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Flashcards in smartbook post class Deck (216)
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1

vascular accident in utero is likely to cause what kind of atresia?

jejunal or ileal atresia

2

triple bubble sign on XR

gas in stomach, dudodenum, and jejunum

jejunal atresia

3

indications for bariatric surgery

BMI >40

BMI > 35 with serious comorbidities

BMI > 30 with resistant DMT2 or metabolic syndrome

4

in chronic pancreatitis, what is the cause of pain and how do you tx it?

pancreatic exocrine insufficiency

hyperstimulation but unregulated CCK release causes pain

tx with pancreatic enzyme supplementation (lipase, protease, amylase) to reduce pancreatic hyperstimulation by CCK

5

what causes increased risk of sigmoid volvulus

chronic constipation

6

old person with progressive solid dysphagia, no other big signs, next step?

still do EGD first

7

what is associated with increased severity and progression of Crohn disease?

smoking

8

labs in biliary atresia

elevated total and direct bili

elevated GGT (2/2 bile duct destruction) and alk phos

retic ct normal (no hemolysis occuring)

9

abdominal US shows triangular cord sign (fibrous remnants above the porta hepatis) or a small or absent gallbladder

biliary atresia

10

late 20s, weeks of lower abdominal pain, bloody diarrhea, and fecal urgency - now more acutely has fever, abdominal distention, leukocytosis, hypotension, and tachycardia

dx? and what test to confirm?

 

IBD, now toxic megacolon

abd XR

11

besides surgery, what else can cause ileus?

retroperitoneal/abdominal hemorrhage, intraabdominal inflammation (pancreatitis), intestinal ischemia, and electrolyte abnormalities

12

abdominal distention, obstipation, abd xr shows uniformly dilated, gas-filled loops of bowel with no transition point

paralytic ileus

13

acute onset abdominal pain, shock, and acute anemia s/p tx for CLL sometime in the past

splenic rupture

14

insidious, continuous midepigastric pain that often radiates to the flanks or back and is sometimes worse with eating and lying down

dx and what test?

pancreatic cancer

CT abdomen

15

triad of elevated aminotransferases, signs of hepatic encephalopathy, and synthetic liver dysfunction (INR >1.5) 

acute liver failure

16

which hepatitis is not associated with acute liver failure?

hep C

17

what type of ALF can be potentiated by chronic alcohol use?

acetaminophen toxicity

18

besides cats, how can toxo be spread?

ingestion of raw or undercooked meat from animals infected with toxo

19

dinner fork deformity

what is fx?

what nerve is injured?

what action will be weak?

distal radius (Colles) fx

dorsal displacement of the radius results in median n compression

motor innervation to the thenar muscles (opponens, and abductor)

20

fatigue and sypmtoms related to more than one cytopenia

acute myeloid leukemia

21

fatigue, prolonged bleeding, easy bruising, pancytopenia, coagulopathy, and elevated LDH

acute promyelocytic leukemia

22

important cause of hypocalcemia, particularly in alcoholics

hypomagnesemia

causes decreased release of PTH and PTH resistance

 

23

progressive peripheral edema, ascites, elevated JVP, and pericardial calcifications on chest XR

constrictive pericarditis

24

why might fat malabsorption occur in zollinger ellison?

inactivation of pancreatic enzymes by increased production of stomach acid may lead to malabsorption

25

what might make you think a parotid gland mass is malignant rather than the typical benign?

CN dysfunction - facial droop or facial numbness

26

ophthalmoplegia, ataxia, and areflexia; strength preserved

dx? ab?

Miller Fisher syndrome, variant of GBS

anti-GQ1b antibody

27

when might VDRL be a false negative

too early in disease process

28

what happens to LV preload, stroke volume, and cardiac output in cardiac tamponade?

decreases LV preload, SV, and CO

29

pattern of liver injury with elevated transaminases and normal alk phos

hepatocellular

should get viral hep panel

30

evaluation of adrenal insufficiency should include an 

8 am serum cortisol and plasma ACTH

then cosyntropin stim test