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Flashcards in Pastest Deck (31):
1

Signet cells and linitis plastica?

Adenocarcinoma
(signet cells confirms a poorly differentiated adenocarcinoma)

2

Carcinoid syndrome

Flush is the main symptom
Hypotension
Tachycardia
Right sided cardiac valve fibrosis
Increased skin temperature
PROFUSE secretory diarrhoea

3

Charcot's triad

-Fever
-Jaundice
-Abdominal pain

(acute cholangitis)

4

Spider naevie and hepatic disease?

True

5

Acanthosis nigricans and gastrointestinal malignancy?

True

6

Cutaneous pigmentation and Peutz-Jeghers syndrome?

True

7

Most common cause of GI haemorrhage?

Peptic ulcer disease

8

Can GI be a complication of overwhelming sepsis?

Stress ulcers causing severe GI bleeding are a recognised complication of severe burns and overwhelming sepsis

9

Causes of orogenital ulceration?

Behcets
Pemphigus and pemphigoid
Erythema multiforme
Reiter's syndrome
Herpes simplex virus
HIV
Syphilis

10

Prognostic indicators for acute pancreatitis?

Age over 55
Raised white count
Blood glucose
Urea
A fall in haemocrit and calcium and blood gas derangement
Amylase is not of prognostic value, it is only useful to make the inital diagnosis

11

Diptheria treatment?

Diptheria anti-toxin and penicillin/erythromycin

12

Nasal flaring. intercostal recession, increased respiratory effort and cyanosis are signs of what?

Respiratory distress

13

How might tracheo-oesophageal fistulae present?

May present immediately with an inability to feed
-Chronic cough
-pneumonia
-cyanosed when feeding
-failure to grow/thrive
-when coughin, produces copious amounts of secretions and appear to "blow bubbles"

14

A 5 year old presents with a severe sore throat, drooling of saliva, high temperature and difficulty in breathing

The is the unforgettable clinical picture of acute epiglottitis

15

Breslow thickness?

The depth from the granular layer of the epidermis to the deepest melanoma cell
-The breslow thickness is a prognostic indicator

16

UVB, direct or inderect DNA damage?

UVB causes direct DNA damage
UVA causes indirect DNA damage

17

Prognostic indicators which worsen the diagnosis of malignant melanoma?

Ulceration
Vascular invasion
Nodular subtype

18

How do you investigate achalasia?

Oesophageal manometry

19

Carcinoid syndrome flush is associated with what?

Tachycardia, hypotension and increased skin temperature

20

Intermittent dysphagia could be caused by what

Benign oesophageal strictures

21

Dukes A colon cancer

Confined to muscular lining of intestinal wall

22

Dukes C colon cancer

Node involvement

23

Dukes D colon cancer

Distant metastases are present

24

Where does carcinoma of the stomach most commonly occur?

The pylorus

25

Troisers sign?

Presence of a palpable lymph node in the left supraclavicular fossa, which is a sign of abdominal malignancy
-may be present in gastric cancers
(also called Virchows node)

26

Absorption of what may be impaired after gastrectomy?

fat and fat soluble vitamins (D)

27

Crypt abscesses

Ulcerative colitis (rare in Crohn's)

28

Rose thorn (deep) ulcers

Crohn's disease

29

Lymphod aggregates in Crohns or UC?

Crohns

30

Dukes B colon cancer

Tumour extends across the bowel wall

31

Causes of bright red PR bleeding?

Haemorrhoids or an anal fissure