Flashcards in Pass medicine question info Deck (46):
Carcinoid syndrome features
flushing (often earliest symptom)
right heart valvular stenosis (left heart can be affected in bronchial carcinoid)
other molecules such as ACTH and GHRH may also be secreted resulting in, for example, Cushing's syndrome
pellagra can rarely develop as dietary tryptophan is diverted to serotonin by the tumour
calcium channel blocker SE
Grey Turner's sign can indicate what?
--> bruising of the flanks
S = Suprarenal (adrenal) glands.
A = Aorta/Inferior Vena Cava.
D = Duodenum (second and third segments)
P = Pancreas.
U = Ureters.
C = Colon (ascending and descending only)
K = Kidneys.
E = Esophagus.
Retroperitoneal haemorrhage can have what sign?
grey turners - bruising from last rib to top of hip
Atrophic gastritis - what is it? what does it lead to?
chronic inflammation of the stomach mucosa
leading to loss of gastric glandular cells --> FIBROSIS
what is malabsoprbed in atrophic gastritis?
What can atrophic gastritis lead to?
how to diagnose atrophic gastritis?
Familial adenomatous polyposis have what mutation?
what does familial adenomatous polyposis testing show?
what organism causes necrotising fascitis?
what can you hear with auscultating with necrotising fascitis?
what is urea breath test used for?
what is Meckels diverticulum
-diverticulum in SI
how to diagnose Meckels diverticulum
barretts oesophagus cell changes
stratified squamous to simple columnar epithelium
pigmented freckles on the lips, face, palms and soles
what is a whipples procedure
remove the head of the pancreas, the first part of the small intestine (duodenum), the gallbladder and the bile duct
mallory-weiss tear can come from what?
palmar erythema from what?
chronic liver disease
spider naive from what
2-6 weeks of age
projectile vomiting following feeds
remain hungry after vomiting
olive shaped mass in the right upper quadrant
paroxysms of crying - KEY
not so much vomitting
Cows milk protein intolerance
D then V
autosomal recessive metabolic conditions
failure to thrive
vomiting - not projectile
how to diagnose pyloric stenosis?
what does a ghon complex on x ray mean?
common cause of diverticula disease
low fibre diet
faecal occult blood test -evereyone 60-74
then invited for colonoscop
GORD is associated with which cancer?
pain in left lian fossa
dysphagia of BOTH liquids and solids
typically variation in severity of symptoms
regurgitation of food - may lead to cough, aspiration pneumonia etc
malignant change in small number of patients
liver failure triad
encephalopathy, jaundice and coagulopathy
common cause of confusion and encephalopathy in alcoholic liver disease patients and is due to a deficiency of thiamine.
pharengeal pouch symptoms
neck swelling which gurgles on palpation
resp distress symptoms
elevated respiratory rate
bilateral lung crackles
low oxygen saturations
what is pellagra
rash, diarrhoea, cognition impair
Loss of feeling (sensation) in hands and feet.
Loss of muscle function or paralysis of the lower legs.
Mental confusion/speech difficulties.
Strange eye movements (nystagmus)
signs of wilsons
ementia, tremor or dyskinesias
with alt dearrangment levels
neuro and psychiatric symptoms
what is painless jaundice
fair: more prevalent in the Caucasian population 1
fat: BMI >30
fertile: one or more children
forty: age ≥40