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27 Cards in this Set
- Front
- Back
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What is the clinical presenation of a pt with Borerhaave's syndrome and which dx study is likely to be most beneficial?
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substernal CP
CXR will demonstrate any pneumomediastinum, pneumothorax, pleural effusions, subdiaphragmatic air. If CXR is +, order esophagram using water soluble oral contrast. Barium will cause additional inflammation |
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What are the differentiating cx features that distinguish Crohn's from UC?
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UC = bloody diarrhea
Crohn's = abd pain, anorexia, wt loss, nonbloody diarrhea also fissures/fistulas, perirectal abscesses |
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What is the general management of ingested foreign bodies that are sharp or pointed?
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Surgery if after the pylorus. Before pylorus, take out endoscopically
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What is the management of ingested foreign bdies that are sharp or pointed in children?
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same as adults
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Small child swallows a quarter. Where is it most likely to become impacted?
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C6 cricopharyngeus
T10-11 diaphragmatic hiatus T4 behind the aortic arch |
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Which type of hepatitis produces neither chronic infx nor carrier state?
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A
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The clinical presentation of an esophageal foreign body in children may not be "dysphagia". What else is possible?
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Resp distress due to compression of the pliable trachea
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What is the appropriate tx for a pt with a cecal volvulus? Is the tx the same for a sigmoid volvulus?
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cecal = surgery
sigmoid = sigmoidoscopy (both diagnostic and therapeutic) |
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Name the MC causes of
1. all types of intestinal obstruction 2. Small bowel obstruction 3. Large bowel obstruction |
1. adynamic ileus
2. hernias, adhesions 3. CA, sigmoid divertic, volvulus |
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Clinical presentation: 45yo male presents with substernal CP following forced vomiting. What is the most likely dx and which side is most frequently involved?
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Boeerhaave, left
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MW and Boerhaave's involve tears of the esophagus. how do they differ?
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MW = mucosal tears, presenting as UGI bleed
Boerhaave's = transesophageal, presenting as CP |
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Clinical presentation: 43yo F presents with epigastric discomfort after eating dinner. She is tender in both the epigastrium and RUQ. Which radiographic study is the "gold standard" in establishing the dx?
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HIDA
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What are the poor prognostic signs in pts with pancreatitis?
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Age >55
WBC >16k glucose >200 LDH > AST > |
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Name the MC causes of BRBPR
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hemorrhoids and fissures
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MC cause of bloddy diarrhea
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shigella
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MC cause of UGI bleed?
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PUD
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Pt dx with UC demonstrates a transverse colon measuring >8cm on an abd film. What is the significance of this finding?
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Toxic Megacolon
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What is the drug of choice in pts with pseudomembranous colitis?
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Flagyl
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What isthe MC complication of UGI rigid endoscopy?
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esophageal bleeds
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what is the CC of pts with Boerhaave's syndrome?
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CP
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Clinical presentation: pt with hx of pulmonary edema develops sudden onset of abd pain, bloody diarrhea. what is the suspected dx?
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Mesenteric ischemia
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What is the initial dx study of choice ofr a pt with suspected cholecystitis?
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US detects 98% of pts with gallstones. HIDA is definitive dx however.
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Which abdnomal electrolyte finidng is seen in pts with pancreatitis?
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HypoCa
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Hemorrhagic shock is a potential complication of which inflammatory GI disorder?
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pancreatitis
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What are the historical findings consistent with the dx of IBS?
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rectal urgency
flatus intermiten episodes of constipation stable weight over last year |
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Most likely causes of LGIB in children?
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Meckel's/intussuception
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MC cause of GIB in preg?
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esophagitis
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