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Year 1 EMQ revision > GI > Flashcards

Flashcards in GI Deck (24):
1

Colicky loin pain radiating to groin

Ureteric colic

2

Jaundice and constant right upper quadrant pain

Biliary colic

3

Severe epigastric pain radiating to back associated with vomiting

Acute pancreatitis

4

Periumbilical pain radiating to right iliac fossa

Acute appendicitis

5

Central abdominal pain, expansile pulsatile mass

Abdominal aortic aneurysm

6

Iliac fossa pain, positive pregnancy test

Ectopic pregnancy

7

Asterixis (liver flap)

Hepatic encephalopathy

8

Leukonychia

Hypoalbuminaemia

9

Koilonychia

Iron-deficiency aenemia

10

Angular Stomatitis

Iron-deficiency aenemia

11

Buccal pigmentation

Peutz-jeghers disease
Addison's disease

12

Glossitis

Vitamin B12 deficiency

13

Aphthous ulceration

IBD
Coeliac Disease

14

Expansile pulsatile mass

aneurysm

15

Craggy hepatomegaly

liver malignancy

16

Signs of chronic liver disease

Clubbing
Flapping tremor
Dupuytren’s contracture
Palmar erythema*
Gynaecomastia
Spider naevi*
Splenomegaly*
Testicular atrophy
Ascites*
Encephalopathy*

*all happen in acute failure too

17

Early onset emphysema is associated with...

􏰆1-Antitrypsin deficiency

18

Pigmentation and diabetes is associated with...

Haemochromatosis

19

Dysarthria, dyskinesia, dementia and kayser-fleischer ring is associated with...

Wilson's disease

20

Middle-aged woman presents with: Pruritus, jaundice, pigmentation Anti-mitochondrial antibody (AMA) positive

Primary biliary cirrhosis

21

Primary biliary cirrhosis is associated with rheumatoid arthritis and therefore... (list associated conditions)

Sjögren’s syndrome
thyroid disease
keratoconjunctivitis
sicca
renal tubular acidosis
membranous glomerulonephritis

22

Usually middle-aged man, presents with: Pruritus, jaundice, abdominal pain
↑ ALP (alkaline phosphatase), AMA negative
Associated with inflammatory bowel disease (especially ulcerative colitis)

Primary sclerosing cholangitis

23

Describe Chron's Disease

Can affect anywhere between mouth and anus Weight loss, diarrhoea, abdominal pain Strictures, anal fistulae
Barium enema: ‘cobble-stoning’
‘Rose-thorn’ ulcers
Granulomas

24

Describe ulcerative colitis

Only affects colon
Diarrhoea with blood and mucus
Fever, tachycardia, toxic megacolon in severe acute UC
Barium enema: loss of haustra Sigmoidoscopy: oedematous, friable mucosa