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35 Cards in this Set

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Lymphatic drainage above pectinate line

Internal Iliac

Lymphatic drainage below pectinate line

Superficial inguinal nodes

Indirect hernia path

Lateral to inferior epigastric arteries through both internal and external inguinal rings

Source of somatostatin

D cells (pancreatic islets + GI mucosa)

Source of CCK

I cells (duodenum and jejunum)

Source of secretin

S cells (duodenum)

Watery diarrhoea, hypokalemia, achlorhydria

VIPoma (WDHA syndrome)

What converts trypsinogen to trypsin?

Enterokinase/enteropeptidase

Located in duodenal and jejunal mucosa

Elder male, bad breath, esophageal dysmotility

Zenker divrrticulum

Most common non-neoplastic polyp; in rectosigmoid region

Hyperplastic polyps

Which tumor suppressor gene is mutated in FAP?

APC

FAP + osseous/soft tissue tumors +/- extra teeth

Gardner syndrome

Lynch syndrome mutation?

AD; DNA mismatch repair genes mutation (MLH1, MSH2, etc.)

Common benign liver tumor

Cavernous hemangioma

Lymphocytic infiltrate + granulomas in intralobular bike ducts; histologically similar to GVHD

Primary biliary cirrhosis

Treat: ursodiol

Acalculous cholecystitis?

No gallstones, high mortality in critically ill patients, CMV

Inspiratory arrest on RUQ pain in cholecystitis

Murphy's sign

Control vomiting postoperatively and in patients undergoing chemo

Ondansetron (serotonin antagonist)

S/e: QT prolongation, headache, constipation

For diabetic and postsurgery gastroparesis, antiemetic, persistent GERD

Metoclopramide (D2 receptor antagonist)

S/e: parkinsonian effects, tardive dyskinesia. Contra in patients with small bowel obstruction or Parkinson's

Linear ulcers in lower esophagus

CMV

Urinary concentration measurement of what is best measure of diabetic nephropathy

Albumin

Most common site of adenocarcinoma I'm colon

Ascending

Posterior duodenal ulcer penetrates which artery?

Gastroduodenal artery

Courvoisier sign (enlarged gallbladder with painless jaundice)

Tumor arising in head of pancreas (pancreatic ductal adenocarcinoma)

Thrombosis or compression of hepatic veins, absence of JVD

Budd chiari syndrome

Associated with Hepatocellular carcinoma, polycythemia Vera, post partum state

"Beading" of bile ducts

Primary sclerosing cholangitis

Associated with UC

To differentiate between alcoholic pancreatitis and the rest

Macrocytosis

Other than AST:ALT ratio

Used for the prevention of NSAID induced peptic ulcer

Misoprostol (a PGE1 analog)

Used off label for induction of labour

Cholesterol, bike acid, phosphatidylcholine increase or decrease in gallstones?

Increase, decrease, decrease

Erosions don't extend into

Submucosa

Migratory thrombophlebitis

Pancreatic cancer

First ever injection given to newborn

Vitamin k

Supplements given to infants

Vitamin D

Crycopharyngeal motor dysfunction leads to

Zenker diverticulum

What is lynch syndrome associated with

Endometrial, ovarian, and skin cancer