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Flashcards in GI Wk 2 Deck (50):
1

HbsAg+
Anti-Hbc+
IgM anti-Hbc negative

Chronic HBV Infection

2

HbsAg+
Anti-Hbc+
IgM anti-Hbc +

Acutely infected

3

HbsAg -
Anti-Hbc +
Anti-Hbs +

Immune due to infection

4

Just Anti-Hbs +

Immune due to vaccine

5

How long does it take for HbsAg to show up after transmission?

About 4 weeks on average

6

In a patient without an acute infection, when should they test HbsAg negative?

Around 14 weeks

7

PPI's cause which 2 SE's

HA and Nausea

8

Promethazine

Phenergan
Phenothiazine class

9

pANCA antibodies =

Ulcerative Colitis

10

Which infammatory bowel dz is transmural?

Crohns

11

NOT smoking makes which IBD worse?

Ulcerative colitis
Smoking makes crohns worse.

12

Charcots Triad

Of Acute Cholangitis
RUQ pain
Jaundice
Fever and chills

13

Which IBD had cobblestoning

Crohns

14

String sign =

Crohns

15

Murphys sign =

Acute Cholecystitis

16

Why should porcelain GB be removed?

GB Adenocarcinoma

17

AMA antibody =

PBC (Primary BIliary Cirrhosis)

18

ANCA Antibody =

Primary Sclerosing Cholangitis

19

Drugs to tx Ulcerative Colitis

Sulfasalazine
Mesalazine
Steroids

20

Skip lesions =

Crohns

21

Which IBD is more likely to have bloody diarrhea?

Ulcerative Colitis

22

ASCA Test =

Crohns

23

IBS is a dx of?

Exclusion

24

IBS abd pain is relieved by?

defacation

25

Cholecystitis is usually caused by?

Gallstones

26

HIDA Scan

Cholescintography
Checks out biliary tree

27

If GB doesnt fill in HIDA scan, whats the dz?

Obstructive, acute cholelithiases

28

Abx for acute cholecystitis?

Cipro and Flagyl

29

Why should porcelain GB be removed?

Risk for GB Adenocarcinoma

30

What is inflammation of the bile duct system called?

Cholangitis

31

Primary sclerosing cholangitis is associated with?

Ulcerative colitis
80% crossover

32

Definitive tx for primary sclerosing cholangitis?

Transplant

33

Main 2 symptoms of Primary BIliary Cirrhosis

Fatigue and Pruritis
Also Portal HTN
Hyperpigmentation

34

UDCA is used to tx?

PBC`

35

Gilberts shows elevation in which liver lab?

Unconjugated BIli (Indirect .Bili)

36

Bronzing, diabetes and cirrhosis =

Hemochromatosis

37

Excess of copper in early life =

Wilsons dz
Liver dz and neuropsych

38

Keiser-Fleicher rings =

Wilsons dz

39

What is the AST:ALT ratio in alcoholic hepatitis?

Greater than 2

40

Chronic HBV Tx

Interferon

41

Which hep causes HCC?

HCV

42

HCV Tx

Peginterferon

43

Waterborne RNA Virus

HEV

44

Encephelopathy Tx

Lower Ammonia Levels with ...
Lactulose
Enemas

45

HDV is associated with?

HBV

46

85% of all GI bleeds are?

Upper
PUD Most common, then varices, gastritis

47

Most common site for LGI Hemorrhage?

Colon
Usually diverticulosis

48

Which component in gluten causes celiacs?

Gliadin

49

IgA Antibodies to Endomysium

Pathognomonic for Celiacs Dz

50

Dermititis Herpitiformis

Associated with Celiacs