Flashcards in GI Deck (157)
What are the classic X-ray findings of acute appendicitis?
Sentinel loop and absence of air in the RLQ
A patient with JIA presents with epigastric pain, what is the most likely underlying cause?
Inhibition of prostaglandin synthesis (use of NSAIDs)
What is the best treatment in a patient with post op intestinal obstruction?
Decompression of the abdomen
What is the definition of functional dyspepsia?
Pain in the upper abdomen or periumbilical region that occurs at least once a week for >2 months
What is the treatment of functional dyspepsia?
Elimination of exacerbating factors such as NSAIDs or soda
Can also use h2blockers or PPIs
When should you test for h pylori in a patient who presents with symptoms of functional dyspepsia ?
Routine testing for h pylori is NOT indicated for functional dyspepsia
What is the treatment of abdominal migraine?
Removal of triggers such as caffeine or nitrate containing foods and reducing psychological stress
Can also use propranolol, ciproheptadine and sumatriptan
What should you consider in a patient with abdominal pain who presents with urinary retention, tachycardia and dry mouth?
Inappropriate use of anticholinergic for abdominal pain
What might be the diagnosis in a patient with several weeks of watery diarrhea, abdominal distention and no fever in a child who attends daycare?
What is the best test for diagnosis of giardia?
Antigen stool studies
What is the treatment for giardia?
Metronidazole or nitazoxanide or tinidazole
What two tests might be indicated when a patient presents with a large amount of watery diarrhea?
Cholera or clostridium difficile
What is the optimum mixture of oral rehydration fluid?
2% glucose and 90 mEq NaCl
What is the appropriate prophylaxis against travelers diarrhea?
Bismuth subsalicylate or
When is the only time antibiotics should be considered for E. coli diarrhea ?
If no improvement after several days and only if shiga toxin negative
What are the main signs of HUS?
What type of bacteria is likely the cause of green foul smelling diarrhea that occurs 2 days after a picnic?
What is the appropriate treatment of salmonella / typhoid fever?
Rocephin or cefotaxime
What disease has the classic finding of rose spots as well as fever and muscle aches?
What is the diagnosis in a patient with bloody diarrhea and seizure ?
What is the treatment of choice for shigella diarrhea?
What lab abnormality is common with shigella infection?
What is the appropriate treatment for campylobacter?
Erythromycin or azithromycin
What diagnosis should you consider in a patient with fever and crampy periumbilical or RLQ pain that is relieved with defecation?
What do you do to treat an asymptomatic child who is c diff positive but under 6 months old?
What is the treatment of yersinia colitis?
What is the treatment for c diff?
What is the definition of chronic diarrhea ?
Diarrhea >2 weeks that cannot be attributed to acute gastroenteritis
What is the mechanism by which neuroblastoma can cause diarrhea ?
Vasoactive intestinal peptides