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Flashcards in GI Error List Deck (19):
1

What is GERD

Results from decreased lower esophageal sphincter tone
Often associated with hiatal hernia

2

Sx of GERD

Heartburn, Often post-prandial
Retrosternal chest pain
Regurgitation
Odynophagia
Cough, Hoarsness

3

Dx of GERD

Clinical
1st Line is Endoscopy
Gold Standard is 24 hour pH monitoring
Barium swallow
Monometry to measure LES pressure and tone

4

Tx of GERD

Lifestyle modifications is 1st
H2 receptor Antagonists (Ranitidine, Nizatidine, Famotidine)
PPI (Pantoprazole, Omperazole)

5

What is Diverticulitis

Inflamed diverticular secondary to obstruction/infection (Fecaliths) leads to distention

6

What is Diverticulosis

Uninflamed diverticular constipation and obseity

7

Sx of Diverticulitis

Fever, LLQ pain, N/V, Diarrhea, Constipation, Flatulence, and Bloating

8

Dx of Diverticulitis

CT scan
Increased WBC
Positive Guaiac
Don't do colonoscopy until after acute flare because you may perforate the colon

9

Tx of Diverticulitis

Clear liquid diet, broad spectrum abx (Cipro + Metronidazole)

10

Tx for Diverticulosis

High Fiber Diet, Fiber Supplements

11

What is Hepatitis B and how is it spread

Viral infection of Liver
Spread via blood, sex, drugs

12

What do the following tell you:
HBsAg
HBsAb
HBcAb (IgG/IgM)
HBeAg
HBeAb
HBV DNA

HBsAg: First to appear, if positive for >6months it means chronic
HBsAb: Resolved infection or Vaccine Given
HBcAb: IgM (IMmediate) Acute infection. IgG Chronic infection or distant resolved
HBeAg: Viral replication and increased infectivity
HBeAb: Waning viral replication, decreased infectivity
HBV DNA: Active replication in liver

13

What is the tx for Hepatitis B

Acute: Supportive
Chronic: Alpha-Interferone 2b (Lamivudine, Adefovir)
Vaccines given at birth, 2 months, 6 months

14

What is Cirrhosis

Irreversible liver fibrosis with nodular regeneration
Secondary to chronic liver disease
Nodules cause increased portal pressure

15

What is the most common cause of cirrhosis in the US

Alcohol

16

What are other causes of Cirrhosis

Chronic Hepatitis, Non-Alcoholic Fatty Liver Disease, Hemochromatosis

17

Sx of Cirrhosis

Fatigue, Weakness, weight loss, muscle cramps
Spider Angioma, Caput Medusa, Muscle Wasting, Hepatosplenomegaly, Palmar Erythema, Asterixis, Esophageal Varices, Ascites, Gynecomastia

18

Dx of Cirrhosis

Ultrasound
Biopsy

19

Tx of Cirrhosis

Limit sodium
Paracentesis to remove fluid
Lactulose, Neomycin for Encophalopathy
Cholestyramine for pruritis