Ramahi Liver, Lower GI Flashcards Preview

Surgery > Ramahi Liver, Lower GI > Flashcards

Flashcards in Ramahi Liver, Lower GI Deck (21):
1

If AST = 2x ALT?

Alcoholic Hepatitis.

2

If AST > ALT (in the 1000s)?

Viral Hepatitis.

3

AST and ALT high after surgery/bleeding/sepsis?

Shock liver.

4

Transjugular intrahepatic portosystemic shunt (TIPS) relieves portal HTN but worsens...? How should you treat this complication?

Hepatic encephalopathy. Lactulose (get's rid of ammonia).

5

Hepatocellular Carcinoma risk factors (3)

Hep B >Hep C. Cirrhosis.

6

Most common bugs in liver abscess (3)?

E coli, bacteriodes, enterococcus.

7

A patient presents with RUQ pain, very diaphoretic, with rigors and a palpable liver? Treatment?

Entamoeba histolytica. Metronidazole.

8

A patient having just returned from Mexico presents with RUQ pain large liver cysts? Lab findings? Treatment?

Enchinococcus.
Eosinophilia, + Casoni Skin test.
Albendazole and removal of ENTIRE cyst.

9

Young woman with heavy menses, purpura, isolated thrombocytopenia? Treatment?

Steroids, splenectomy if they don’t work (followed by immunizations).

10

A patient presents with jaundice, high Indirect Bilirubin, reticulocyte count, and LDH, low haptoglobin, and spherocytes? Treatment?

Hereditary Spherocytosis.
Splenectomy (followed by immunizations).

11

IBD that involved terminal ileum?

Chrohn's.

12

IBD that is rectal sparing?

Crohn's.

13

IBD that is associated with Primary Sclerosing Cholangitis.

UC.

14

IBD that is associated with fistula. Treatment?

Chrohn's. Metronidazole.

15

IBD that is associated with transmural inflammation?

Chrohn's.

16

IBD that is cured by colectomy?

UC.

17

IBD that has lower risk in smokers?

UC.

18

IBD that is more associated with colon cancer?

UC.

19

IBD that is associated with p-ANCA.

UC.

20

Post op complications of AAA surgery (4)?

MI (deadliest). Ischemic colitis. Anterior Spinal Artery (infarction) Syndrome. Aortoenteric fistula.

21

Treatment timeline for DVT?

Start on Heparin, overlap with Warfarin for 5 days, continue on Warfarin for 3-6 months.