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22 Cards in this Set
- Front
- Back
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DDx for RUQ pain? Need 6.
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1. Acute cholangitis
2. Acute viral hepatitis 3. Acute alcoholic hepatitis 4. Fitz-Hugh-Curtis syndrome 5. Cholecystitis 6. Pneumonia |
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DDx for Mid-epigastric/Peri-umbilical pain? Need 7.
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1. Acute pancreatitis
2. Inferior MI 3. Perforated peptic ulcer 4. Mesenteric ischemia 5. SBO 6. Aortic dissection/rupture 7. DKA |
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DDx for RLQ pain? Need 6.
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1. Acute appendicitis
2. Ecotpic pregnancy 3. Ovarian cyst/torsion 4. PID 5. Nephrolithiasis 6. Pyelonephritis |
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DDx for LLQ pain? Need 2.
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1. Acute diverticulitis
2. Toxic megacolon |
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What are the Rome Criteria for IBS?
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1. > 3 months of continuous or recurrent symptoms
2. > 2/5 of the following for more than 25% of the time: altered stool frequency, form, passage, mucous, bloating |
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What is the sensitivity and specificity of the Rome criteria?
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1. Sensitivity: 48%
2. Specificity: 100% |
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DDx for acute diarrhea (<14 days)?
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Infectious, pre-formed:
1. S. aureus 2. Clostridium 3. Bacillus 4. ETEC Infectious, colonizer: 1. Salmonella 2. Campylobacter 3. EPEC Non-infectious: 1. medications 2. osmotic |
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DDx for chronic diarrhea (> 4 weeks)?
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1. IBD: Crohn's vs UC
2. IBS 3. microscopic colitis 4. Celiac sprue 5. Whipple's 6. Carbohydrate intolerance 7. Pancreatic insufficiency |
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More DDx for chronic diarrhrea (> 4 weeks)?
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1. Small bowel bacterial overgrowth
2. Common variable immunodeficiency 3. Medications 4. Enteral feeding 5. Bile acid malaborption 6. Bile acid deficiency 7. Dumping syndrome 8. Self-induced |
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What are the signs, symptoms, and tests associated with celiac sprue?
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1. Steatorrhea
2. Weight loss 3. Dermatitis herpetiformis 4. Iron deficiency anemia 5. Anti-tissue transglutaminase / anti-endomysial antibody |
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Alternative Dx to GERD?
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1. achalasia
2. CAD 3. DES 4. Esophageal cancer 5. Infectious esophagitis 6. Pill esophagitis 7. PUD 8. Biliary disease |
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What are the possible complications of acute pancreatitis?
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1. Hypocalcemia
2. hypeglycemia 3. acute kidney injury 4. DIC 5. ARDS |
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What are the alarm symptoms for dyspepsia?
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1. Dysphagia
2. Weight loss 3. Bleeding 4. Anemia |
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Name 3 extra-hepatic manifestations of Hepatitis B.
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1. Glomerulonephritis
2. Polyarteritis Nodosa 3. Cryoglobulinemia |
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What is the treatment for Hep B?
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1. alpha-interferon
2. lamuvidine 3. adefovir |
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What is the treatment for Hep C?
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1. alpha-interferon
2. ribavirin |
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DDx of cirrhosis?
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1. Biliary: obstruction, PBC, PSC
2. Inflammatory: drug hepatitis, viral hepatitis, autoimmune hepatitis, NAFLD/NASH 3. Metabolic: hemochromatosis, Wilson's Dz |
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What is the serum marker for hepatocellular carcinoma?
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alpha-fetoprotein
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Name 5 extra-intestinal signs and symptoms of Crohn's Disease.
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1. Uveitis
2. Erythema Nodosum 3. Pyoderma Gangrenosum 4. Spondyloarthritis 5. Aphthous ulcers |
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Name 9 extra-intestinal manifestations of UC.
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1. Uveitis
2. Erythema Nodosum 3. Pyoderma Gangrenosum 4. PSC 5. Spondyloarthritis 6. Fibrotic Lung Disease 7. Aortic Insufficiency 8. Venous and Arterial Thromboembolism 9. AIHA |
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What is the medical therapy for each of the following mild-to-moderate Crohn's dz sites:
1. Colon only 2. R colon/ileal 3. Small and large bowel |
1. sulfasalazine
2. budesonide 3. mesalamine/metronidazole |
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What is the medical therapy for moderate-to-severe Crohn's dz?
1. Remission 2. Maintenance |
1. prednisone
2. azathioprine/6-MP/methotrexate/infliximab |
