Flashcards in GI Deck (6):
Alcoholic with elevated Bilirubin.
Fractionated Bili showed elevated Indirect bili/unconjugated.
Gilbert's syndrome - MC inherited disorder that causes unconjugated hypebilirubinemia
- defect in UGT1A1 - responsible for conjugation of bilirubin with glucoronic acid
IBS- irritable bowel syndrome- patient who tried Dicyclomine (Bentyl) already
What other medication?
Amitryptyline (TCA) - good for IBS
Elderly with crampy lower abdominal pain and bloody diarrhea
Cause of bleeding?
Patient with notable ALT elevation and normal AST. CMP, CBC and HBSAg, and Hep C normal. Not alcoholic or does not take any meds that can harm liver.
Screen for Hemochromatosis
Do Iron Studies
Characteristic of Crohns compared to UC?
Spares the Rectum