GIT Flashcards

1
Q

gallstones from hemolysis

A

pigmented gallstones

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2
Q

pourcentage of gallstones radio opaque

A

only 10-15 %

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3
Q

definition of diarrhea(2)

A

> 200 g de feces per day

change in stool consistency

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4
Q

most common etiology of infectious diarrhea

A

Campylobacter

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5
Q

what you will often find in in patient with IBS

A

psychiatric disturbances

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6
Q

the leading cause of SBO in adults

A

adhesions

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7
Q

the leading cause of SBO in kids

A

hernia

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8
Q

element which slows GI motility(3)

A

anticholinergics
opiods
hypokaliemia

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9
Q

most common cause of lower GI bleeding in people > 40 ans

A

diverticular disease

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10
Q

risk factors for diverticulosis(5)

A

low fiber diet
high fat diet
conective tissue disease
advanced age

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11
Q

connective tissue disease and diverticulosis(2)

A

marfan

ehler danlos

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12
Q

first cause of lobwer bowel occlusion

A

colon cancer

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13
Q

anemia in ederly microcytic

A

cancer du colon a eliminer

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14
Q

asthma and gerd

A

gerd can mimic asthma

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15
Q

drugs to avoid in patinet with GERD(6)

A
Caffeine
alcohol
garlic
onions
mints 
nicotine
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16
Q

type of gastritis chronic(2)

A

A

B

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17
Q

type A chronic gastritis(3)

A

occurs in fondus
10%
autoantibodies against parietal cells

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18
Q

risk in type A chronic gastritis

A

gastric adenocarcinoma

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19
Q

type B chronic gastritis where

A

occurs in the antrum

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20
Q

cause of chronic gastritis

A

NSAID

H pylori infection

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21
Q

risk of chronic gastritis B(2)

A

PUD

gastric cancer

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22
Q

leading cause of lower GI bleeding

A

upper GI bleeding

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23
Q

complication of PUD(4)

A

HEMORRAGE
OBSTRUCTION
PERFORATION
INTRACTABLE PAIN

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24
Q

SECOND MOST COMMON CAUSE OF LOWER GI BLEEDING

A

diverticulosis

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25
cause of indirect hernia
congenital patent processus vaginalis
26
most common hernia in both genders
indirect hernia
27
definition of indirect hernia
herniation of abdominal content through the internal and then external rings and eventually the scrotum
28
definition of direct hernia
herniation of abdominal content through the floor of hesselback triangle
29
quid of hesselback triangle(3)
area bounded by the inguinal ligament inferior epigastric artery rectus abdominus
30
site of involvement of UC
rectum is always involved
31
rx of UC(2)
mesalamine= 5-ASA sulfasalamine
32
SAAG > 1,1(3)
chronic liver disease massive hepatic metastasis CHF
33
SAAG < 1,1(3)
NEPHROTIC SYNDROME TB MALIGNANCY
34
MALIGNANCY IN SAAG< 1,1
ovarian cancer
35
quid of wilson's disease
hepatolenticular degeneration
36
wilson diseaseAB5CD
``` asterixis basal ganglia degeneration low ceruloplasmin cirrhosis copper high carcinoma hepatocelullar choreiform mvts dementia ```
37
xray in acute pancreatitis(2)
sentinel loop | colon cut off sign
38
ranson criteria on admission(5)
``` GA LAW glucose > 200 md/dl Age>55 years LDH> 350 AST>250 WBC> 16000 ```
39
ranson criteria 48 h after admission CHOBBS
``` ca < 8.0\ hematocrit decreased by > 10 % o2 pao2 < 60 mm de hg Base excess>4 meg/l BUN increases> 5 mg/dl seequestred fluid> 6 l ```
40
painless progressive jaundice
ca du pancreas
41
SCC of esophagus causes(4)
alchohol tobocco radiation stasis
42
meaning of ALP
bile duct obstruction
43
meaning of cholestasis
GGT
44
meaning of AST/ALT
DAMAGE TO HEPATIC CELLS
45
DUKE A COLoN CARCINOMA
Limited to mucosa
46
DUKE B colon carcinoma
extends to serosa
47
Duke C COLON CARCINOMA
EXTENDS TO REGIONAL LYMPH NODE
48
Duke D colon carcinoma
distant metastasis
49
5 year survival for Duke A
> 90 %
50
5 year survival for Duke B
50-90%
51
5 year survival for Duke C
20-50%
52
5 year survival for Duke D
< 5%
53
Widened medistinum in GIT
rule out achalasia
54
risk factor for pellagra
corn based diets
55
zone with corn based diet(3)
india africa china
56
other rsik factor for pellagra(3)
alcoholics carcinoid syndrome hartnup disease
57
when can you have post cholecystectomy pain
years to month afetr cholecystectomy
58
dysphagia induced by motility problem next step?(2)
baryum esophagram | manometry
59
fievre plus ascites
SBP a eliminer
60
RX OF CHRON
SULFASALAMINE
61
TYPE b GASTRITIS POURCENTAGE
90 %