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10 Cards in this Set
- Front
- Back
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How do you treat Zenker's diverticulum?
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Myotomy of the cricopharyngeus muscle to relieve the high pressure zone
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When is EGD warranted for patients with GERD?
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Those with symptoms unresponsive to initial empiric therapy, those with long standing disease, or those with alarm symptoms (blood in stool, weight loss, dysphagia/odynophagia)
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Where does type A chronic gastritis occur?
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In the fundus; associated with pernicious anemia (antibodies to parietal cells), increased risk of gastric adenocarinoma and carcinoid tumors.
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Where does type B chronic gastritis occur?
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In the antrum; caused by NSAIDs or H pylori infection. Increased risk of PUD and gastric cancer.
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What are risk factors for PUD?
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H. pylori, steroids, NSAIDs, alcohol, and tobacco. NOT STRESS!
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What do you do for a perforated ulcer?
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CT with IV contrast, laparotomy
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Flask shaped ulcers on endoscopy?
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Entamoeba histolytica
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What is the hydrogen breath test?
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Increased hydrogen following the ingestion of lactose in patients with lactose intolerance
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What are the manifestations of carcinoid syndrome?
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Cutaneous flushing, diarrhea, abdominal cramps, wheezing, and right-sided cardiac valvular lesions
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What is a cause of pellagra?
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Recurrent carcinoid syndrome (the serotonin is made from tryptophan, which is also a precursor for niacin)
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