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18 Cards in this Set
- Front
- Back
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m/c cause cirrhosis
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alcohol
(#2 and 3 are hep B and C) |
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most life threatening complication of portal HTN
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bleeding secondary to esophagogastric varices
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procedure to decrease portal HTN
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TIPS
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features of hepatic encephalopathy
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asterixis (flapping tremor)
rigidity hyperreflexia fetor hepaticus (musty odorous breath) tx: lactulose |
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clinical jaundice is evident when total bili is greater than ___.
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2 mg/dl
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when to use a HIDA to dx acute cholecystitis
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when US is inconclusive
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charcots triad
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RUQ pain
jaundice fever |
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Must wait __ hrs until pt is afebrile until cholangiography (PTC or ERCP) can be performed in a pt with cholangitis.
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48 hrs
**PTC and ERCP are definitive tests |
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m/c cause acute pancreatitis
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alcohol abuse 40%
gallstones 40% (blocking ampulla of vater) Post ERCP 10% |
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most accurate test for diagnosis of acute pancreatitis
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CT of abdomen
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ranson's criteria
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glucose >200
age >55yo LDH >350 AST >250 WBC >16,000 @48hrs: Ca++ <8 dec hematocrit >10% BUN >8 mg/dl base def >4 fluid sequestration >6L |
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m/c cause chronic pancreatitis
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chronic ETOH
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gold standard dx chronic pancreatitis
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ERCP
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m/c complication chronic pancreatitis
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narcotic addiction
(also DM) |
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m/c causes upper and lower GI bleeds
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upper: PUD, gastric ulcer, gastritis
lower: diverticulosis, angiodysplasia, IBD |
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3 m/c causes of PUD
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H pylori
NSAIDS acid hypersecretory states like Zollinger Ellison syndrome |
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skip lesions, transmural, fistulae, abscesses
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Crohn's
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Colorectal cancer is more common in this IBD
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UC
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