Diagnose This 2 Flashcards
Acute onset, focal ab pain w/out true GI complaints- think ___
look for __, or use of __/__
bactrim displaces __ from albumin, inc PT/INR
high amylase could suggest __ or ___
rectus sheath hematoma
bleeding do, bactrim/anti-coag
Coumadin
panc, bowel ischemia
OWR- AVM of __ __, __, __, ___
also involves __, __ and __
Lesions in __
sx __ and __, from ___
Spontaneou, non traumatic renal hemorrhage eponym ___
assc w __ in ___
Palpation of hard, nontender RUQ mass assc w __, __ or ___
mucous membranes, face, extremities, under nails
lungs, GI, CNS
adulthood
epistaxis, GI bleed, intestinal AVM
Wunderlich’s syndrome
AML in TS
cyst, biliary colic, cancer
Bowel pain out of proportion to exam + heart dz think __
mx w __
order __ and ___
Sickle cell disease- P_ and evidence of ___ w inc __ and ___
bilirubin should be ___, total no more than __-__
may lead to __ w __ obstruct
presents w ___
__ is most likely SCD
intestinal ischemia
surgery
serum lactate, ab CT
pain, hemolytic anemia, bilirubin/anemia indirect, 3-5 GB dz, CBD Charcots triad SS
Trypanosomiasis occurs after bite of ___
bug __ and host __, causing infection
may have __ (soft tissue mass)
or ___ (periorbital edema)
When chronic, __ no longer seen on smear, at __wks
may develop __ and __ decades later
can manifest in __, __, __
triatomine bug
defecactes, rubs
chagoma
romana
trypanosomes, 8-12wks
cardiomyopathy/GI dz
achalasia, megaesophagus, megacolon
__ w excessive fat in stool
seen in ___ insuff, __ obs, and __ absorptive disorders
look for ___, __, ___, ___
aka ___
__ may cause GI bleeding/early satiety
cancer of __ presents late, no __obstruction occurs
steatorrhea
panc, panc duct, SB
FSB def, atrophic glossitis, angular chelitis, PN
celiac sprue
Gastric cacner
Panc tail
duct
___ leads to pancreatitis
serum __/__ is high
therapy should lower __, such as w ___ or __
look for ___
Lipemic serum is one cause of ___
w separation, serum (Na) and osmolality should be _
hemolysis w indirect bilirubin inc, normal LFTs may be due to __
__ to infection, lowering ___ and __
hypertriglyceridemia lipase/amylase triglycerides gemfirbozil/plasapheresis lipemic serum
pseudohypoNa
normal
mycoplasma infection
cold agglutinins
Hct, haptoglobin
Islet cell tumor manifesting as multiple/recurrent PUD \_\_ aka \_\_ sx of _, \_\_, _, \_\_, \_\_ def tumor is in \_\_, \_\_ or \_\_ usually \_\_ and mets to \_\_\_ gastrin leves should be greater than \_\_\_ \_\_ scintigraphy helpful in dx
__ syndrome due to pulm vasc __ and __ physiology
may produce __ due to hypoxia
SpO2 rises w recumbency known as ___
Gastrinoma/Zollinger Ellison GERD, diarrhea, steatorrhea, wt loss, B12 defic liver, duodenum, pancreas malignant, liver 1000 somatostatin
Hepatopulmonary syndrome
dilation, shunt
clubbing
platypnea-orthodeoxia
markedly elevated transams in YM usual cause ___
in older person w comorbids __
__ hepatitis (ABE)
possible __/__
large, irregular liver must exlcude ____, possible _
liver edge in alcoholic hep
acetominophen
Shock liver
Fulminant
wilsons dz/mushroom
GI cancer, hepatic metastasis
smooth
HepE is __ virus spread __
infection w high mortality in __ due to __ failure
geography is ___
__ assc w high bilirubin, mild ALT elevation, renal failure
aka
can produce ___
RNA, FO
pregnant, fulminant hepatic
Far East
Leptospirosis
Weil’s dz
fulminant liver failure
Purpric leg lesions in pt w cirrhosis and inc serum creatinine (RF), think __
MC is a __ caused by PC IC deposition
look for __ lesions, __ and __ leading to RF
persistent __ stimulates ___ prodxn, resulting in IC /
__, __, __ also can cause MC, much less likely than __
Mixed cryoglobulinemia
small vessel vasculitis
purpuric lesions, PN, glomerulonephritis
antigen, antibody, form/deposition
Hep B, EBV, HIV
Hep C
PJS- sydrome of __ and __
polyps are __, high lifetime risk of __ and __ malig
may cause ___
__ is AD, assc w mutations in __, w ___ cancer (breast)
__ variant, assc w __ such as ___
__ is a variant, assc w __
mucosal hyperpigmentation, intestinal polyposis
hamartomas, colon ca, nonGI
GI bleeding
FAP, APC gene, extracolonic cancer
Gardners syndrome, extraintestinal lesions, desmoid tumor
Turcots syndrome, medulloblastoma
all pts w __ have __ antibodies
high __ and __ hyperbilirubin
assc w __, __ &/or ___
__ occurs
rare cause of GI bleeding\_\_ more often w \_\_\_ usually in \_\_ of duodenum High \_\_ may have \_\_, requiring \_\_\_
PBC, antimito
ALP, direct
thyroiditis, scleroderma, CREST
hypercholesterolemia
AVM AAA 3rd part mortality herald bleed, surgery
Hepatic vein thrombosis aka
usually due to __ syndrome, __ and __, __ syndromes (PS def), __ or __
best test option is __ w __
liver should be __
passive __ aka __
inc SVP, causing engorgement of ___ (nutmeg liver) and hepatic __ w pain/tenderness
mild __ and __ elevations
prone to __ if hypotensive
heart disease indicates __ and not ___
Budd Chiari syndrome
myeloproliferative, PV, CML, hypercoag, hepatic radiation/tumor
CBC + bone marrow exam
tender
Hepatomegaly, cardiac cirrhosis
hepatic sinusoids, swelling
transaminase/bilirubin
shock liver
Hemochromatosis, Wilsons dz