Pance Gi

Front 1

perifollicular hemorrhages, eccymoses of legs, bleeding gums, loose teeth and GI bleeding

Back 1

Scurcy; Vit V def

Front 2

Melanin spots on lips, buccal mucosa, tongue with bleeding polypoid lesions in small intestine

Back 2

Peutz-Jeghers Syndrome (genetic)

Front 3

telangiectasias on face and buccal mucosa and similar lesions of GI tract

Back 3

Rendu-Osler-Weber

Front 4

cafe au lait pigmentation, pedunculated fibromas and fibromas in GI tract that may bleed

Back 4

neurofibromatosis

Front 5

cavernous hamngiomas or skin with similar lesions in the intestine

Back 5

Rubber-blebb nevus

Front 6

INterfeuron CI

Back 6

autoimmune, liver dz, cardiac arrythmias

Front 7

large volume, watery nonbloody diarrhea is caused by what

Back 7

toxin producing bacteria; enterotoxigenic E. coli or virus

Front 8

inflammatory diarrhea, small volume, bloody w/o prominent nausea is caused by what?

Back 8

salmonallea, shigella or campylobacter

Front 9

risk of feto-maternal transmission is low to which hepatitis?

Back 9

Hep C

Front 10

Hept C is an RNA virus similar to...

Back 10

Falvivirus

Front 11

Incubation period of Hep C

Back 11

6-7wks

Front 12

What kind of hepatitis is more likely to become chronic?

Back 12

Hep C

Front 13

Hep D needs coinfection with what?

Back 13

B

Front 14

MC malignant tumor of esophagus in AA M is

Back 14

squamous cell

Front 15

What esophageal tumor is more common in whites?

Back 15

adenocarcinoma; RFs = GERD

Front 16

antimitochondrial antibodies are found in pts with what

Back 16

primary biliary cirrhosis

Front 17

What is Plummer-Vinson?

Back 17

congenital syndrome asc with anemia and webbing of the esophagus

Front 18

Boerhaave Syndrome

Back 18

Rare, life-threatening, full thickness tear in esophagus

Front 19

Zollinger-Ellison

Back 19

Gastrin secreting neuroendocrine tumors resulting in hyperacid secretion

Front 20

Tx giardia

Back 20

metronidazole 250-750mg po TID

Front 21

Tx campylobacter

Back 21

erythromycin

Front 22

Tx Cholera

Back 22

Doxy or tetra, quinolones

Front 23

Tx shigella

Back 23

quinolones

Front 24

Pt stand on on toes, drop quickly to heels, when they drop the tenderness should localize

Back 24

Markle Sign

Front 25

Blumberg Sign

Back 25

Rebound Tenderness

Front 26

successiojn splach

Back 26

air fluid in abdomen

Front 27

Niacin Deficiency

Back 27

Pellagra or the 3 Ds:

1) dermatitis

2) diarrhea

3) dementia

Front 28

Occurs in white men in the 4th - 5th decade, seronegative arthritis, fever, lymphadenopathy, weight loss, malabsorption and diarrhea

Back 28

Whipple Disease

Caused by tropheryma whippelii and diagnosed by PCR or endoscopic bx of duodenum

Front 29

Crohn Disease

Back 29

-Small bowel (terminal ileum) & proximal ascen., mouth to anus, predom right sided, skip lesions

-transmural

-/3 cases may have perioral or perianal involvement (fissure, fistula, abscess)

--arthritis, arthralgias, skin rash

-

Front 30

UC

Back 30

-Only affects colon, continuous

-MC distal portionto proximal , NO PERIANAL

-arthritis, arthralgias, skin rash

-bloody more common

-mucosal surface

-toxic megacolon and colon CA more common

Front 31

MCC intestinal obstruction in kids <2

Back 31

intussusception, paroxysmal pain followed by bloody bowel movements

Front 32

Pyloric Stenosis

Back 32

Before age 6 mo , vomiting no diarrhea

Front 33

Hirschsprung Dz

Back 33

Abscence of ganglion cells in the colon, presents in early life with inability to pass meconium, followed by vomiting and abdominal distention

Front 34

giardisis dx

Back 34

parasite in stool or antigen

chronic diarrhea, anorexia, malabsorption and weight loss

Front 35

Elevated unconjugated (indirect) bilirubin

Back 35

Gilberts

Front 36

Conjugated (direct) bilirubin

Back 36

impaired excretion of bilirubin from liver d/t hepatocellular dz ; hepatitis, obstruction of bile ducts, cholelithiasis, sclerosing cholangitis and cancer of biliary ducts (cholangiocarcinoma) d

Front 37

direct and indirect inguinal hernias palpated in relation to inguinal ligament

Back 37

above

Front 38

Food posisoning after eating cooked food, onset 1-7hrs, cramping and some diarrhea/ Acute 4-6hrs, total 1-2days

Back 38

S aureus, tx is supportive

Front 39

food poisoning after eating uncooked food, onset 8-14hrs, cramping watery diarrhea, lasts 24 hrs

Back 39

C perferingens, supportive tx

Front 40

how is giardia spread

Back 40

water, person - person

Front 41

imported uncooked foods, nausea, anorexia, water, onset 7d, lasts weeks

Back 41

cyclospora, Bactrim BID for 7days

Front 42

purulent bloody diarrhea

Back 42

enterohemorrhagic e coli, shigella, campylobacter

Front 43

shigella comes from

Back 43

fecal - oral

Front 44

campylobacter comes from

Back 44

undercooked poultry

Front 45

Ranson's Criteria on ADmission:

Back 45

GA LAW

Glucose > 200

AST > 250

LDH >350

Age >55

WBC>16000

Front 46

Ranson's Criteria Initiral 48 Hours

Back 46

C HOBBS

Calcium <8

Hct drop >10%

Oxygen <60

BUN rise > 5

Base Deficit >4

Sequestration of Fluid >6L

Front 47

Serologics Hep A

Back 47

IgM detected at onset after 15-40d incubation period, dissapears several months later.

IgG indicates resolved Hep A

Front 48

HBsAg

Back 48

Hep B surface Antigen represents ongoing infection of any duration

Front 49

anti-HBs

Back 49

antibody against hep B surface antigen shows immunity by past infection or immunization

Front 50

anti-HBc

Back 50

Hep B core antibody is present between dissapearrance of HbsAg and appearance of anti-HBs, indicating acute hepatitis

Front 51

HBeAg

Back 51

hep B envelope antigen represents active infection that is highly contagious, whereas anti-HBe indicates lower viral titer

Front 52

rickets, osteomalacia

Back 52

vit D def

Front 53

oral inflammation, eye d/o

Back 53

riboflavin

Front 54

tingling, fatigue, HA

Back 54

pantothenic acid

Front 55

dermatitis, tongue pain, anemia, depression

Back 55

biotin

Front 56

HA, anemia, SZ, flaky skin, sore tongue

Back 56

B6

Front 57

megaloblastic anemia, sore tongue, mental d/o, diarrhea, alcoholism, and pregnancy

Back 57

folate

Front 58

megaloblastic anemia, poor nerve funcion, seen in elderly and vegans

Back 58

B12 (cobalamin)

Front 59

bacillus cereus

Back 59

onset hours, lasts 24 hrs, diarrhea or vominting, comes from rice