Test Android StudyStack App
Please help StudyStack get a grant! Vote here.
or...
Reset Password Free Sign Up


incorrect cards (0)
correct cards (0)
remaining cards (0)
Save
0:01
To flip the current card, click it or press the Spacebar key.  To move the current card to one of the three colored boxes, click on the box.  You may also press the UP ARROW key to move the card to the Correct box, the DOWN ARROW key to move the card to the Incorrect box, or the RIGHT ARROW key to move the card to the Remaining box.  You may also click on the card displayed in any of the three boxes to bring that card back to the center.

Pass complete!

Correct box contains:
Time elapsed:
Retries:
restart all cards



Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.

  Normal Size     Small Size show me how

PANCE GI

PANCE GI UMDNJ

QuestionAnswer
Achalasia Radiology Bird's beak or Parrot beak on barium swallow
Achalasia Gold Standard Manometry
Esophageal varices Most common complication of portal hypertension; results in UGIB
Achalasia manifestation 1. Regurge of undigested food; 2. Substernal chest pain; 3. Gradual dysphagia of liquid and solids
Esophageal Motor Disorders Achalasia; Esophageal spasm; Scleroderma
Achalasia Treatment nifedipine 10 mg SL; pneumatic dilatation
Achalasia and Esophageal Spasm auerbach's plexus degeneration
Esophageal spasm diagnosis 1. dysphagia; 2. Corkscrew on Barium Swallow
CREST Syndrome 1. calcinosis cutis; 2. Raynaud phenomenon; 3. esophageal dysmotility; 4. clerodactyly; 5. Telangiectasia
Schatzki's Ring LE mucosal ring
Zenker's Diverticulum 1. Outpouching of the posterior hypopharynx; 2. Loss of UES elasticity
Zenker's Diverticulum Manifestation 1. Regurgitation of undigested food; 2. halitosis; 3. dysphagia
Mallory Weiss Tear 1.Gastroesophageal Junction; 2. Retching and forceful vomitting; 3. Binge Drinking
Esophageal Cancer 1. Smoking - SCC; 2. ETOH - SCC; 3. Barrett's - Adenocarcinoma
Esophgeal Cancer Manifestation 1. solid dysphagia; 2. weight loss; 3. lymphadenopathy/hepatomegaly - metastasis
Erosive Gastritis most common cause of gastritis
Gastritis Protective Factors 1. mucus; 2. alkaline state; 3. bicarbonate; 4. hydrophbic layer; 5. mucosal blood flow; 6. epithelial renewal; 7. Prostaglandins
H. pylori 1. gram negative spiral bacillus; 2. gastric adenocarcinoma
H. pylori test 1. Endoscopic Rapid Urease Test - test of choice; 2. Urea breath test; 3. H. pylori antibodies; 4. fecal antigen serology
H. pylori treatment 1. triple therapy: PPI + amoxicillin (may sub metronidazole 500mg) + clarithromycin; 2. quadruple therapy: PPI + Bismuth + metronidazole 250mg + tetracycline 500mg
GERD Diagnosis Barium Swallow
GERD Treatment 1. antacids: acute relief; 2. H2 blocker: mild first line; 3. PPI: mod - server or H2-blocker-failed
Barrett's Esophagus 1. Distal esophagus; 2. squamous epithelium cells becomes metaplastic epithelium cells; 3. Usually from chronic GERD; 4. predisposes to adenocarcinoma of the esophagus
PUD Characteristics 1. H. pylori; 2. Gastric ulcer - older - worsens with food; 3. Duodenal (more common) - 30 - 55 - improves with food
PUD Diagnosis 1. Upper endoscopy - procedure of choice; 2. Rapid urease via endoscope - test of choice for H. pylori
PUD Induced Ulcer perforation 1. Sudden
Gastric outlet obstruction 1. Early satiety; 2. "succession splash"; 3. vomit of partially digested food; 4. weight loss; 5. NG Tube produces >200ml foul smelling liquid
Zollinger-Ellison Syndrome diagnosis and treatment Diagnosis; 1. fasting gastrin level > 150pg/ml; 2. Secretin test; Treatment:1. PPI; 2. surgery if possible
Gastric adenocarcinoma strong connection with H. pylori and smoking
Sister Mary Joseph Nodule 1. Umbilical nodule; 2. Gastric malignancy; 3. Pancreatic cancer
Gastric Adenocarcinoma H. pylori; resection first; radiation and chemo to follow; 5 year survival < 15%
Charcot's Triad 1. Charcot's triad 1: multiple sclerosis (nystagmus
Early intestinal obstruction hyperactive bowel sound (high pitched); rushes
Gastric adenocarcinoma diagnosis 1. iron deficiency anemia; 2. increased LFT test; 3. CT determines disease extent
Gastric adenocarcinoma manifestation 1. refractory dyspepsia; 2. virchow's nodes; 3. Sister Mary Joseph's nodule; 4. Krukenberg tumor
Young adult with bullous myringitis 1. Mycoplasmal pneumonia ; 2. Erythromycin
VIPoma 1. rare pancreatic cancer; 2. excess growth hormone; 3. diarrhea
VIP vasoactive intestinal peptide
Malabsorption disorders 1. celiac; 2. whipple's
Celiac disease Characteristics 1. DM 1; 2. autoimmune thyroid disorder; 3. First degree relatives; 4. HLA-DQ2; 5. Dermatitis Herpetiformis
Pellagra 3Ds; 1. Diarrhea; 2. Dermatitis; 3. Dementia
Celiac Confirmation and treatment 1. Mucosal biopsy; 2. removal glutenous foods; 3. nutrition supplements: Vit. B12
Whipple's Charactericts 1. Infection by Tropheryma whippelii; 2. 'white male 40 - 60 y/o; 3. Wt loss; 4. anemia
Whipple's treatment 1. Antibiotics: cephtriaxone IV 2g/day x 2 weeks; then Bactrim/doxy if sulfar allergy PO bid. x 1 year
Pt over 50 with new onset constipation evaluate for colorectal cancer
Constipation Treatment 1. increase fiber; 2. increase fluid; 3. exercise; Pharmacological treatment: 1. osmotic laxatives; 2. stimulant laxatives; 3. stool softeners
Fecal Impaction Predisposing Risks 1. Opioids use; 2. Severe Psychiatric disease; 3. Prolonged bed rest; 4. Neurogenic colonic disorders; 5. spinal cord disorders
Diarrhea Types 1. viral infection; 2. bacterial toxins - E. coli; 3. C. diff; 4. viral gastroenteritis
Inflammatory/non-inflammatory Diarrhea 1. Inflammatory: Fever
Fecal impaction treatment 1. manual disimpaction; 2. enemas; 3. long term stool softeners; 4. Regular BM's
Appendicitis Diagnosis Contrast CT
Most common chronic/recurrent abdominal pain in the US 1. Irritable Bowel Syndrome; 2. Pain relieved by defacation; 3. Hyperresonance on percussion; 4. Treatment by high fiber diet and bulking agents; 5. 5-HT3 antagonist has limited success
Pseudomembranous Colitis Manifestatoin 1. Green foul-smelling watery diarrhea; 2. Lower abdominal cramp; 3. Mucous stool; 4. No stool pathogen; 5. Establish diagnosis by Cytotoxic Assay Toxin B; 6. Biopsy: volcano exudate
Pseudomembranous Colitis Characteristics 1. Antibiotic associated colitis - clindamycin
Crohn's Disease Overview 1. with some genetic predisposition; 2. Most with perirectal involvement; 3. Barium enema/CT - cobblestone pattern/skip lesions; 4. Diagnostic: colonscopy
Crohn's Disease Treatment 1. Sulfasalazine; 2. short-term steroids; 3. Immunomodulary agents: azathioprine
Ulcerative Colitis Manifestations 1. bloody diarrhea; 2. weight loss; 3. fever; 4. malaise; 5. often develop into toxic megacolon
Toxic Megacolon Hallmarks 1. Nonobstructive dilatation x 6cm; 2. Signs of systemic toxicity
Diverticular Disease Overview 1. Mostly in distal/sigmoid colon; 2. mostly in pt over 80 y/o; 3. Mostly in western country due to low-fiber intake
Disverticular disease diagnosis 1. occult blood; 2. leukocytosis; 3. Contrast CT
Diverticulitis treatment 1. low residue diet/outpatient; 2. broad spectrum abx: metronidazole/quinolones; 3. Moderate to severe: admit with IV abx
Small Bowel Obstruction 1. NPO; 2. Bowel rest; 3. Antiemetic: metoclopramide (Reglan)
Superior mesenteric ischemia overview 1. accounts for over 50% of the mesenteric ischemia; 2. BRBPR if right sided ischemia; 3. Thumbprint on x-ray; 4. gold standard - angiography
Ischemic colitis 1. Most common ischemic injury to the GI tract; 2. Mostly over 60 y/o; 3. risk factors: sickel cell
Chronic Hepatitis Causes 1. Hepatitis B & C; 2. Autoimmune; 3. ETOH Abuse; 4. isoniazide or macrobid
Created by: jonyeh on 2010-07-17



Copyright ©2001-2014  StudyStack LLC   All rights reserved.