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Flashcards in GI 3 Deck (28):
1

Why more likely to surgical repair paraesophageal hiatal than sliding hiatal hernia?

B/c risk of incarceration/strangulation

2

Type A gastritis is what?

AUTOIMMUNE against parietal cells, NEED TO GIVE B12

3

Type B gastritis tx?

PPI, clarithro with amoxi for H pylori

4

Duodenal ulcer almost diagnostic of what?

H PYLORI

5

Gastric ulcer hurts when?

shortly after eating

6

Gastric ulcer kinds? Think if burn or intracranial?

So what is common in burn unit?

Curling (hot iron burn)
Cushing (pressure is crushing)

Give ulcer prophylaxis! Basically give them if people in stressful hospitilaztion

7

What do you do if no response to antacid treatment?

DO SERUM GASTRIN INVESTIGATION

8

What is zollinger ellison syndrome?

H and P?

from GASTRIN producing tumor

Located in duodenum or pancreas

Ulcers not responding

Lab:
Fasting gastrin level
Secretin stimulation test

9

What is secretin stimulation test?

For ZE syndrome

CAUSES INCREASE IN GASTRIN RELEASE IN ZOLLINGER ELLISON

10

ZE tx?

PPI h2 blocker, octreotide if PPI needs help

NEEDS RESECTION
Look out for MEN1

11

GAstric cancer, always biopsy around ulcer!

Oh ok

12

What is Virchow's node? What is sister mary joseph node?

KNOW THIS

Virchow is L supraclavicular

Periumbilical node is sister mary joseph

For gastric cancers!!

13

Gastric cancer marker?

CEA

14

Stomach cancer surgerY?

If lower third, partial gastrectomy.

If first 2/3, remove the entire thing

15

Branching rods are what?

Actinomyces

16

Antiendosomysial?

Antibodies in celiac (along with antiTGA)

17

Tx of refractory celiac?

Steroids

18

Tropical sprue can present years after leaving tropics.

History? Labs? Tx?

It looks like celiacs but no antibodies

Has megaloblastic anemia

Tx: folic acid (think get rid of megaloblastic anemia and improve it)

Tetracycline helps it too for some reason or sulfas

19

Whipple disesase dx and tx?

History of white person with diarrhea, wasting, STEATORRHEA (OF COURSE FATTY B/c IT IS FOAMY MACROPHAGE), arthrtalgia...

Biopsy of jejunum is foamy macrophage

Ceftriaxone and BACTRIM for longt ime

20

D xylose?

test carb absorption (pancreatic insufficiency won't effect)

21

Sedan stain?

For fat in stool

22

Tests of shit for pancreatic insufficiency?

abnormal sedan (fat)
Normal d xylose (sugar absorbed normally)

23

Bloody bacteria or fever or lasting five days?

CONSIDER bacteria or protozoan or parasite

24

Inflam diarrhea think what?

IBD

25

Osmotic diarrhea, think what?

Celiac or tropical sprue and much more or things not obsorbed

26

Fatty diarrhea think what?

Pancreatic insufficiency or whipple disease

27

Osmotic gap of diarrhea: if less than 50 it is what? If more than 125 it is what? Formula?

KNOW!!!

Secretory less than 50, osmotic more than 125 is osmotic (duh)

290 - 2(Na+K)

28

Secretory diarrhea causes?

Lots of them, but consider infection, IBS, laxative