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Flashcards in GI Deck (151)
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1

Pt presents with sudden onset severe, diffuse abd pain. Exam: peritoneal signs, AXR reveals free air under diaphragm. Management?

Emergent laparatomy to repair perforated viscus

2

Most likely cause of acute lower GI bleed in pts > 40

Diverticulosis

3

Dx modality used when US equivocal for cholecystitis

HIDA

4

Risk factors cholithiasis

Fat
Female
Fertile
Forty
Flatulent

5

Inspiratory arrest during palpation of RUQ

Murphys' acute cholecystitis

6

Most common cause SBO in pts with no Hx abd surg

Hernia

7

Most common cause SBO in pts with Hx abd surg

Adhesions

8

Diarrhea bug: most common
Tx

Campylobacter
Erythromycin

9

Diarrhea bug: recent abx

C diff

10

Diarrhea bug: camping

Giardia

11

Diarrhea bug: Traveler's

ETEC

12

Diarrhea bug: Church picnics/mayo -room temp food
-Mechanism of infection

S aureus

Preformed toxin

13

Diarrhea bug: Uncooked hamburgers
Tx

E coli O157: H7
Abx may worsen due to toxin release as bugs die so hydrate

14

Diarrhea bug: fried rice

Bacillus cereus

15

Diarrhea bug: poulty/eggs

Salmonella
Campy - 2nd most common

16

Diarrhea bug: raw seafood

Vibrio cholerae (COPIOUS WATERY DIARRHEA), HAV

17

Diarrhea bug: AIDS

Isospora
Crypotosporidium
MAC

18

Diarrhea bug: Pseudoappendicitis

Yersinia

19

25 yo Jewish man presents with pain and watery diarrhea after meals, Exam shows fistulas between bowel and skin and nodular lesions on tibias

Crohns

20

Inflammatory disease of colon with inc risk colon CA

UC

21

Extraintestinal manifestations of IBD

Uveitis
Ankylosing spondylltis
Pyoderma gangrenosum
Erythema nodosum
Primary sclerosing cholangitis

22

Tx IBD

5ASA and steroids during exacerbation

23

Difference Mallory Weiss vs Boerhaave

Malloary: superficial in mucosa
Boerhaave: full thickness rupture

24

Charcot's triad

RUQ pain
Jaundice
Fever/chills

--Signs of ascending cholangitis

25

Reynold's pentad

Charcot's triad +
Shock
Mental status change

--Signs of suppurative ascending cholangitis

26

Medical Tx hepatic encephalopathy

dec protein intake
Lactulose
Rifaximin

27

First step management acute GI bleed

ABC

28

4 yo with oliguria, petechiae, jaundice after illness with bloody diarrhea. Dx and cause

HUS 2/2 E coli O157: H7

29

Post HBV exposure Tx

HBV IVIG

30

Classic causes of drug induced hepatitis

TB meds - RIP
Acetaminophen
Tetracyclines