questions Flashcards

1
Q

what is teh chest pain like in achalasia

A

retrosternal

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2
Q

achalasia - dysphagia to

A

liquids > solids

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3
Q

what does crunchy skin mean

A

surgical emphysema

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4
Q

zollinger ellision

A

multiple and recurrent ulceres

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5
Q

small bowel obstruction

A

hyperactive bowel sounds

previous surgery

valvulae conniventes the entire width

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6
Q

hypothyroidism

A

constipation fatigue and lethargy

pale dry coarse skin

slow relaxing reflex

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7
Q

what can ischaemic colitis progress to

A

peritonitis

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8
Q

gallstone Ix

A

US

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9
Q

waht si misoprostol

A

PGE analogue

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10
Q

what can stimulant laxatives be used for

A

bowel cleansing

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11
Q

what is the best for suppressing gastric acid production

A

PPI

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12
Q

what is dysentery

A

infection of the intestines resulting in severe diarrhoea with the presence of blood and mucus in the faeces.

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13
Q

test for meckels

A

techentium 99M nuclear scan

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14
Q

what is microcytic anaemia in the elderly presumed to be

A

colonic cancer - do colonscopy

frail - CT colonography

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15
Q

what is haematoma

A

post op

small purple lump

if painful, incise and drain

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16
Q

what is a fistula in ano a complication of

A

perianal abscess

17
Q

what can fistula in ano cause

A

chronic discharge

18
Q

what can a post op adhesion cause

A

small bowel obstruction

19
Q

what can air under the diaphragm be caused by

A

perforated abdominal viscus

20
Q

how do you treat a volvulus

A

flatus tube or surgical resection

21
Q

choangiocarcinoma treatment

A

palliation - biliary stent

treat - whipples

22
Q

what does alcohol do it gamma GT

23
Q

what does a vitamin K deficiency cause

A

raised PT time

24
Q

what is used in hepatic encephalopathy

A

lactulose to clear gut - it reduces the amount of ammonia released by preventing breakdown of intestinal matter

25
how is a cholecystectomy performed
laparoscopically
26
what can statins cause
jaundice
27
what is gilberts
pre hepatic jaundice - occasional and short lived episodes of jaundice
28
what ducts are involved in PSC
intra and extra hepatic
29
what can PSC develop to
cholangiocarcinoma -15%
30
where are kayler fleisher rings
around the cornea
31
what is cullens sign seen in
pancreatitis - and grey turner
32
what can chronic budd chiara cause
ascites
33
treatment of budd chiara
recnalisation or TIPS thrombolysis
34
what does haemacrhomatosis preidspose to
CARCINOMA
35
can COPD cause metastases
yes
36
fatty liver Hx
fat, diabetes
37
what are muoceles
form when gallstone impacted in cystic duct and gallbladder secretes mucous painless, nausea
38
what does coeliac cause
diarrhoea and splenic atropy