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Flashcards in GI 3 Deck (13):
1

suspect pancreatic adenocarcinoma. workup?

if jaundice, do US (b/c at head)
if no jaundice, do CT (b/c at tail)

2

multiple liver lesions. next step?

colonoscopy

3

biggest modifiable risk factor for pancreatic cancer

smoking

4

alcoholic hepatitis labs other than AST and ALT

incr GGT
incr bilirubin
incr INR

5

features of PBC

pos AMA
jaundice
hepatomegaly
steatorrhea
hyperlipidemia
thyroid disease

6

anti smooth muscle Ab

autoimmune hepatitis

7

dx and tx of carcinoid

5-HIAA
octreotide, surgery for liver mets

8

indications for TIPS

portal hypertension (variceal hemorrhage, ascites)
hepatorenal syndrome

9

management of hepatic encephalopathy

tx volume depletion and electrolyte abnormalities (like hypokalemia)
lactulose, lactitol
rifaximin

10

small intestinal bacterial overgrowth
- sxs
- associations

flatulence
bloating
diarrhea

anatomical abnormalities (surgery, strictures)
motility disorders (DM, scleroderma)

11

causes of positive urine bilirubin

hepatic dysfunction
biliary obstruction
defective hepatic bilirubin secretion

(buildup of conjugated bilirubin leaks into urine)

12

causes of positive urine urobilinogen

excess hemolysis

(normally urobilinogen in feces, and 1% in urine.. but excess hemolysis overcomes that ability)

13

ursodeoxycholic acid used to treat

cholesterol gallstones in people not surgical candidates
PBC and PSC