GI 2 Exam 1 > Week 2 McGowan CIS Buzzwords > Flashcards

Week 2 McGowan CIS Buzzwords Flashcards

(75 cards)

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1
Q

benign hyperpigmentation of the colon

A

melanosis coli d/t laxative abuse

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2
Q

pseudomembranous colitis

A

C. diff

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3
Q

villous atrophy

A

celiac

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4
Q

fecal elastase

A

chronic pancreatitis d/t pancreatic insufficiency

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5
Q

iron def anemia, dermatitis herpetiformis

A

celiac disease

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6
Q

bloody diarrhea, undercooked beef

A

E. coli (EHEC) 0157:H7

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7
Q

what 2 conditions can gastroenteritis cause?

A

lactase deficiency, or IBS

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8
Q

rectal lactulose

A 
hepatic encephalopathy (confusion due to buildup of ammonia)
- causes diarrhea
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9
Q

non-anion gap metabolic acidosis

A

secretory diarrhea

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10
Q

elevated osmotic gap

A

osmotic diarrhea

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11
Q

fecal calprotectin

A

inflammation in GI tract (IBD)

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12
Q

when would you see hyponatremia and hypokalemia?

A

profuse diarrhea

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13
Q
  • weight loss
  • diarrhea up at night
  • fever
  • hematochezia/melena
  • acute onset
A

alarm symptoms

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14
Q

VIPoma

A

pancreatic cholera (secretory diarrhea)

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15
Q

tea colored urine

A

cholecystitis

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16
Q

omeprazole is a risk factor for what?

A

C. diff assoc colitis

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17
Q

malodorous water diarrhea

A

giardia

- dx: stool antigen

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18
Q

what is a complication and risk factor of toxic megacolon

A
  • caused by C. diff infection and UC

- at risk of perforation (especially when cecum >10cm)

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19
Q

metabolic acidosis or alkalosis associated with diarrhea?

A

acidosis

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20
Q

primary sclerosing cholangitis is a complication of what?

A

UC

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21
Q

norovirus associations

A

cruise ships, child care

- wash hands with SOAP AND WATER

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22
Q

microscopic colitis

A

medication induced inflammation

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23
Q

what are the risk factors of acute acute ischemic colitis?

A
  • CAD
  • vascular disease
  • vasoconstrictive drugs
  • marathon runners
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24
Q

severe, acute crampy abdominal pain (comes out of nowhere)

- followed by bloody BM

A

acute ischemic colitis

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25
anti-DGP
test for celiac in IgA def patients (anti-digliadin peptide)
26
celiac's have a higher risk of what?
osteoporosis (d/t malabsorption)
27
PAS stain on biopsy
Whipple disease
28
stool antigen?
Giardia (common cause!)
29
when would you order EGD with duodenal biopsy?
Celiac and Whipple
30
what are the 3 main causes of chronic diarrhea?
1. meds 2. IBS 3. lactose intolerance
31
40-50 y/o male - malabsorption (vit A. D, E, K def) - non acid fast gram positive bacillus (PAS positive)
Whipple disease
32
elevated iron saturation
hemachromatosis -> YERSINIA
33
what is threshold Hg level to give blood
give blood if < 7g/dL
34
fresh frozen plasma (FFP)
helps with clotting!
35
IV pantoprazole
PPI + EGD
36
what is the workup for most UGIB?
- start PPI | - do endoscopy (to see what's going on)
37
skip lesions
CD
38
outpouchings in the colon
diverticulosis
39
painless, profuse hematochezia | - stops on it's own (no EGD necessary)
diverticulosis
40
acute, painful cramping, lots of bleeding
acute ischemic colitis
41
occult bleeding, pencil thin stools
colon cancer
42
inflammation (leukocytosis), LLQ pain, no blood
diverticulitis
43
rectal pain, no abd pain, bright red blood on toilet paper
hemorrhoid
44
malformation of venous system
vascular ectasia
45
thousands of adenomatous polyps
FAP
46
gastric adenocarcinoma
Lynch syndrome
47
MALToma
H. pylori
48
FAP, juvenile polyps, Peutz-Jegher, Cowden syndrome
hamartomatous polyps
49
what are the 2 co-morbidities of angioectasia of ascending colon?
- chronic renal failure | - aortic stenosis
50
can bloody noses cause melena?
yes! can swallow the bloody
51
will UC cause melena?
probably not | - LGIB -> hematochezia
52
- smoker - dysphagia - GERD
increased risk esophageal cancer
53
- no dysphagia | - hematochezia (not melena)
colon cancer
54
what two workups are contraindicated in toxic megacolon?
1. colonoscopy 2. barium enema - can cause perforation - > do plain abd Xray!!
55
lead pipe sign, loss of Haustra
UC
56
string sign on plain Xray
CD
57
increased pressure at LES
achalasia
58
chelitis, koilonchya, iron def anemia, esophageal webs
Plummer-Vinson syndrome
59
currant jelly stool
intussusception
60
- hamartomatous polyps | - hyperpigmentation of lips
Peutz- Jegher syndrome
61
right side colon cancer, DNA basepair mismatch | - endometrial, ovarian metastases
Lynch syndrome
62
tx with IV metranidazole
C. diff - more severe cases get vancomycin PO
63
tx with oral corticosteroids
IDB
64
tx for Shiga-like toxin | - +fecal leukocytes (leukocytosis)
rehydration | - EHEC (do NOT give abx! -> HUS)
65
HPV increases risk of what?
anal cancer
66
tearing pain with bowel movement, lots of bright red blood
anal fissure
67
10 years prior to when youngest first-degree relative was diagnosed of colon cancer, or 40
colonoscopy
68
capsule endoscopy
to view AVM (Crohns)
69
periumbilical pain "out of proportion" from exam - NV - **thumb printing on Xray**
acute mesenteric ischemic
70
red whale markings
esophageal varices
71
aortic stenosis
AVM
72
mucocutaneous macules on buccal mucosa
Peutz-Jegher syndrome
73
ankylosing spondylitis "bamboo spine"
UC (HLA-B27)
74
- erythema nodosum - pyoderma gangrenosum - uveitis - aphthous ulcers - DVT - nephroplithiasis
extraintestinal manifestation of IBD
75
primary sclerosing cholangitis
UC
GI 2 Exam 1
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