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15 Cards in this Set
- Front
- Back
Presentation of esophageal perfortation?
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Can be caused by Boerhaave syndrome, high intraabdominal pressure leads to Pneumomediastinum (retrosternal pain and crepitus in the suprasternal notch)
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Benign liver tumor in middle-aged women taking OCP’s?
Complications? |
- Hepatic Adenoma
- Can have severe intra-tumor hemorrhage and malignant transformation |
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Pt undergoes Chole w/ no resolvement of Sx’s, common cause and Tx?
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- Sphincter of Oddi dysfunction, will have elevated LFT and biliary sphincter pressure
- Tx w/ ERCP Sphincterotomy |
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Pt w/ a Hx of Crohns presents w/ acute onset flank pain, hematuria and vomiting, what is cause?
Mechanism? |
- Nephrolithiasis
- Common in Crohns and other intestinal diseases w/ malabsorption due to Increased Absorption of Oxalate |
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Pt presents w/ chronic diarrhea, fecal fat, and decreased D-xylose urinary excretion that doesn’t correct w/ Abx use?
What would it be if D-xylose corrected? |
- Celiac disease, absorption of D-xylose isn’t affected by Abx so it will stay decreased
- Bacterial overgrowth will show normal D-xylose after Abx Tx |
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Pt under 50 w/ limited RF presents w/ minimal bright red bleeding from anus, how do you investigate?
Over 50? |
- Anoscopy/Proctoscopy
- If >50 or has significant RF for colon CA, do Colonoscopy/Sigmoidoscopy |
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Sx’s of LLQ pain and bloody diarrhea after a AAA repair, always think what?
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Ischemic Colitis
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Presentation of VIPoma?
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- Causes diarrhea, hypokalemia, and decreased stomach acid
- Can also cause dehydration, abd pain, leg cramps, and facial flushing |
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Best way to Dx Meckel’s Divirticulum?
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Technetium-99m pertehnetate scan
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What is a helpful Tx for gallstones if the pt is a poor surgical candidate or refuses surgery?
Mechanism? |
Ursodeoxycholic Acid, dissolves small radiolucent stones
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Best test to Dx Chronic Pancreatitis (pancreatic exocrine insufficiency?
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- Stool Elastase
- Amylase/Lipase will be normal or only slightly elevated, this is more specific |
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Absent BS w/ distension of small and large bowel?
Cause? |
- Paralytic ileus
- MC surgery, also retroperitoneal hemorrhage w/ associated vertebral fracture |
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What cardiac dysfunction has a loose association w/ Angiodisplasia?
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Aortic Stenosis
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Pt presents w/ bloating, flatulence, and explosive watery diarrhea in her late 40’s, Cause?
Common population? Dx tests? |
- Lactose intolerance due to decline of Lactase in gut
- Found in non-europeans, MC Asians - + hydrogen breath test after ingestion of lactose, positive stool test for reducing substances, low stool pH, increased stool osmotic gap |
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Tx for Enteromeba Histolytica?
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PO metronidazole 7-10 days
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