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Flashcards in GI 4 Deck (36):
1

IBS can have urinary frequency and urgency

oh ok

2

Rome criteria for IBS?

Recurrent abdominal pain 3 days per month for 3 months with 2 of the following

Relief with defecation
Onset associated with change in frequency
Change in form

Need

3

IBS types include constipation type, diarrhea type, and others

oh ok

4

IBS has normal labs!

Tx options?

makes sense.

Tx:
Physican assurance. Validate patient.

Avoid gas porducing food. Avoid lactose and stuff

Fiber and PEG might help
Antidiarrheals might help. SSRIs (helps comorbid stuff)

5

Fatigue, weight loss, abdominal pain, watery diarrhea?

Fever ,abdominal tendernesss, oral ulcers

Consider chrons. WILL HAVE TEST Q ON IT

left out perianal fissures and fistulas b/c too easy

6

Transumural bowel inflammation? Skip lesions?

IT IS GUM TO BUM

Imaging shows string sign from inflammation! Skipped areas of bowel

7

Crohns tx?

Steroids for exacerbations

Azathioprine is better than methotrexate

Anti TNF alpha agents like infliximab or adalimumab

8

Crohns mnemonic

Crohn gives GIFTS

Granuloma
Ileum
Fistula and fissures
Transmural
Skip lesions

9

Tenesmus and incontinence, bloody diarrhea with weight loss and abdominal pain, think what?

UC

10

Aminosalicylate
Glucocorticoids
Immunosuppressive
Supplemental iron

oh ok

11

Primary sclerosing cholangitis is associated with what?

IBD!

12

serologic markers for IBD?

ASCA is crohn
pANCA with UC! (pANCA also found with that Churgg strauss)

13

Most common benign small bowel cancer?

Malignant?

Leiomyoma

Carcinoid

14

GI issue with pain out of proportion to their unimpressive exam?

Ischemic colitis

15

WBCs on UA can happen with appendicitis how?

It irritates ureters. So don't mess that up!

16

Appendicitis for 5 days before coming in tx/

Supportive, schedule removal for 8 weeks from there

17

Drugs for ileum?

Erythromycin for motility, neostigmine (makes sense), or metoclopramide

18

Old lady with vague recurrent abdominal pain and vomiting for 5 days?

Galltone inlets that repeated lodges and dislodges. IT GETS CAUGHT IN THE ILEUM

19

Volvulus imaging?

Double bubble (Air bubbles)

20

Pseudotumor cerebri tx?

Acetazolamide, weight loss, serial lumbar puncture

21

Diverticulitis outpatient tx?

metronidazole with fluoroquinolone (makes sense)

22

When do you admit diverticulitis?

CANT SWALLOW MEDS, old, comorbidities, immunocompromised...

23

Fistula from Crohns tx?

get disease to settle down with azothyopryine

24

First treatment of carcinoid?

Remember right sided valvular disease can happen

Octreotide to shut down affect

Cyproheptadine again (used for high 5ht)

IFN alpha can be combined with octreotide

25

Silicosis puts you at risk or what infection?

tb

26

CRC is 4-5 star topic! Adenocarcinoma is it

Hyperplastic is not precancerous

right. Villous is bad

27

What is mutated in gardner syndrome?

Lumpy bumpy gardner (colyn polyps, OSTEOMAS, soft tissue tumors)

APC gene (similar FAP)

28

Turcot syndrome has what? And what mutation?

APC

CNS tumors, Colonic adenomas

So if brain cancer and colon cancer, look for it!

29

Juvenile polyposis?

Polyps in vowels, GI bleeding. They are hamartoma

30

What is Peutz Seghers?

Hyper pigmentation of lips. Causes hamartomas!

31

Scary about HNPCC?

Nonpolyposis. Starts in proximal colon. Does not start as polyp

32

CEA is high in what?

Stomach, pancreatic, colon cancer!

33

Node involvment for CRC makes staging for what? What does it mean for treatment?

Stage III, REQUIRES CHEMO

34

CRC surveillance?

CEA every 4 months for years

CT every year for mets

Colonoscopy 1, 3, and 5 years

35

How do you decrease blood flow to stomach or esophagus?

SOMASTOSTATIN analogue like OCTREOTIDE so give it if acute bleeding!!!

also give PPI

36

GI bleed first step after stabilizing?

NG tube to see if stomach contents bloody