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42 Cards in this Set

  • Front
  • Back
esophageal rupture presenting with hematemesis & SEVERE retrosternal tearing pain
boerhaaves syndrome
how to tell difference between motility (achalasia) and mechanical disorders (i.e masses) of esophagus
motility-dysphagia to solids and liquids
mechanical-dysphagia to solids only
gastrinoma of pancreas or duodenum aka
zollinger-ellison syndrome
most common cancer worldwide
gastric carcinoma
what antibodies assoc with crohns disease
pANCA and ASCA
absolute contraindications to liver transplant
malignancy, advanced cardiopulm dz, sepsis (OK If have HIV)
what lab drawn to see if pt has acute hep A
IgM
prothrombin time in liver failure
increased
what is ranson's criteria used for
assess survival in pts with pancreatitis
cullens sign
umbilical bruising; seen in pancreatitis
turners sign
flank bruising; seen in pancreatitis
some causes/risks for chronic pancreatitis
#1--ETOH
cystic fibrosis
HYPERPARATHYROIDISM
pt with grey skin and inc in %transferrin saturation..dx
hemochromatosis
why dont you see lots of hep D?
needs hep B sAg present to replicate
screen for hep c with ___ and confirm with ___
screen with EIA & confirm c RIBA
tx for hep c
interferon with ribavirin
which IBD spares rectum
crohns (usu terminal ileum or cecum)
tx for crohns
aminosalicylates (sulfasalazine, mesalamine)
corticosteroids
imuran
what is sudan stain used for
to see if fecal fat (i.e. to dx malabsorption syndromes)
if more than 50cm of ileum is resected then pt needs?
monthly b12 injections
ulcerative colitis always includes what part of gi tract
rectum (whereas crohns usu spares rectum)
most common cause of bleeding below ligament of treitz
diverticular hemorrhage
if have first degree relative with colon ca at age >60, when should you get screened
age 40
IBD patients need screening colonoscopy when
8 yrs after dx
dermatitis, dementia and diarrhea are the 3Ds of what B vitamin deficiency
Vit B3 (niacin) def aka pellegra
what is more specific for liver....ALT or AST
ALT (AST also in RBCs, muscle, kidneys, etc)
pt has fever, HA, & ab pain after playing c pet snake then gets bloody diarrhea...likely causative agent
salmonella
pt c hx of myasthenia gravis has chest fullness & pain x6 wks. nocturnal cough & 10lb wt loss
achlasia (esoph motility disorder common in neuromuscular disorders)
barium swallow finding is: distended esophageal body with beak-like lower sphincter...dx?
achalasia (abnormally high resting pressure of LES so esoph becomes dilated)
shigella diarrhea tx
ampicillin or bactrim
what condition is result of long term laxative use (pt's constipation gets worse)
megacolon
only HTN meds that dont have affect on GI motility
ACE-I and ARBS
what med can be used to dissolve gallstones
Ursodiol
interferon cannot be used to tx chronic hep C if pt also has
autoimmune disorder
melanin spots on lips,buccal mucosa and tongue. bleeding polypoid lesions in small intestine....dx
peutz jeghers syndrome
smoking, high fat fiet and industrial exposure to coal tar are all risk factors for cancer of the
pancreatic cancer
most common cause of parasitic gastroenteritis in US
giardia
diverticulosis most often occurs in which portion of colon
sigmoid
perform endoscopy on pts if they dont respond to PPIs after using them for
4wks
pellagra is deficiency in
niacin
cullens sign occurs as result of
retroperitoneal bleeding
best intial diagnostic study in pt with suspected perforated peptic ulcer
upright ab xray (will show free air under diaphragm)