Other

Question 1

Epigastric pain that radiates to the back
- Differentials

Answer 1

Cardiac causes:
- MI
- Pericarditis
- Aortic dissection

Noncardiac
- Pancreatitis
- Cholecystitis
- Gastric ulcers

Question 2

MC SE of sleeve gastrectomy

Answer 2

GERD

Sleeve gastrectomy involves removing the majority of the greater curvature of the stomach, which create a tubular stomach.

Question 3

Types of bariatric surgeries

Answer 3

• Gastric bypass: SE: dumping syndrome
• Duodenal switch, the most complex, and the one with higher complications.
• Sleeve gastrectomy (SE GERD): most commonly procedure now of bariatric sx. No dumping syndrome risk. Not as much weight loss, sleeve can stretch and gain weight again. Irreversible procedure.
• Roux-en-Y gastric bypass (SE: volume restriction and nutrient malabsorption)
• Biliopancreatic diversion with duodenal switch (SE: volume restriction and nutrient malabsorption)

Question 4

Hematemesis
Differentials

Answer 4

Ischemic colitis
Diverticular bleeding
malignancy
(If elderly, will pt FU with tx?)

If elederly, more imp than identify the cause, manage the hemoglobin.

Question 5

Constipation tx

Answer 5

Miralax = Polyethylene glycol?

• Pericolace
• Dulcolax suppositories