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