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Flashcards in GI Deck (29)
1

Barret's Esophagus

precancerous cellular composition change at GE junction due to untreated GERD

2

Sjogren's syndrome

autoimmune syndrome where WBCs attack salivary and lacrimal glands causing dry eye and dry mouth

3

Achalasia

incomplete lower esophageal sphincter relaxation, increased tone, and decreased peristalsis

4

Eosinophilic esophagitis

allergen (food/inhaled), causing reaction, inflammation then esophageal fibrosis

5

Schatzki's Ring

"Steakhouse syndrome", GE junction narrowing,intermittent difficulty swallowing solid food

6

Most common cause of duodenal ulcers

H. Pylori

7

Most common cause of gastric ulcers

NSAIDs

8

Zollinger Ellison syndrome

pancreatic tumor that stimulates acid-secreting cells in the stomach to maximal activity of gastrin causing ulcers

9

Classic duodenal ulcer symptom

absence of food buffer, 2-5 hours post-prandial (11pm-2am) "hunger pain"
Pain relieved by eating
Gnawing midline (or slightly to the right) pain

10

Common cause of small bowel obstruction in young patients without history of abdominal surgeries

Hernia

11

Most common cause of small bowel obstruction for surgical patients

Adhesions due to multiple abdominal surgeries

12

Most common cause of large bowel obstruction/perforation

colon cancer

13

Epigastric pain shooting to the back

Pancreatitis

14

Intermittent severe abdominal pain, diarrhea, and joint pain

Crohns

15

Gastric Ulcer risks and S/S

pain is midline or just to the left
Age >55
GI discomfort with eating
Pain stays with standard treatment
high risk for malignancy

16

PUD management

PPIs are superior
H. Pylori eradication:
MOC- metronidazole+ omeprazole + clarithromycin
AOC- amoxicillin+ omeprazole+ clarithromycin
MOA- metronidazole+ omeprazole+ amoxicillin

17

Indications fo EGD

B- Bleeding
O- odynophagia (painful swallowing)
W- weight loss
E- early satiety
D- Dysphagia

18

Hepatitis A & E (enteral types)

Oral/fecal
Incubation 2-6 weeks

19

Hepatitis B, C, D, G (parenteral types)

Blood/Body fluids
incubation 6 weeks-6 months

20

Diverticulitis

LLQ symptoms
Stools is heme negative typically
Trx: abx, bowel resect, bed rest

21

Murphy's sign

pain upon palpation of RUQ causing quick inspiration and cessation of breath
Indicates cholecystitis

22

Cullen's Sign

bluish discoloration around umbilicus
suggestive of retroperitoneal bleed secondary to pancreatitis

23

Grey-Turner sign

reddish-brown discoloration along flanks
Associated with pancreatitis

24

diagnostic radiograph of SBO

horizontal pattern

25

diagnostic radiograph of Large bowel obstruction

frame pattern

26

Obtruator sign

internal rotation of right knee and hip causes pain with appendicitis

27

McBurney's sign

RLQ pain characteristic of appendicitis

28

Ranson criteria

Tool for predicting the prognosis for pancreatitis

It is evaluated at admission and again 48 hours later.
7 risk factors = 100% mortality

29

Alvarado Score

Appendicitis scoring
Right lower quadrant tenderness, fever, rebound tenderness, pain radiates to RLQ, anorexia, N/V, leukocytosis, leukocyte left shift