Internal Medicine GI, Endo, Rheuma Flashcards Preview

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Flashcards in Internal Medicine GI, Endo, Rheuma Deck (52)
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1

Aluminum hydroxide side effect

Magnesium hydroxide side effect

PPI side effect

Sucralfate side effect

Bismuth side effect

Constipation

Diarrhea

Angioedema

Constipation

Black tarry stool, neurotoxicity

2

If unresponsive to therapy after ____ days

What test


ZES, 14

Secretin test

3


Dieulafoy lesion. What?

Large caliber arteriole in LESSER curvature

4

AST/ALT >1000

Viral hepatitis
Ischemic liver injury
Toxin

5

AST:ALT > 2
AST:ALT < 1

Type of liver disease

Alcoholic liver disease
NAFLD, chronic viral

6

Budd Chiari syndrome

Triad

Patho

Ab pain, hepatomegally, ascites

Venous thrombus / embolus in hepatic veins

7

ALD

Cut off for glucocorticoids

How to compute

Discriminant function > 32

(PT - control) + serum bilirubin

8

ALD

MELD score

PT INR Serum bilirubin, Serum creatinine

9

Child pugh score

Bilirubin
Ascites
INR PT
Encephalopathy
Albumin

10

Spontaneous bacterial peritonitis

Value of PMN in ascitic fluid

>2 organisms =

250/uL

Secondary bacterial peritonitis (perforation)

11

Hepatic encephalopathy

Is only diagnosed in ________

Usually increase in blood ______

Fulminant liver disease

Ammonia

12

First indication of portal hypertension

Splenomegaly

13

Diagnosis of acute pancreatitis

1. Epigastric pain radiating to back
2. Amylase and/or lipase x3
3. Imaging

14

Pain medication of choice in acute pancreatitis

Meperidine

15

Most important intervention in pancreatitis?

Fluids: pNSS or Lactated ringers

16

Metabolic syndrome

Central obesity
Hypertriglyceridemia
Low HDL cholesterol
Hypertension
Fasting glucose

3/5

17

Metabolic syndrome

Central obesity

South asians
M >90cm
F >80cm

US
M> 102
F> 88

18

Metabolic syndrome

TAG

Serum TG > 150mg/dL

19

Metabolic syndrome

Low HDL

<40 males
<50 females

20

Metabolic syndrome

Bp

>130, >85

21

Metabolic syndrome

Fasting Blood glucose

FBS > 100
Type 2 DM

22

DM diagnosis

FBS impaired

OGTT 75g

Hba1c

RBS

100-125 impaired fasting glucose

140-199

5.7-6.4

>200 + polyuria polydipsia, polyphagia

23

FBS, OGTT fasting time

At least 8 hours

24

DM screening

1. Usual start
2. Earlier screen if?

>45years every 3 years

Overweight + 1 risk factor

25

DM drugs that cause

Weight loss?

Weight gain?

Weight loss: biguanides metformin

Weight gian: insulin secretagogues. Glip glic glim + repaglinide

26

Treatment goals of DM

Hba1c
Preprandial glucose
Post prandial glucose
BP
LDL
HDL
TAG

1. <7%
2. 80-103mg/dL
3. <180mg/dL
4. <140/90
5. <100 LDL
6. >40 mg/dL
7. <150mg/dL

27

Lab testing for DM patients

1. Hba1c testing
2. DM nephropathy
3. Lipid profile , creatinine

1. 2-4 times ayear
2. Annual
3. Annual

28

Hypoglycemia diagnosis

<55mg/dL + symptoms

29

Whipples triad

Hypoglycemia
Low plasma glucose
Relief of symptoms after correction

30

Body hormones to prevent hypoglycemia

1. Decrease insulin
2. Incrase glucagon
3. Increase epinephrine