Flashcards in GI Deck (64)
What is the best lab test for chronic pancreatitis?
Low fecal elastase
Tumor marker for hepatocellular carcinoma?
What are the two lymph node findings associated with gastric cancer (location and name)?
-Periumbilical=Sister Mary Joseph
Treatment for Ulcerative colitis?
5-ASA (Mesalamine for small bowel disease and Sulfasalazine for large bowel disease)
Bug associated with diarrhea and pseudo-appendicitis?
Marker for Primary Biliary Cholangitis? Who gets it?
-Bitches get it
(pBc=Bitches, ladies also carry the mitochondria, which helps with remembering the antibodies...you're welcome)
What is the treatment for PBC?
What marker is associated with PSC? What does imaging show?
-beads on a string
(p=penis, beads=balls, men get this more)
What disease is associated with PSC?
What patient population is more likely to get fulminant hepatic failure if they have hepatitis E?
What types of viral hepatitis increase your risk of hepatocellular carcinoma?
Hep B and C
What meds are used for outpatient treatment of diverticulitis?
-Cipro and flagyl
-Bactrim and flagyl
Treatment for hepatic encephalopathy?
Lactulose and Rifaximin (kills bacteria that produce ammonia)
When are alcoholic cirrhosis patients eligible for liver transplant?
-abstinence from booze for 6 months
What is Budd-Chiari Syndrome? Symptoms? What is the most sensitive and specific test to diagnose it?
-thrombosis and occlusion of the hepatic vein or supra hepatic portion of the IVC
-Symptoms: ascites, jaundice, hepatomegaly +/- RUQ pain
-Hepatic venography is the most sensitive and specific (Ultrasound is the best initial test)
What SAAG score indicates portal HTN?
SAAG >= 1.1
Treatment of SBP?
-Cefotaxime or third generation cephalosporin x 5 days.
-Albumin =helps prevent hepatorenal
Lab test for suspected hemochromatosis (bronze diabetes)? Tx?
-Ferritin and Transferrin
Lab test for Wilson's? What foods should these people avoid?
-high copper food: shellfish, organ meats, chocolate, nuts, mushrooms
Markers associated with autoimmune hepatitis?
-Anti-smooth muscle Ab, Liver kidney microsomal (LKM) antibodies
Risk for hepatic adenoma?
GA LAW, C HOBBS
Sequestration of fluid
What is the treatment for Entamoeba histolytica?
Metronidazole or paromomycin
What is the treatment for Giardia lamblia?
What is the treatment for Trichinella spiralis
Albendazole or mebendazole
What is the treatment for Cryptosporidium parvum?
What tests are used to evaluate for celiac disease?
-anti-tissue transglutaminase Ab
-EGD with duodenal biopsy--> blunting of villi and hypertrophic crypts
What is the triad associated with Plummer-vinson syndrome?
Esophageal webs, dysphagia, and iron deficiency anemia
"Corkscrew" on Barium Swallow? Tx?
Diffuse Esophageal Spasm
-Tx: CCB and nitrates or TCA