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39 Cards in this Set
- Front
- Back
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2 CONDITIONS WHERE D-XYLOSE TEST SHOWS DECREASED ABSORPTION
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1. CELIAC DZ
2. BACTERIAL OVERGROWTH (BACTERIA EAT THE SIMPLE SUGAR) |
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MOST ACCURATE TEST TO DX ESOPHAGEAL PERFORATION...
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GASTROGRAFFIN ESOPHAGOGRAM
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BEST INITIAL TEST AND MOST ACCURATE FOR WILSON'S DZ DX?
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SLIT LAMP
ELEVATED CERULOPLASMIN SP PENICILLAMINE |
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TX FOR FOREIGN BODY IN THE ESOPHAGUS AS PER CHEST X RAY
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ENDOSCOPIC REMOVAL
FOREIGN BODIES BEYOND ESOPHAGUS CAN BE OBSERVED FOR STOOL EXCRETION |
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STEPWISE APPROACH TO TX OF ASCITES
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1. NA++ / H2O RESTRICTION
2. SPIRONOLACTONE FUROSEMIDE (NO > 1L/DAY--> HEPATO-RENAL SYNDROME 3. PARACENTESIS |
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LIVER BX SHOWS DECREASE IN BILE DUCTS. DDX? (4)
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- FAILED TRANSPLANTATION
- IMMUNOSUPRESSION (HIV, CMV) - CANCER (HODGKING'S) - PRIMARY BILIARY CIRRHOSIS |
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PT P/W SUDDEN EPIGASTRIC PAIN RADIATING TO WHOLE ABDOMEN. REBOUND IS + AND XRAY SHOWS FREE AIR UNDER DIAPHRAGM. DX?
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PERFORATED VISCOUS (LOOK FOR PHX OF PEPTIC ULCER DZ)
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ACUTE ELEVATION OF LFTS W MILD ELEVATIONS OF BILIRUBIN AND AKP. DX?
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HEPATIC SHOCK 2/2 ISCHEMIA...
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MOST COMMON CAUSE OF DEATH IN PTS W/ HEMOCHROMATOSIS
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HEPATOCELLULAR CA
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PT PRESENTS W/ N/V/BLOODY DIARRHEA AND HOTN. CXR SHOWS RADIOPACITIES INSIDE THE STOMACH. BLOOD CX ARE + FOR Y. PESTIS. DX?
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IRON TOXICITY
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WHAT VITAMIN CAN BE HELPFUL IN THE TX OF MEASLES?
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A
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STEPS IN THE EVALUATION OF JAUNDICE
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1- TOTAL BILIRUBIN, DIRECT/ INDIRECT
2. CONJUGATED BILIRUBINEMIA = > 50% OF TOTAL; UNCONJUGATED = > 90% OF TOTAL 3- LFTS 4- U/S, CT, ERCP...DEPENDING ON LFTS |
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BEST INITIAL TESTS FOR ASCENDING CHOLANGITIS. TX
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U/S (DETECTS DUCT DILATATION)
MRCP IS MOST ACCURATE TX: ENDOSCOPIC DRAINAGE W/ ERCP IS STANDARD OF CARE |
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PT P/W MOTOR HEMIPLEGIA W INTACT SENSORIUM. DX? MENTION MOST COMMON CAUSE AND TWO MOST COMMON RISK FACTORS.
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LACUNAR STROKE
MOST COMMON CAUSE IS LIPOHYALINOSIS OF SMALL VESSELS TWO MOST COMMON RISK FACTOR ARE HTN/DM |
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BX OF ANTRAL ULCER REVEALS ADENOCARCINOMA. NEXT STEP?
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CT TO LOOK FOR METS
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PT W/ SUSPECTED TYLENOL OVERDOSE MUST HAVE THEIR LEVEL CHECKED AFTER HOW LONG? WHATS THE MARGIN TO TX W/ N-ACETYLCYSTEINE?
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4 HRS
8HRS |
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MGNT OF A PT P/W SBO WHO DEVELOPS A METABOLIC ACIDOSIS
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LAPAROTOMY
*ACIDOSIS COULD BE AN INDICATION THE PT HAS A STRANGULATION OR COMPLETE OBSTRUCTION |
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LIKELY DX IN A CIRRHOTIC PT WHO SUDDENLY DETERIORATES AND DEVELOPS WORSENING ASCITES?
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HCC
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PT W/ H/O WILSON DZ TX W/ PENICILLAMINE AND CROHN'S DZ P/W HAIR LOSS, PUSTULAR LESIONS IN THE FACE AND EXTREMITIES, BAD TASTE AND POOR WOUND HEALING. DX?
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ZINC DEFICIENCY
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GI DRUGS THAT CAN INCREASE THE RISK OF OSTEOPOROSIS?
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PPIs
*CA++ NEEDS ACID TO BE ABSORBED |
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GOLD STANDARD DX N MGT OF ACUTE MESENTERIC ISCHEMIA?
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ANGIOGRAPHY
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DRUG TO CONTROL VASOSPASMS 2/2 ISCHEMIC MESENTERIC ARTERIES?
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PAPAVERINE
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SEROLOGY TESTS DIAGNOSTIC FOR CELIAC DZ?
MGT? |
ANTI-ENDOMYSIAL AND ANTI-TRANSGLUTAMINASE ANTB.
REPLACE NUTRIENTS (FOLIC ACID, IRON...), DEXA SCAN TO ASSESS OSTEOPOROSIS, AVOID LACTOSE. ORAL PREDNISONE. |
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TX FOR TROPICAL SPRUE?
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TETRACYCLINE + HIGH DOSE FOLIC ACID
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2 CLEAR DIFFERENCES OF TROPICAL SPRUE VS CELIAC DZ?
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1 SEROLOGY (-)
2 NO RESPONSE TO GLUTEN FREE DIET |
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PT P/W VOMITING, ABDOMINAL PAIN AND FAILURE TO DEFECATE IN 3 DAYS. PE SHOW DISTENDED, TENDER ABDOMEN W/ INCREASED BS. CT IS SHOWN. DESCRIBE FINDING ON CT, WHAT LAB SUGGESTS BOWEL NECROSIS?
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TRANSITION POINT (DILATED TO COLLAPSED BOWEL).
HIGH LDH OR A METABOLIC ACIDOSIS. |
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MGT OF PARTIAL SBO?
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NG TUBE 90% SUCCESS
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CONTRAINDICATIONS FOR LAPAROTOMY IN SBO? MGT?
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-ABDOMINAL CARCINOMATOSIS
-XRT -IBD -POSTOPERATIVE OBSTRUCTION. MGT: LONG INTESTINAL TUBE TO DECOMPRESS BOWEL. |
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IN A PT WO TRAVEL HX, WHO PRESENTS W A WATERY DIARRHEA THAT PROGRESSED TO BLOODY IN A COUPLE OF DAYS, (+) ABDOMINAL PAIN IN RLQ AND NO FEVER. DX?
TX? |
EHEC.
SUPPORTIVE *ABX CAN INCREASED RISK FOR HUS AND HAVE SHOWN NO BENEFIT |
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PT W PMHO PUD P/W VOMITING BLOOD, DIFFUSE ABDOMINAL PAIN, ABDOMEN IS RIGID AND TYMPANIC. DX? NEXT STEP IN DX?
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PERFORATED ULCER.
DO XRAY FIRST TO SEE PNEUMOPERITONEUM, CT TO CONFIRM |
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MOST COMMON BUG IN SBP?
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E. COLI
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MOST COMMON RISK FACTOR FOR SBP IN CHILDREN?
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NEPHROTIC SYNDROME
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KID FROM 3RD WORLD COUNTRY P/W SORE THROAT, PHOTOPHOBIA AND SKIN RASH. THESE FINDINGS ARE SEEN. LABS SHOW NORMOCYTIC ANEMIA. DX? WHAT'S THE TYPICAL SKIN RASH? HOW IS IT DIFFERENT FROM PELLAGRA? WHICH US PT COULD HAVE THIS PRESENTATION?
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RIBOFLAVIN DEFICIENCY.
SEBORRHEIC DERMATITIS. PELLAGRA HAS AMS AND DIARRHEA. ANOREXIC PT. |
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IN BOTH SCLERODERMA AND ACHALASIA THERE'S ABSENT PERISTALTIC WAVES OF ESOPHAGUS. WHAT MAKES THESE TWO DZS DIFFERENT?
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SCLERODERMA HAS DECREASED LES TONE VS HIGH IN ACHALASIA
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PT W/ HXO ALCOHOLISM AND HYPERPARATHYROIDISM P/W ABDOMINAL PAIN RADIATING TO THE BACK, DIARRHEA AND WEIGHT LOSS. GLUCOSE LEVELS ARE HIGH. PE REVEALS A HUM OVER LUQ. DX? WHAT'S THE HUM MEAN? DIFFERENTIATE FROM PANCREATIC CA.
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CHRONIC PANCREATITIS.
VENOUS HUM IS 2/2 PSEUDOCYST COMPRESSING SPLENIC VEIN. - IN PANCREATIC CA THERE'S: * THROMBOTIC DZ (TROUSSAU'S) * PALPABLE MASS (COURVOSIER'S) * JAUNDICE |
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PT P/W OILY RASH ON HIS SCALP, DECREASED VISION AND CRACKED LIPS. PE SHOWS BLOOD VESSELS OVER THE CORNEA AND CBC REVEALS ANEMIA. DX?
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RIBOFLAVIN DEFICIENCY
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WHAT CONDITION IS ASS/W B6 DEFICIENCY? WHAT CONDITION IS RELATED TO IT?
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PERIPHERAL NEUROPATHY.
CVID. |
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PT DEVELOPS ACIDOSIS AND HYPOKALEMIA AFTER HAVING DIARRHEA. WHY?
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DUE TO THE HIGH CONTENT OF HCO3 AND K+ OF THE STOOL AND COLONIC FLUID
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PT UNDERGOES COLONOSCOPY AND IS FOUND TO HAVE AN ADENOMA WHICH IS REMOVED. WHEN SHOULD THE PT GET THE NEXT COLONOSCOPY?
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IN 3 YEARS. ADENOMAS TAKE ABOUT THAT TIME TO GROW AND BECOME CLINICALLY SIGNIFICANT
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