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41 Cards in this Set
- Front
- Back
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Neuro + Ocular + arthralgia + malabsorption |
Whipple
Tetracyclin 12 mths
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Tropics + celiac |
doxy / bactrim 3-6 mths
(celiac asso with bowel lymphoma) |
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Celiac disease diagnoses |
Sensitivity was 100% for TG2–IgA 90–100% for DGP–IgG but only 67–86% for DGP–IgA TG2–IgA was best in identifying non-adherence to a gluten-free diet (Receiving low-dose gluten patients experienced significantly more abdominal pain, foggy mind, and aphthous stomatitis compared with placebo) |
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Chronic pancretitis |
normal amylase / lipase Dx CT without contrast Secretin stim - bicarb fluids
Rx replace enzymes
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IBS |
no fever no weight loss no blood in stool most common s/s - abd pain Dx exclude everything stool microscopic + culture colonoscopy CT Rx fiber dicyclomine / hyosyamine TCA (amitryp)
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Benign polyp
no extra screen
Dysplastic polyp |
Hamartoma (Peutz jegher (slightly higher risk) / Juvenile polyposis )
hyperplastic
colonoscopy 3-5 yrs |
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Lynch syn |
25 q 1- 2 yrs |
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Gardner (FAP variant) |
osteoms Screen as if FAP |
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Diverticulosis
Diverticulitis |
Dx barium enema
Dx CT scan Rx cipro + metronidazole |
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GI Bleed |
Bolus IV fluids CBC PT / INR Type and Cross Consult GI EKG |
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Orthostasis Vitals
Packed RBC
FFP |
> 20 mmhg drop
Hct <30 in older / <20 in younger
INR too high
correct coag before scope |
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Constipation causing drugs |
TCA CCB Anticholinergic |
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Acute Pancreatitis causes and diagnosis |
ERCP Thiazide didanosine Stavudine Azathioprine HyperTGs Dx hyperGluc / Met acidosis/ Amylase / Lipase/ CT scan |
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ERCP |
dilated Common Bile Duct without pancreatic mass
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Necrotic Pancrease |
CT > 30% necrosis Imipenem Biopsy - infection Surgery debride |
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Hep B asso
Hep C asso |
PAN
Cryoglobinemia
All have jaundice/wt loss/direct inc |
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Window period Acute hep
Replication Pre core mutant
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only core antibody
Surface/ e Ag + core AB <6mths
dna polymerase = e ag = PCR for DNA
No HBeAg but DNA is high Chr - tenofovir/entecavir (single agent) lamivudine not good (relapse) Tenofovir causes Fanconi's (loss of phos and gluc) |
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Hep C |
ONLY hepatits to Rx acute Dx Core ab Hep C PCR (Follow Up) Biopsy (liver damage)
Interferon + ribavarin (anemia) + Boceprevir Rx same for acute / chronic - based on genotype
No post exposure Px |
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SBP |
>250 WBC
Rx cefotaxime |
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Women + itch + autoimmune + xanthelasmas |
PBC Inc alk phos + normal bilirubin
AMA positive
Rx Ursodeoxycholic acid
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IBC + itch + inc alk phos + inc bili |
ASMA ANCA
ERCP - beading |
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choreo + crazy + hemolysis |
Wilson's low serum copper levels despite extra copper in the body
low ceruloplasmin liver biopsy with analysis of hepatic cu conc.
Rx penicillamine/ trientine |
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hemochomatosis |
panhypopitutiary calcium pyrophos elev iron + ferritin
liver biopsy = MRI + HFe gene
Rx phlebotomy High rates of HCC |
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Autoimmune hepatitis |
ANA / ASMA SPEEP = hypergamma Liver biopsy
Pred |
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NASH |
obesity/ DM ALT > AST
No Rx |
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Avoid which anti emetic in parkinson? |
Prochlorperazine |
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Which is tender? Gastritis GERD Non ulcer dyspepsia? Ulcers |
Only ulcers are tender |
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Methylmatrexone (inj) Alvimopan |
relieves opiod induced constipation protects bowel from opiod induced constipation post surgery |
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Gastric vs duodenal ulcer... which causes cancer? |
Gastric |
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Therapy to prevent chemo induced nausea |
Add dexamethasone to osteron or Aprepitant (S/E arrhythmias) |
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Treatment for hiccups? |
Chlorpromazine |
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Linaclotide Lubiprostone |
Irritable bowel with constipation Chronic idiopathic constipation |
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Eosinophilic esophagitis |
See ridges on endoscopy try PPI then budesonide |
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Vedolizumab |
IBD if nothing works |
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Teduglutide |
Treats Short bowel syndrome and reduces infusion necessity Improves Intestinal mucosa |
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Endocuff colonoscopy |
Detection of adenomas >1 cm was significantly improved with Endocuff colonoscopy |
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Strongest factor for H. pylori recurrence? Doxycycline versus tetracycline? Eradication failure? |
The strongest risk factor for recurrence was hospitalization no difference in treatment efficacy previous use of clarithro, macrolides in general female or older than 60 years |
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pts with GERD and insomnia |
Daily ramelteon improved daytime heartburn, nighttime heartburn, 24-hr heartburn, and 24-hr acid regurgitation. |
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Rx of crohns pt with recent intestinal resection |
early colonoscopy with step up |
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TNF inhibitors in IBD |
smoking and cessation of azathioprine early than six months can cause loss of response |
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IBD and mental illness |
anxiety and depression can cause recurrence therefore pts should be screened and referred to psychologists |
