Internal Med GI Flashcards
(96 cards)
1
Q
s/s of acute hepatitis
A
- malaise
- fever
- distaste for smoking
- RUQ pain
- jaundice
2
Q
treatment for acute hep A
A
symptomatic
3
Q
treatment for acute hep B
A
- immune globulin within 7 days of exposure
- initiation of vaccine series
4
Q
treatment of acute hep C
A
Harvonni
5
Q
treatment of acute hep D
A
supportive
6
Q
treatment of hep E
A
Ribavirin
7
Q
treatment of chronic hep C
A
- HVC protease inhibitors
- HCV polymerase inhibitors
mayret and epclusa (-vir)
8
Q
etiology of acute pancreatitis
A
- gallstones
- alcohol
9
Q
s/s of acute pancreatitis
A
- epigastric pain that radiates to the back
- improves with leaning forward
- cullen and grey turner sign
10
Q
diagnosis of acute pancreatitis
A
amylase and lipase
11
Q
treatment of acute pancreatitis
A
- NPO
- IV Fluids
- IV pain Meds
- NG Tube
12
Q
etiology of chronic pancreatitis
A
alcoholism is MC
13
Q
s/s of chronic pancreatitis
A
- LUQ pain radiated to back
- worse 15-20 minutes after eating
- malabsorption
14
Q
diagnosis of chronic pancreatitis
A
- slightly elevated amylase and lipase
- CT
15
Q
treatment of chronic pancreatitis
A
- low fat diet
- avoid alcohol
- pain management (no opioids)
- puestow procedure (for alcoholic pancreatitis)
- ERCP if biliary cause
16
Q
etiology of anal fissure
A
consrtipation
17
Q
s/s of anal fissure
A
- tearing pain w defecation
- bleeding
18
Q
treatment of anal fissures
A
proper toileting
19
Q
s/s of anal abscesses
A
- throbbing
- perianal pain
- erythema
- swelling
20
Q
treatment of anal abscesses
A
I&D (+ abx i think you would use Augmentin or (cipro+metro))
21
Q
s/s of anal fistulas
A
- itching
- tenderness
- pain
often occur in patients with IBD and Chrons Disease
22
Q
treatment of anal fistula
A
fistulotomy
23
Q
s/s of colon cancer
A
- asymptomatic
- change in bowel habits
- hematochezia
24
Q
diagnosis of colon cancer
A
colonoscopy
25
treatment of colon cancer
* surgical resection
* chemo/radiation
26
s/s of esophageal cancer
* weight loss
* dysphagia
27
diagnosis of esophageal cancer
endoscopy with biopsy
28
treatment of esophageal cancer
* surgery
* chemo/radiation
29
s/s of gastric adenocarcinoma
* dyspepsia
* vague epigastric pain
* weight loss
* hematemesis
* postprandial vomiting
* palpable gastric mass
## Footnote
mets = Left supraclavicular lymph node (virchow’s node)
Umbilical nodule (Sister Mary Joseph nodule)
Rigid rectal shelf (Blumer shelf)
30
diagnosis of gastric adenocarcinoma
EGD
31
treatment of gastric adenocarcinoma
* surgery
* chemo
* radiation
32
s/s of celiac disease
* diarrhea
* steatorrhea
* flatulence
* dermatitis herpetiformis
33
diagnosis of celiac disease
IgA TTG antibody test
34
treatment of celiac disease
remove all gluten
35
etiology of cholangitis
bacterial infection with obstruction of the CBD
36
s/s of cholangitis
* RUQ pain
* fever
* jaundice
* hypotension
* mental status change
37
diagnosis of cholangitis
ERCP
38
treatment of cholangitis
* ERCP with stone extraction and sphincterotomy
* cipro + flagyl
39
etiology of cholecystitis
gallstones
40
s/s of cholecystitis
* RUQ pain
* shoulder blade pain
* precipitated by fatty meal
* murphy sign
41
diagnosis of cholecystitis
US
42
treatment of cholecystitis
lap chole
43
s/s of cholelithiasis
* RUQ pain
* diaphoresis
* N/V
44
diagnosis of cholelithiasis
US
45
treatment of cholelithiasis
* NSAIDs for pain
* lap chole
46
s/s of cirrhosis
* weakness
* esophageal varices
* spider angioma
* abdominal pain
* jaundice
* ascites
47
diagnosis of cirrhosis
* US
* liver biopsy
48
treatment of cirrhosis
* avoid alcohol
* liver transplant
49
s/s of chron's
* skip lesions
* cobblestoning
* RLQ pain
* diarrhea
* steatorrhea
* erythema nodosum
50
diagnosis of chrons
colonoscopy with biopsy
51
treatment of chrons disease
* steroids
* TNF blockers (-imab's)
* azathioprine
52
etiology of diverticulosis
constipation
53
s/s of diverticulosis
asymptomatic
54
s/s of diverticulitis
* LLQ pain
* palpable mass
* bowel changes
55
diagnosis of diverticulitis
CT scan
56
treatment of diverticulitis
cipro + flagyl or zosyn
57
s/s of esophageal strictures
* regurgitation
* dysphagia
* heartburn
58
diagnosis of esophageal stricture
* endoscopy
* barium swallow
59
treatment of esophageal stricture
dilators
60
etiology of esophageal varices
* portal hypertension
* cirrhosis
61
s/s of esophageal varices
* hematemesis
* coffee ground emesis
* melena
62
diagnosis of esophageal varices
endoscopy
63
treatment of esophageal varices
* fluids
* octreotide
* rocephin
* banding
64
s/s of esophagitis
* odynophagia
* dysphagia
* chest pain
* reflux
65
diagnosis of esophagitis
endoscopy
66
s/s of gastritis
* anorexia
* epigastric pain
* heartburn
* nausea
* GI bleed
67
diagnosis of gastritis
endoscopy
68
treatment of gastritis
* PPI
* H Pylori: Omperazole, amoxicillin and clarithromycin
69
s/s of gastroenteritis
abd pain, cramping, N/V, fever, stomach pain, diarrhea
70
diagnosis of gastroenteritis
clinical
71
treatment of gastroenteritis
* Fluids
* antidiarrheals
72
s/s of GERD
* heartburn
* dysphagia
* odynophagia
73
diagnosis of GERD
* clinical
* Upper endoscopy
74
treatment of GERD
* H2 antagonists
* PPI
75
etiology of hemorrhoids
increased pressure
76
internal hemorrhoids
rectal bleeding
(mc sign? idk)
77
treatment of hemorrhoids
* proper toileting
* banding
* hemorrhoidectomy
78
etiology of liver cancer
cirrhosis
79
s/s of liver cancer
* cachexia
* hepatomegaly
* RUQ pain
80
diagnosis of liver cancer
* elevated liver enzymes
* liver biopsy
81
treatment of liver cancer
transplant
82
s/s of hiatal hernia
* heartburn
* may be aymsptomatic
83
treatment of hiatal hernia
* lifestyle modifications
* surgery
84
s/s of irritable bowel syndrome
* change in stool frequency
* change in stool form
* crampy, lower abdominal pain
* bloating
85
diagnosis of IBS
clinical
86
treatment of IBS
* antispasmodics
* antidiarrheal
* lifestyle modifications
87
Etiology mallory-weiss syndrome
retching due to vomiting
88
s/s of mallory weiss tear
hematemesis
89
Diagnosis of Mallory-Weiss tear
endoscopy
90
Treatment of Mallory Weiss tear
* fluids
* blood transfusions
* PPIs
91
s/s of PUD
* gnawing epigastric pain
* relieved by food
* nocturnal pain
92
diagnosis of PUD
endoscopy
93
treatment of PUD
* PPI
* d/c NSAIDs
* h.pylori abx
94
s/s of ulcerative colitis
* bloody diarrhea
* crampy lower abdominal pain
95
diagnosis of ulcerative colitis
sigmoidoscopy
96
management of ulcerative colitis
* mesalamine
* steroids
