Week 1 McGowan CIS Buzzwords Flashcards
1
Q
elevated LES, with normal contractions
A
nutcracker esophagus
2
Q
Trypanosoma cruzi infection
A
Chagas -> secondary achalasia
3
Q
false diverticulum in posterior esophagus
A
Zenkers diverticulum
4
Q
uncoordinated esophageal contraction
A
diffuse esophageal spasm (corkscrew)
5
Q
manometry as dx of what? (3)
A
achalasia, DES, nutcracker esophagus
is dx ONLY
6
Q
dysphagia, lost 10 lbs in last 3 weeks
A
EGD
7
Q
food caught in distal throat, more likey esophageal or oropharyngeal?
A
esophageal
8
Q
Plumer-vinson synd, eosinophilic esophagitis
A
esophageal webs
9
Q
is Schatzi ring progressive?
A
no
10
Q
is peptic stricture progressive?
A
yes (and pt will report heartburn has improved d/t increased narrowing)
11
Q
panacinar emphysema
A
alpha 1 AT deficiency
12
Q
B cell non-Hogdkin lymphoma
A
Sjogren synd (UNILATERAL parotitis)
13
Q
bird beak on barium swallow
A
achalasia (progressive dysphagia)
14
Q
corrugated ring appearance on EGD
A
eosinophilic esophagitis
15
Q
anti-Scl-70 (anti-topoisomerase 1 An)
A
scleroderma
- tightening of skin on fingers/toes! (diffuse = proximal extremities/trunk, limited = distal extremities)
16
Q
esophageal pH recording
A
GERD
17
Q
nasopharyngoscopy
A
laryngo/pharyngeal cough
18
Q
barium esophagography
A
- Zenker’s (don’t want to perforate)
- achalasia
- DES
- webs/rings
19
Q
tardive dyskinesia
A
lip smacking, caused by gastroparesis
20
Q
bilateral parotitis
A
mumps
21
Q
high amplitude long duration esophageal contractions
A
nutcracker esophagus
22
Q
spastic uncoordinated esophageal peristalsis
A
diffuse esophageal spasm (corkscrew)
23
Q
inflammation caused by >15-20 eosinophils per hpf
A
eosinophilic esophagitis
24
Q
rheumatologic disease with topoisomerase 1 Ab’s
A
diffuse scleroderma
25
herniation of mucosa in Killian's triangle
Zenker's
26
immune related bowel disease with ASCA Ab's
CD
27
proximal protrusion on barium esophagram
Zenker's
28
corckscrew esophagus on barium esophagram
DES
29
pneumomediastinum on plain Xray
Boerhaave's syndrome
30
widened mediastinum on plain Xray
aortic dissection
31
fecal occult blood test (FOBT)
colon cancer screen
32
CBC (hemoglobin)
anemia
33
CMP (AST, ALT, electrolytes)
liver
34
goblet and columnar cells in esophagus
Barrett's
35
friable mass, distal 1/3 of esophagus
esophageal adenocarcinoma
36
white plaques
candida
37
H. pylori infection a risk factor for what? (2)
1. gastric adenocarcinoma
| 2. MALToma
38
iatrogenic esophagus
esophageal perforation (mechanical disorder)
39
Barrett's -> ?
esophageal adenocarcinoma
40
smoking, drinking hot beverages?
esophageal SCC
41
HPV is risk factor for what?
SCC
42
profuse retching, spontaneous esophageal perforation, pneumomediastinum
Boerhaave's
43
widened mediastinum
aortic dissection
44
loop of bowel in lung field
hiatal hernia
45
when is NG lavage contraindicated?
attempted suicide (chemical esophagitis)
46
is nutcracker esophagus a motility or mechanical disorder?
motility
47
red flag/alarm symptoms
- mass
- dysphagia/odynophagia
- weight loss
- any blood (hematochezia, hematemesis, melena)
- virchow's node
48
curling's ulcer
severe burns
49
cushing's ulcer
intracranial pressure -> stress ulcer
50
esophageal varices
portal HTN
51
Boerhaave syndrome
severe/profuse retching
Mallory Weiss tear is benign
52
fasting gastrin level
ZES
53
intrinsic factor Ab measurement
autoimmune gastritis
54
fasting gastrin level
ZES (ulcer won't getting better after PPI tx)
55
what type of ulcer requires a repeat EGD with biopsy?
gastric ulcer 9have higher risk of cancer)
56
recent travel to South America
Chagas -> secondary achalasia
57
uncontrolled DM (2)
candida infection or gastroparesis
58
is smoking a synergistic finding with H. pylori?
yes
59
smoked meats/ fish
gastric cancer (adenocarcinoma?)
60
lipase 3x upper limit of normal
acute pancreatitis
61
parietal cell antibodies
autoimmune gastritis
62
tTG antibodies
celiac
63
fasting gastrin
ZES (ulcer not getting better after PPI tx)
64
anti-topoisomerase 1 antibodies
scleroderma
65
most common sites of MEN1 adenomas?
pancreas, parathyroid, pituitary
66
bad taste in mouth
water brash
67
most common sites of MEN1 adenomas?
- pancreas (ZES)
- parathyroid (hypercalcemia ->constipation)
- pituitary
68
subcutaneous emphysema, iatrogenic perforation
Boerhaave
69
hemoglobin A1C
DM
70
gastric empty study/gastric scintigraphy
diabetes, NV, gastroparesis
71
RUQ abdominal US
gallbladder -> acute cholecystitis
72
low MCV
microcytic anemia
| - iron def
73
high MCV
macrocytic anemia
- folate, B12 deficiency
- **autoimmune gastritis**
74
KUB plain Xray
SBO
75
emergent EDG
alarm symptoms, mallory weiss tear, varices bleed
76
B12 deficiency, what should you give?
parenteral cyanocobalamin (IM injection of B12)
77
fecal antigen
H. pylori
78
hydrogen breath test
lactase def
79
urea breath test
H. pylori
80
how long can serum H. pylori antibodies last post infection?
up to 2 years
81
lipid panel
pancreatitis
82
dark colored urine, clay colored stool?
blocked bile duct (choledocolithiasis)
83
2 most common causes of pancreatitis?
alcohol (men) and gallstones (women)
84
krukenburg tumor
metastasis in ovary from gastric adenocarcinoma
85
pseudocyst
acute pancreatitis
86
gangrene
acute cholecystitis
87
B12 deficiency
autoimmune gastritis
88
emphysematous gallbladder
diabetic with acute cholecystitis
89
diagnostic criteria for pancreatitis
1. epigastric pain
2. lipase 3x limit of normal
3. CT findings
90
endoscopic retrograde cholangiopancreatography
for choledocolitiasis, cholangitis (inflamed bile duct)
| - is dx and tx
91
what 2 cancers are associated with autoimmune gastritis?
1. adenocarcinoma
| 2. carcinoid tumors
92
acoustic shadow on US
gallstones
93
Crohns is a risk factor for what (especially if located in ileum)?
gallstones
94
Cullen's sign
periumbilical echymosis -> acute pancreatitis
95
Grey Turner sign
flank echymosis -> acute pancreatitis
96
Murphy sign
acute chocystitis
97
Virchow node lymphadenopathy (in L supraclavicular fossa)
gastric adenocarcinoma and Krukenberg tumor (ovary metastasis)
98
palmer erythema
red palms -> liver cirrhosis
99
increase in rugal folds, hypopreteinemia, edema/anasarca, epigastric pain
Menetrier syndrome
100
spontaneous bacterial peritonitis
portal HTN/ascites -> transposition of fluid from gut to peritoneum
101
ENT concern (hearing loss), N/V (vertigo)
Meniere's disease
102
adhesions
post-surgery, most common cause of *SBO*
103
obstipation
complete blockage: stool and gas
104
MRCP
magnetic resonance cholangiopancreatography
| - **dx and tx of biliary tree*
105
tx for Mallory Weiss tear?
ablation, cauterization
106
transvenous intrahepatic portosystemic shunt
for portal HTN
107
transvenous intrahepatic portosystemic shunt as tx for what?
for portal HTN
108
esophagectomy as tx for what?
SCC of esophagus (NOT adenocarcinoma)
109
what is a complication of eosinophilic esophagitis?
perforation
110
drink lots of water and remain upright for what?
pill esophagitis
111
what is the tx of esphageal varices?
1. stabilize (2 large bore IV's)
2. PPI
3. BAND LIGATION
112
aortoenteric fistula
congenital
113
when would you perform an NG tube suction?
SBO (NOT colon)
| -will help with NV
114
minnesota tube insertion
esophageal ballon, for varices
115
colonoscopic decompression
pseudo-obstruction of colon
116
INR, then ERCP?
choledocolithiasis
117
arterial penetration in the posterior aspect of body of the stomach?
splenic artery
| - gastroduodenal artery second most connom
118
prednisone use, co-infection with H. pylori
| - smoking
PUD
119
hypertriglyceridemia
pancreatitis (order lipid panel)
120
red whale markings
esophageal varices, increased risk of bleeding
121
fried rice organism
bacillus cereus
122
mayo, eggs, dairy organism
| - watery diarrhea
staph aureus
123
shellfish
| - rice water stool
vibrio cholera
124
veggies, potato salad
| - bloody diarrhea
Shigella
125
1 unit packed RBC will increase Hg how much?
1 unit
| normal Hg=12-16g/dL
126
mild dysphagia, sharp burning chest pain
- younger men
- hematemesis
erosive esophagitis
