit A def

night blindness

62

excess retinol

teratogenic

63

Vitamins that cause peripheral neuropathy

vitamin B1 - thiamine
vitamin B6 - pyrodixine
vitamin B12

64

Vit C def

swollen gums
poor wound healing
bruising

65

Vit K def

neonatal hemorrhage

66

Vit D def

rickets
breast fed