Random From Book Notes Flashcards Preview

Gi Review for Awesome People > Random From Book Notes > Flashcards

Flashcards in Random From Book Notes Deck (32)
Loading flashcards...
1

used to visualize jejunum or ileum. Must make an incision in pts. abdomen

Enteroscopy

2

what is the gold standard for visualizing the small bowel and to investigate obscure GI bleeding

video capsule endoscopy

3

What is an ERCP used to visualize?

Biliary and pancreatic ducts

4

Presents with progressive dysphagia, weight loss, chest pain and regurg. Due to a tonically contracted LES.

Achalsia

5

what is fibrous tissue in the proximal part of the esophagus known as? What is is associated with?

Web
iron-deficiency anemia

6

has cardinal symptoms of urgency, tenesmus, bloody diarrhea

ulcerative colitis

7

abdominal pain that radiates to back (worse when supine), guarding, high blood glucose

acute pancreatitis

8

gold standard for diagnosis of chronic pancreatitis

Secretin stimulation

9

tx for Hep B

lamivudine

10

tx for Hep C

interferon – alpha + ribavirin

11

is jaundice common with fatty liver?

No

12

commonly have mallory bodies, fever, anorexia, weight loss, N/V, hepatomegaly, jaundice.
Gynecomastia
parotid gland enlargement
testicular atrophy

alcoholic hepatitis

13

what is the most frequent cause of chronic hepatitis?

Nonalcoholic steatohepatitis (NASH)

14

dull/achy postprandial pain (“abdominal angina”) – epigastrum or mid-abdomen within one hour of eating. Also have abdominal bruits or extra-abdominal signs of atherosclerotic vascular dz.

Chronic messenteric insufficiency

15

subtle/nonspecific, include episodes of nocturnal diarrhea, flatulence, and weight loss w/iron deficiency
• Bloating, fatigue, vague abdominal discomfort common

Celiac dz

16

what is urine coproporphyrin used for?

To lead for lead poisoning

17

o Present with fever and peritoneal signs + oligoarthritis and/or pleuritis

Familial Mediterranean fever

18

Very high amplitude contractions in distal esophagus
Principal sx – chest pain
Supersensitivity to gastrin and cholinergic agents

nutcracker esophagus

19

test of choice of nutcracker esophagus

manometry

20

what will an endoscopy show with celiac sprue?

broad and flattened villi

21

tx for celiac spure

gluten free diet

22

what does secretory diet produce a fluid rich in?

Cl- and bicarb ions

23

in what type diarrhea will there be an elevated osmotic gap?

osmotic diarrhea

24

presents with relatively painless but brisk rectal bleeding

Diverticulosis

25

Steady ache in epigastrium or RUQ, sudden onset, reaching plateau of intensity over a few minutes, subsides gradually over 30 min to several hours

Biliary colic

26

Often seen in young males with UC. Will prsent wil jaundice, abdominal pain, fever chills. Idiopathic condition nonmalignant, nonbacterial, chronic inflammatory fibrosis and obliteration of intrahepatic/extrahepatic bile ducts

Primary sclerosing cholangitis

27

onset of encephalopathy occurring within 8 wks of onset of jaundice in pt w/hepatic injury and no prior hx of liver disease

Fulminant Hepatic failure

28

irreversible, end result of a variety of inflammatory, toxic, metabolic, and congestive insults to liver

Cirrhosis

29

pt. presents with jaundice, abnormal liver span, splenomegaly, ascites, spider angiomas, nail changes, caput medusae, asterixis, testicular atrophy

cirrhosis of the liver

30

Ascities tx

Spironolactone (aldosterone antagonist), supplemented w/loop diuretic