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37 Cards in this Set
- Front
- Back
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CI in acute setting of diverticular disease |
Endoscopy & colonoscopy |
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45 y/o female w/ elevated Alk phos & elevated AMA (95% of the time) think what disease? |
primary biliary cirrhosis |
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Elevated AST >ALT - think of what disease? |
Alcoholic Hepatitis or acute pancreatitis |
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Elevated ALT > AST - think of what disease? |
Nonalcoholic Fatty Liver (NASH) |
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Elevated transaminases elevated ANA elevated ASMA Think of what disease? |
Autoimmune Hepatitis |
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30 y/o Male h/o ulcerative colitis Elevated T Bili Elevated Alk Phos |
Primary sclerosing cholangitis |
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diagnositic gold standard & treatment for primary biliary cirrhosis |
biopsy of liver Ursodiol |
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diagnositic gold standard and treatment for autoimmune hepatitis |
liver biopsy Azothioprine (combo prednisone/immunomodulator) |
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What test is best for pancreas? |
CT |
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elevated IgG4 - what disease? |
Autoimmune pancreatitis |
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Painless Jaundice - think what disease? |
Pancreatic CA |
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Tumor marker - CA 19-9 |
Pancreatic CA |
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Hemochromatosis what is it? Hallmark? treatment? |
iron (Fe) overload Hallmark: Increased % transferrin Sat over 65-75% Tx: weekly phlebotomy
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Wilson's Dz: what is it? Hallmark? Tx? |
Copper (Cu) overload Hallmarks: increased urine Cu, low serum Ceruloplasmin Tx: penicillamine (Cu chelation) |
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3mt - 6 yr old with Currant jelly stool - think what dz? |
Intussusception |
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Abdominal pain out of proportion to exam - think what dz? gold standard test? |
Messenteric ischemia Angiography |
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air fluid levels on Abd XR -stepladder appearance. think what dz? |
obstruction |
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Sausage shaped abdominal mass. think what dz? |
intussusception |
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what is cholangitis? m/c cause? |
infeciton of common bile duct m/c cause - choledocholithiasis |
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Charcot's Triad |
Pain, fever, jaundice |
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Charcot's triad is for what dz? |
Cholangitis |
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what is Reynold's Pentad and does it indicate? |
Charcot's triad + AMS + Hypotension Endoscopic emergency! (high morbidity & mortality rate!) |
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gallstones most commonly composed of what? |
cholesterol |
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elevated AFP (alpha fetoprotein) in what diseases? |
neural tube defects Hepatocellular CA/Hepatoma |
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Murphy's sign |
inspiration is inhibited due to pain during palpation |
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HBsAg is positve when? |
in active disease, throughout clinical illness |
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Anti-HBs is positive when? |
pt is vaccinated or has recovered from HBV infection |
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test of choice for Zenker's Diverticula |
Barium swallow (risk of perforation with endoscopy) |
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dysphagia of both solids and liquids |
Motility d/c of esophagus ie - ACHALASIA |
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Test of choice for achalasia |
barrium swallow also esophageal manometry |
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treatment for achalsia |
CCB (Nifedipine) Nitrates Botox injections Pneumatic dilation Surgical myotomy |
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Painless Hematomesis |
Mallory weiss tears |
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Peptic Ulcer Disease - m/c associated organism? |
H. Pylori (90%) |
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Gold standard test for PUD? |
Endoscopy with biopsy |
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Average age of occurance for pyloric stenosis? |
6 weeks |
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string sign or railroad track sign on barrium swallow |
pyloric stenosis |
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corkscrew sign on barium swallow |
esophageal spasm |
