McGuffin 2 Flashcards Preview

Exam 13 > McGuffin 2 > Flashcards

Flashcards in McGuffin 2 Deck (26):
1

Body and fundus. Autoimmune. Parietal cell antibodies, perncious anemia, achlorhydria

Type A non-erosive gastritis

2

Antrum. H pylori

Type B non-erosive gastritis

3

Confusion > coma. Foul smelling breath. Flapping tremor (asterixis). Hx cirrhotic liver disease

Hepatic encephalopathy

4

RUQ pain, N/V, fever, jaundice. Exposure to alcohol, viruses, acetaminophen, hypotension (shock)

Hepatitis

5

Contaminated food sources > Hep

A

6

Sex, tattoos, blood transfusions, IV drugs > Hep

B and C

7

Must have Hep _____ to get Hep D

B

8

Pregnant with bad outcome > Hep

E

9

Hepatitis - AST most elevated

Alcoholism

10

Hepatitis - ALT most elevated

Indicates other liver diseases

11

Fatigue, malaise. Decreased urine output with Hx of cirrhosis. Hypotension. ^ BUN and Cr. Hyponatremia

Hepatorenal syndrome

12

Bloody diarrhea. Mucosal and submucosal inflammation. Barium enema > lead pipe appearance due to loss of haustra

Ulcerative colitis

13

Abdominal pain. Frequent change in stool consistency and frequency. Middle aged women. Anxiety and depression. Pain improves with bowel movements.

Irritable bowel syndrome

14

Abdominal pain worse than what patient appears on exam

Acute mesenteric ischemia

15

Gnawing abdominal pain after eating

Chronic mesenteric ischemia

16

African American males. Abdominal pain radiating to back. Hx tobacco abuse

Pancreatic cancer

17

Severe epigastric and LUQ abdominal pain that radiates to back. Hx of gallstones, alcoholism, hypertriglyceridemia, furosemide, thiazides, HIV meds. Elevated lipase and amylase. KUB - calcifications in chronic pancreatitis, sentinel loop showing localized small bowel ileum. Gallstones.

Acute pancreatitis

18

History of recurrent acute pancreatitis. Symptoms of malabsorption (fatty, foul smelling stools and weight loss). Hyperglycemia. Polyuria. KUB - calcifications in pancreas

Chronic pancreatitis

19

Pain improved with food. Chronic NSAID or steroid use. H. Pylori

Duodenal ulcer

20

Pain worsened with food. Smoker. Weight loss. Increased risk of malignancy

Gastric ulcer

21

Dysphagia. Esophageal (hypopharyngeal) webs. Fatigue and pallor due to iron-deficiency anemia. Tongue pain and burning (glossitis). Fissuring and dry scaling of vermilion surface of lips and angles of mouth (cheilosis). Riboflavin (Vit B12 deficiency)

Plummer-Vinson syndrome

22

Jaundice, Pruritus. Hx of rheumatoid arthritis, Sjogren's, scleroderma. Usually women. Xanthelasma, Xanthomas. + for antimitochondrial antibodies

Primary biliary cirrhosis

23

Hx of ulcerative colitis. Men. Jaundice. Elevated alkaline phosphatase, GGT. Biopsy may show cholangiocarcinoma

Primary sclerosing Cholangitis

24

Abdominal pain, fever, chills in pt with Ascites. Mental status changes. Rebound tenderness. E. Coli. Paracentesis with > 250 WBC

Spontaneous bacterial peritonitis

25

Abnormal movements and speech (asterixis, dyskinesia, dysarthria). Dementia. Golden brown corneal ring (Kayser-Fleischer ring). Decreased ceruloplasmin

Wilson's disease (hepatolenticular degeneration)

26

Burning or gnawing abdominal pain worsened with food

Gastritis