GI Tx

Question 1

Peptic Ulcer Disease

Answer 1

Dx- Urea Breath Test
PPI + Clarithromycin + Amoxicillin
or bismuth subsalicylate plus tetracycline, metronidazole and PPI
Prophylaxis with- daily NSAIDs, chronic steroids, chronic a/c

Question 2

Zollinger ellison syndromw

Answer 2

dx- secretin test

PPI and surgical resection of Tumor

Question 3

Celiac Disease

Answer 3

Dx- tTH-IgA, small bowel biopsy

Gluten free diet, nutrition referral, prednisone if refractory

Question 4

Crohns disease

Answer 4

acute attacks- oral steroids, antibiotics- cipro, flatly
melsalamine for maintenance
nutrient supplementation, smoking cessation, surgical resection

Question 5

Ulcerative Colitis

Answer 5

topical or oral aminosalicylates, corticosteroids, surgery can be curative- total proctocolectomy

Question 6

Intusseception

Answer 6

Barium enema diagnostic and therapeutic

Question 7

acute Pancratitis

Answer 7

NPO, IV fluids, parenteral hyper-alimentation, pain mgmt, antibiotic consideration, ERCP

Question 8

Acute Cholangitis

Answer 8

antibiotics- FLQ, ampicillin, gentamicin, with or without metronidazole
fluid replacement and pain control
ERCP- agent decompression otherwise performed once patient is stable
Cholecystecomy- after acute syndrome has resolved

Question 9

Primary Sclerosing Cholangiti

Answer 9

Ursodiol, endoscopic management of strictures, liver transplant- only treatment with known survival benefit

Question 10

Pyloric Stenosis

Answer 10

surgery

Question 11

Hirscprungs disease

Answer 11

surgical resection of affected bowel (abscence of auerbachs and meissners autonomic plexuses)