Goljans

Question 1

Pt with simian crease, mental retardation and 46 chromosomes. Dz?

Answer 1

Down syndrom from robertsonian translocation. (Not trisomy 21)

Question 2

Male weightlifter without any surgery has colicky pain.in RLQ. Cause?

If pt had previous surgery?

Answer 2

Indirect inguinal hernia.

Adhesions

Question 3

2 year old with bloody stools and colicky pain?

Answer 3

Intuscception

Question 4

Colicky pain with air in biliary tree?

Answer 4

Gallstone ileus

Question 5

Severe generalized abdominal pain and bloody diarrhea after eating?

If they can point to the place it hurts?

Answer 5

Small bowl infarct.

Ischemic colitis

Question 6

Air comes out in urine?

Answer 6

Colovesicular fistula from diverticula

Question 7

Colicky pain in RLQ with diarrhea?

Answer 7

Crohn’s

Question 8

Vascular findings in internal vs external hemorroids?

Answer 8

Bleed vs thrombose

Question 9

Pt with carcinoid syndrome develops a rash. Mech?

Answer 9

Low tryptophan from making 5HT. Low W means low niacin - niacin deficiency results in dematitis, dementia, diarrhea.

Question 10

Colon Cancer: Left side vs Right?

Answer 10

Obstruction (constipation) vs Bleeding (anemia)

Question 11

What increases chance of appendicitis in children? Adults?

Answer 11

Viral infection (Measles) - hyperplasia of lymphoid tissue leads to block
vs
Fecalith