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Flashcards in GI Deck (64)
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1

What is the best lab test for chronic pancreatitis?

Low fecal elastase

2

Tumor marker for hepatocellular carcinoma?

AFP

3

What are the two lymph node findings associated with gastric cancer (location and name)?

-Left supraclavicular=Virchow's
-Periumbilical=Sister Mary Joseph

4

Treatment for Ulcerative colitis?

5-ASA (Mesalamine for small bowel disease and Sulfasalazine for large bowel disease)

exacerbations=steroids

5

Bug associated with diarrhea and pseudo-appendicitis?

Yersinia

6

Marker for Primary Biliary Cholangitis? Who gets it?

-Anti-mitochondrial antibodies
-Bitches get it
(pBc=Bitches, ladies also carry the mitochondria, which helps with remembering the antibodies...you're welcome)

7

What is the treatment for PBC?

Ursodeoxycholic acid

8

What marker is associated with PSC? What does imaging show?

-pANCA.
-beads on a string

(p=penis, beads=balls, men get this more)

9

What disease is associated with PSC?

Ulcerative colitis

10

What patient population is more likely to get fulminant hepatic failure if they have hepatitis E?

Preggos

11

What types of viral hepatitis increase your risk of hepatocellular carcinoma?

Hep B and C

12

What meds are used for outpatient treatment of diverticulitis?

-Cipro and flagyl
-Bactrim and flagyl
-amoxicillin-clavulonate

13

Treatment for hepatic encephalopathy?

Lactulose and Rifaximin (kills bacteria that produce ammonia)

14

When are alcoholic cirrhosis patients eligible for liver transplant?

-abstinence from booze for 6 months

15

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)

16

What SAAG score indicates portal HTN?

SAAG >= 1.1

17

Treatment of SBP?

-Cefotaxime or third generation cephalosporin x 5 days.
-Albumin =helps prevent hepatorenal

18

Lab test for suspected hemochromatosis (bronze diabetes)? Tx?

-Ferritin and Transferrin
-Tx: phlebotomy

19

Lab test for Wilson's? What foods should these people avoid?

-Low ceruloplasmin
-high copper food: shellfish, organ meats, chocolate, nuts, mushrooms

20

Markers associated with autoimmune hepatitis?

-Anti-smooth muscle Ab, Liver kidney microsomal (LKM) antibodies

21

Risk for hepatic adenoma?

OCP

22

Ranson criteria?

GA LAW, C HOBBS
Glucose
AST
LDH
Age
WBC

Ca2+
Hematocrit
Oxygen
BUN
Base deficit
Sequestration of fluid

23

What is the treatment for Entamoeba histolytica?

Metronidazole or paromomycin

24

What is the treatment for Giardia lamblia?

Metronidazole

25

What is the treatment for Trichinella spiralis

Albendazole or mebendazole

26

What is the treatment for Cryptosporidium parvum?

Nitazoxanide

27

What tests are used to evaluate for celiac disease?

-anti-tissue transglutaminase Ab
-Anti-gliadin Ab
-Anti-endomysial Ab

-EGD with duodenal biopsy--> blunting of villi and hypertrophic crypts

28

What is the triad associated with Plummer-vinson syndrome?

Esophageal webs, dysphagia, and iron deficiency anemia

29

"Corkscrew" on Barium Swallow? Tx?

Diffuse Esophageal Spasm
-Tx: CCB and nitrates or TCA

30

What is Barrett's esophagus?

Metaplasia of the columnar cells of the distal esophagus