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15 Cards in this Set

  • Front
  • Back
Presentation of esophageal perfortation?
Can be caused by Boerhaave syndrome, high intraabdominal pressure leads to Pneumomediastinum (retrosternal pain and crepitus in the suprasternal notch)
Benign liver tumor in middle-aged women taking OCP’s?
Complications?
- Hepatic Adenoma
- Can have severe intra-tumor hemorrhage and malignant transformation
Pt undergoes Chole w/ no resolvement of Sx’s, common cause and Tx?
- Sphincter of Oddi dysfunction, will have elevated LFT and biliary sphincter pressure
- Tx w/ ERCP Sphincterotomy
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
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
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
Sx’s of LLQ pain and bloody diarrhea after a AAA repair, always think what?
Ischemic Colitis
Presentation of VIPoma?
- Causes diarrhea, hypokalemia, and decreased stomach acid
- Can also cause dehydration, abd pain, leg cramps, and facial flushing
Best way to Dx Meckel’s Divirticulum?
Technetium-99m pertehnetate scan
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
Best test to Dx Chronic Pancreatitis (pancreatic exocrine insufficiency?
- Stool Elastase
- Amylase/Lipase will be normal or only slightly elevated, this is more specific
Absent BS w/ distension of small and large bowel?
Cause?
- Paralytic ileus
- MC surgery, also retroperitoneal hemorrhage w/ associated vertebral fracture
What cardiac dysfunction has a loose association w/ Angiodisplasia?
Aortic Stenosis
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
Tx for Enteromeba Histolytica?
PO metronidazole 7-10 days