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Flashcards in points to learn Deck (132)
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1

what does GORD usually present with

hiatus hernia

2

what is the GS for hernia

BS

3

what is achalasia

abnormal relaxation of LOS

4

what is oesophageal carcinoma associated with

plummer vinson syndrome

5

what are oesopahgeal varices caused by

portal hypertension causes dilated collateral veins at the site of portosystemic anatomoses

6

what is the most common cause for portal hypertension

cirrhosis

7

what is the treatmetn for oesophageal varices

1. resus, antibiotics, terlipressin, early OGD + EVL
2. bleed stops = propranolol and banding
3. bleed continues = EVL or SB tube
4. bleed continues = TIPSS

8

what is a gastric lymphoma

derived from MALT and associated with B cell lymphomea

9

what are the symptoms of gastruc lymphoma

stomach pain, ulcers, >60, hpylori

10

what does GIST look like on histology

spindle cells

11

most common cause of PUD

h pylori

12

h pylori tests

urease breath test, faecal antigen test, serology IgG

13

GS for gastroparesis

oesophageal manometry

14

intestial failiure 1 causes

obstructin, surgical resection, congenital, malabsorption

15

intestinal failure 2 causes

sepsis, abdo surgery, coeliac, crohns, malignancy,short bowel syndrome

16

presentation of intestinal failure 2

abdo fistulae

17

causes of intestinal failure 3

short bowel syndrome

18

symptoms ofIBS

bloating, urgency, tenesmus, mucus, worrsening after food

19

tests for IBS

lower GI endoscopy if <50

20

treatment for IBS

stop opiates and analgesia
loperamide
laxaiev
mebervine - anti spasmodic
amitryptiline - anti depressant

21

genes for coeliac disease

HLA DQ2 and DQ8

22

causes of coeliac

childhood diabetes, herpetitis formis

23

what happens if coeliac patients stops responding to gluten free diet

t celll lymphoma

24

pathophysiolgy of coeliac

mediated by t cells wihch exist in IELs, IEL ediated change leads to increasing loss of enterocytes wihch line intestines

25

tests for coeliac

biopsy
IgA anti TTA

26

what is the cause of mesenteric ischaeima

embolus from AF blocking SMA

27

symtpoms of acute mesenteric ishccaeimi

gassless abdomen and cramping pain

28

tests of mesenteric ishcamei

metabolic acidosiss,
CXR = bowel wall thickening

29

complications of mesenetic ischamei

repurfusion injury - causes inflammation

30

treatmnet for mesenteric ischaemia

fluids, met, gent