Flashcards in Ramahi Liver, Lower GI Deck (21):
If AST = 2x ALT?
If AST > ALT (in the 1000s)?
AST and ALT high after surgery/bleeding/sepsis?
Transjugular intrahepatic portosystemic shunt (TIPS) relieves portal HTN but worsens...? How should you treat this complication?
Hepatic encephalopathy. Lactulose (get's rid of ammonia).
Hepatocellular Carcinoma risk factors (3)
Hep B >Hep C. Cirrhosis.
Most common bugs in liver abscess (3)?
E coli, bacteriodes, enterococcus.
A patient presents with RUQ pain, very diaphoretic, with rigors and a palpable liver? Treatment?
Entamoeba histolytica. Metronidazole.
A patient having just returned from Mexico presents with RUQ pain large liver cysts? Lab findings? Treatment?
Eosinophilia, + Casoni Skin test.
Albendazole and removal of ENTIRE cyst.
Young woman with heavy menses, purpura, isolated thrombocytopenia? Treatment?
Steroids, splenectomy if they don’t work (followed by immunizations).
A patient presents with jaundice, high Indirect Bilirubin, reticulocyte count, and LDH, low haptoglobin, and spherocytes? Treatment?
Splenectomy (followed by immunizations).
IBD that involved terminal ileum?
IBD that is rectal sparing?
IBD that is associated with Primary Sclerosing Cholangitis.
IBD that is associated with fistula. Treatment?
IBD that is associated with transmural inflammation?
IBD that is cured by colectomy?
IBD that has lower risk in smokers?
IBD that is more associated with colon cancer?
IBD that is associated with p-ANCA.
Post op complications of AAA surgery (4)?
MI (deadliest). Ischemic colitis. Anterior Spinal Artery (infarction) Syndrome. Aortoenteric fistula.