Flashcards in GI Deck (41):
Most common environmental factor assoc with pancreatic cancer?
Obstruction causing the gallbladder to become palpable
Often malignant neoplasm obstructing CBD
Pathogen responsible for most hepatic abscess
Klebsiella pneumoniae. (Also associate with infections of biliary tract, fatty liver disease, and DM pts.)
gnawing epigastric pain, anemia, extremity paresthesia
persistent hoarseness, dry cough, dysphagia
Left sided chest pain and anorexia
Severe chest pain, nausea, bitter "water brash"
Abdominal pain, dyspepsia, weight gain
Glycogen Storage Disorder I (Von Gierke's disease)
Auto Rec deficiency in Glucose 6 Phosphatase
*Doll Like Face*
hypoglycemia when fasting --> lactic acidosis and Kussmaul resps
Tx: cornstarch feedings
What is the best test to evaluate biliary dilatation without gallstones on US?
CT of abd with contrast
What electrolyte abnormality is the hallmark of Refeeding syndrome?
Most effective treatment for Non-Alcoholic Steatohepatitis
Zenker's diverticulum is due to what?
motor dysfunction of cricopharyngeus allowing for herniation between its muscle fibers
What are the surgical indications for diverticulitis?
Presence of a fistula
2+ attacks in the same region
Tx: Partial colectomy
What is a common cause of GI blood loss (manifesting as iron deficiency anemia) in elderly patients who have no other obvious source of bleeding?
What should you always do for a new onset dysphagia?
Booerhaave v. Mallory Weiss
Boerhaave is esophageal perforation after excessive vomiting/bulimia
Mallory Weiss is superficial mucosal tear seen in a weekend warrior
Dx. Boerhaave syndrome?
Gastrograffin swallow then Barium then EGD
Dx. Mallory Weiss?
Tx. Diffuse esophageal spasm?
Dx. for achalsia and zenker's diverticulum?
Schatski's ring keywords
surgery to lyse ring
Gold standard for confirming reflux?
24 hr esophageal pH monitoring
Barret's Esophagus has a risk of developing what ca?
Ulcer types Curling v. Cushing
"burn from curling iron"
"cushion the brain"
Gastric ca. keywords
Mucosal cell metaplasia
Signet ring cells
Virchow's (left supraclavicular) node
Most common location of a VIPoma? Keywords?
@ pancreatic tail
tea-colored watery diarrhea
Right sided colon ca. keywords
Bleed --> Iron Def. anemia
Left sided colon ca. keywords
Angiodysplasia of colon is associated with?
If there's Upper GI Bleed, what's the next dx. step?
EGD if stable
NG tube and lavage
If there's Lower GI Bleed with no bleeding, what's the next dx. step?
If there's Lower GI Bleed with medium amount of bleeding, what's the next dx. step?
Tagged RBC scan
If there's Lower GI Bleed with high bleeding, what's the next dx. step?
Labs in Biliary Tract obstruction
Increased ALKPHOS, GGT, Conjugated Bili
Jaundice, pruritus, clay stool, dark urine
Ulcerative Colitis keywords
Colon ca. (do annual colonoscopy after 8 yrs of disease)
Mucosa and submucosa inflamm.
Primary Sclerosing cholangitis (pANCA, ANA)
Tx: 5ASA, Steroids
Anti-Saccharomyces-Cervisiae Abs (ASCA)
Nephrolithiasis (IBD causes impaired fat absorption)
Tx: 5ASA, Corticosteroids, Infliximab IV (TNFa Ab), No NSAIDS.
Primary Sclerosing Cholangitis (PSC) keywords
Males with Ulcerative Colitis
Tx: Ursodiol, ERCP, Liver transplant
Most common type of colonic polyps?
Adenomatous. Have malignant potential.
Primary Biliary Cirrhosis (PBC) --> cholestasis
middle age woman
pruritus, skin hyperpigmentation,
hepatomegaly, fatigue, xanthelasma, steatorrhea
+ Anti-mitochondrial Ab (AMA)
Tx: Ursodeoxycholic Acid