Diagnose This 2 Flashcards

1
Q

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 ___

A

rectus sheath hematoma

bleeding do, bactrim/anti-coag

Coumadin

panc, bowel ischemia

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2
Q

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 ___

A

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

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3
Q

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

A

intestinal ischemia
surgery
serum lactate, ab CT

pain, hemolytic anemia, bilirubin/anemia
indirect, 3-5
GB dz, CBD
Charcots triad
SS
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4
Q

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 __, __, __

A

triatomine bug
defecactes, rubs
chagoma
romana

trypanosomes, 8-12wks
cardiomyopathy/GI dz
achalasia, megaesophagus, megacolon

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5
Q

__ 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

A

steatorrhea
panc, panc duct, SB
FSB def, atrophic glossitis, angular chelitis, PN
celiac sprue

Gastric cacner
Panc tail
duct

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6
Q

___ 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 __

A
hypertriglyceridemia
lipase/amylase
triglycerides
gemfirbozil/plasapheresis
lipemic serum

pseudohypoNa
normal

mycoplasma infection
cold agglutinins
Hct, haptoglobin

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7
Q
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 ___

A
Gastrinoma/Zollinger Ellison
GERD, diarrhea, steatorrhea, wt loss, B12 defic
liver, duodenum, pancreas
malignant, liver
1000
somatostatin

Hepatopulmonary syndrome
dilation, shunt
clubbing
platypnea-orthodeoxia

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8
Q

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

A

acetominophen
Shock liver
Fulminant
wilsons dz/mushroom

GI cancer, hepatic metastasis
smooth

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9
Q

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 ___

A

RNA, FO
pregnant, fulminant hepatic
Far East

Leptospirosis
Weil’s dz
fulminant liver failure

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10
Q

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 __

A

Mixed cryoglobulinemia
small vessel vasculitis
purpuric lesions, PN, glomerulonephritis
antigen, antibody, form/deposition

Hep B, EBV, HIV
Hep C

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11
Q

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 __

A

mucosal hyperpigmentation, intestinal polyposis
hamartomas, colon ca, nonGI
GI bleeding

FAP, APC gene, extracolonic cancer
Gardners syndrome, extraintestinal lesions, desmoid tumor
Turcots syndrome, medulloblastoma

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12
Q

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 \_\_\_
A

PBC, antimito
ALP, direct
thyroiditis, scleroderma, CREST
hypercholesterolemia

AVM
AAA
3rd part
mortality
herald bleed, surgery
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13
Q

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 ___

A

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

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