Flashcards in GI Deck (41)
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1
Most common environmental factor assoc with pancreatic cancer?
Smoking
2
Courvoisier Sign
D/t?
Obstruction causing the gallbladder to become palpable
Often malignant neoplasm obstructing CBD
3
Pathogen responsible for most hepatic abscess
Klebsiella pneumoniae. (Also associate with infections of biliary tract, fatty liver disease, and DM pts.)
4
Gastritis
gnawing epigastric pain, anemia, extremity paresthesia
5
GERD
persistent hoarseness, dry cough, dysphagia
6
Gastric ulcer
Left sided chest pain and anorexia
7
Esophagitis
Severe chest pain, nausea, bitter "water brash"
8
Duodenal ulcer
Abdominal pain, dyspepsia, weight gain
9
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
10
What is the best test to evaluate biliary dilatation without gallstones on US?
CT of abd with contrast
11
What electrolyte abnormality is the hallmark of Refeeding syndrome?
HyPOPhosphatemia
12
Most effective treatment for Non-Alcoholic Steatohepatitis
Weight loss
13
Zenker's diverticulum is due to what?
motor dysfunction of cricopharyngeus allowing for herniation between its muscle fibers
14
What are the surgical indications for diverticulitis?
Tx?
Presence of a fistula
perforation
2+ attacks in the same region
Tx: Partial colectomy
15
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?
Angiodysplasia
16
What should you always do for a new onset dysphagia?
Upper endoscopy
17
Booerhaave v. Mallory Weiss
Boerhaave is esophageal perforation after excessive vomiting/bulimia
Mallory Weiss is superficial mucosal tear seen in a weekend warrior
18
Dx. Boerhaave syndrome?
Gastrograffin swallow then Barium then EGD
19
Dx. Mallory Weiss?
EGD
20
Tx. Diffuse esophageal spasm?
CCB, Nitrates
21
Dx. for achalsia and zenker's diverticulum?
barium swallow
22
Schatski's ring keywords
steakhouse dysphagia
barium swallow
surgery to lyse ring
23
Gold standard for confirming reflux?
24 hr esophageal pH monitoring
24
Barret's Esophagus has a risk of developing what ca?
Adenocarcinoma
25
Ulcer types Curling v. Cushing
"burn from curling iron"
"cushion the brain"
26
Gastric ca. keywords
Mucosal cell metaplasia
Signet ring cells
Virchow's (left supraclavicular) node
27
Most common location of a VIPoma? Keywords?
@ pancreatic tail
tea-colored watery diarrhea
hypOkalemia, hypochlorhydria
28
Right sided colon ca. keywords
Bleed --> Iron Def. anemia
+ Melena
29
Left sided colon ca. keywords
Apple core
Obstructing
Pencil stool
Hematochezia
30
