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First Year > GI Management > Flashcards

GI Management Flashcards

(49 cards)

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1
Q

Acute Pancreatitis

A

Fluids, analgesia and nutrition

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2
Q

Chronic Pancreatitis

A

CREON

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3
Q

Alpha 1 antitrypsin deficiency

A

inhalers/IV AAT replacement therapy

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4
Q

Wilsons

A

Penicillamine and Trientine

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5
Q

Haemachromtosis

A

Venesection (if this not available then = deferasirox or desferrioxamine)

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6
Q

PBC

A

Ursodeoxycholic acid

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7
Q

PSC

A

stent/ balloon/ transplant

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8
Q

Acute appendicitis

A

surgery

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9
Q

Bleeding peptic ulcer

A

IV omeprazole
Adrenaline Injection, Heater probe, clips, haemospray

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10
Q

perforated peptic ulcer

A

surgery

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11
Q

Gastroparesis

A

Domperidone
pro-motility agents = metoclopramide
gastric pacemaker
eat little and often

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12
Q

Autoimmune gastritis

A

B12 replacement

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13
Q

Gallstones

A

No symptoms - nothing
Symptoms - cholestectomy

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14
Q

Cholangiocarcinoma

A

Surgery - bile duct and liver resection
Palliative - stent

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15
Q

Gallstone Ileus

A

Urgent Laparotomy, interval cholecystectomy

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16
Q

Cholestasis

A

ERCP, treat underlying pathology

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17
Q

Biliary Colic

A

Painkillers
cholestectomy
low fat diet
Ursodeoxycholic acid

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18
Q

acute cholecystitis

A

IV antibiotics, fluid and analgesia
Once confirmed: laprascopic cholecystomy

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19
Q

Acute Mesenteric Ischemia

A

resection if bowel non viable
smaembolectomy if bowel viable

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20
Q

chroonic mesenteric ischemia

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A

antiplatelet therapy if asymptomatic
symptomatic - open or endovascular revascularization

21
Q

hepatic encephalopathy

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A

lactulose
abx - rifaximin
treat underlying cause

22
Q

autoimmune hepatitis

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A

prednisolone and when symptoms improve move onto azathioprine

23
Q

ALD

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A

abstain form alcohol
nutritional support
steroids
liver transplant

24
Q

MASLD

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A

weightloss and exercise, stop smoking

24
eosinophilic Oesophagitis
avoid allergen Omeprazole dilate stritures
24
Achalasia
stretching or slicing of LOS
24
oesophageal varices
Terlipressin if acute with TIPSS, EVL, SBT
24
cancers of the oral cavity
review in 2 weeks - oral - maxillofacial oropharangeal - ENT follow up for 5 years resection+/-adjuvant therapy
24
Globulus
reassurance
25
Peptic ulcer disease
if caused by H Pylori = triple therapy amoxicillin, clarithromycin, omeprazole if not caused by H Pylori = PPI
25
GORD
antacids - gaviscon, peptac PPIs - omeprazole H2 antagonist - ranitidine
25
Barrett's oesophagus
ablation/resection PPIs?
25
Cirrhosis
Vitamin B diet, no alcohol, treat underlying cause, transplant, nutrition ect
25
Malignant oesophageal tumours
surgery - resection
26
Mallory weiss tear
nothing
27
MASH
weightloss and exercise - prevent progression to cirrhosis Resmetirom
28
Crohns
smoking cessation prednisolone(mild) or Hydrocortisone (severe) - steroids azathioprine - immunosuppressant
29
Ulcerative Colitis
Mesalazine (enema or oral) prednisolone azathioprine
30
IBS
Dietary advice if constipated - reduce fibre and lactuose (laxative) if diarrhea - increase fibre (antidiarrheaol - loperamide)
31
Diverticular disease
asymptomatic - high fibre diet and fluid intake symptomatic - analgesics, laxatives if necessary if severe surgical resection
32
colorectal cancer
resection
33
Mechanical bowel obstruction
nil by mouth IV fluid nasogastric tube to decompress stomach and further management based on causena
34
anal fissure
fibre, STITZ baths stool softeners Diltiazem or GTN Botox Surgery
35
anal fistula
setons fistulomotomy LIFT proceedure permacol plug and paste glue/permacol
36
Solitary rectal ulcer
increase fibre and fluid
37
haemorrhoids
stool softeners, topical creams HALO/ THD surgery Milligan morgan and ferguson rubber band ligation acute - analgesia, iced glove, NSAID
38
Rectal prolapse
bulking agent and education on manual reduction resection manual reduction stop straining dietary advice
39
Anal cancer
chemo/radiotherapy Surgical excision for T1NO tumours
40
abdominal hernia
do nothing, straining belt avoid straining open or laparoscopic repair (esp if high risk of strangulation)

First Year (83 decks)

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