GI Flashcards
(26 cards)
GERD
Relaxed LES
Chronic cough
Aggravated by: obesity, EtOH, tobacco, caffeine
Tx - PPi
Esophagitis
if HIV - Candida
Zeker Diverticulum
Undigested food
Achalasia
Birds-beak on XR
Plummer-Vincent Syndrome
Fe2+ therapy
Mallory-Weiss Tear
Blood in cough and vomit
Esophageal Varices
Portal HTN!
Tx: Octreotide/fluoroquinolone, then TIPS (transjugular intrahepatic portosystemic shunt), then Bb to prevent bleeds
Dyspepsia
Scope if >55yo
Gastric CA
H. pylori!!!
Other causes - EtOH, smoking
Palpable mass
Repeat scope if gastric ulcers present to r/o CA
Pyloric Stenosis
Projectile vomiting
Olive sign
Cholecystitis
Referred pain to R shoulder
Murphy’s sign
Cirrhosis
Causes - EtOH, HepC
Pancreatitis
Evil spirits live in the pancreas. Don’t fuck with the pancreas
Epigastric pain radiating to back most common
Lipase >3x ULN
Appendicitis
Periumbilical, then RLQ
McBurney’s point
Dx is clinical!
Celiac
Tx: Gluten-free diet
Tissue transglutaminase/endomysial ABs
Diverticulosis
Risk - red meat, fat consumption
LLQ pain
Constipation
Dx - colonoscopy
Diverticulitis
Infection
Dx - CT
Tx: Augmentin, Cipro+Metronidazole
Crohn’s
Skip lesions Transmural Fistulas \+ASCA Tx: 5-ASA (mesalamine)
UC
Colon
pANCA+
Tx: 5-ASA (mesalamine)
Intussusception
Abd pain
Currant jelly stool
Vomiting
Dx Enema
IBS
pain relieved c defecation
Small Bowel Obstruction
Abd XR - dilated loop of bowel c air-fluid levels
Toxic Megacolon
> 6cm dilation
Indirect Hernia
Scrotal mass
