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18 Cards in this Set
- Front
- Back
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A 25-year-old Jewish man presents with pain and watery diarrhea after meals. Exam shows fistuals between the bowel and skin and nodular lesions on his tibias
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Crohn's disease
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Inflammatory disease of the colon with ↑ risk of colon cancer?
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Ulcerative colitis (greater risk than Crohn's)
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Extraintestinal manifestations of IBD?
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Uveitis, ankylosing spondylitis, pyoderma gangrenosum, eryhema nodosum, 1⁰ sclerosing cholangitis
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Medical treatment for IBD?
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5-ASA agents and steroids during acute axacerbations
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Difference between Mallory-Weiss and Boerhaave tears?
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Mallory-Weiss superficial tear in the esophageal mucosa.
Boerhaave- full-thickness esophageal rupture |
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Charcot's triad
Symptoms? |
RUQ pain, jaundice, and fever/chills inthe setting of ascending cholangitis
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Reynolds' pentad
Conditions? |
Charcot's triad plus shock and mental status changes, with suppurative ascending cholangitis
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Medical treatment for hepatic encephalopathy?
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↓ protein intake, lactulose, rifaximin
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First step in the management of a patient with an acute GI bleed?
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Establish the ABCs
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A four-year-old child presents with oliguria, petechiae, and jaundice following an illness with bloody diarrhea. Most likely diagnosis and cause?
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Hemolytic-uremic syndrome (HUS) due to E. coli O147:H7
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Post-HBV exposure treatment?
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HBV immunoglobulin
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Classic causes of drug-induced hepatitis?
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TB medications (INH, rifampin, pyrazinamide), acetaminophen, and tetracycline
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A 40-year-old child presents with oliguria, petechiae, and jaundice following an illness with bloody diarrhea. Most likely diagnosis and cause?
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Hemolytic-uremic syndrome (HUS) due to E. coli O157:H7ph
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Post-HBV exposure treatment?
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HBV immunoglobulin
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Classic causes of drug-induced hepatitis?
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TB medications (INH, rifampin, pyrazinamide), acetaminophen, and tetracycline
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A 40-year-old obese woman with elevated alkaline phosphatase, elevated bilirubin, pruritus, dark urine, and clay-colored stools
Causes? |
Biliary tract obstruction
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Hernia with highest risk of incarceration- indirection, direct, or femoral?
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Femoral hernia
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A 50-year-old man witha history of alcohol abuse presents with boring epigastric pain that radiates to the back and is relieved by sitting forward. Management?
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Confirm the diagnosis of acute pancreatitis with elevated amylase and lipase. Make the patient NPO and give IV fluids, O2 , analgesia, and "tincture of time"
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