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seventwo
7-2
| Question | Answer |
|---|---|
| more common esoph hernia? | sliding (doesn't require surgery) |
| acute gastritis treatment? | treat as PUD (PPI, H2 inh) |
| which is corrosive: acute or chronic gastritis? | acute |
| B12 is a therapy for chronic gastritis (A/B)? | type A (A =Autoimmune, B= H Pylori) |
| WHich is ALWAYS H. Pylori caused: Gastric Ulcer or Duodenal Ulcer? | Duodenal (Gastric is usually H. pylori too, but not guaranteed...might be NSAIDS) |
| first test if peptic Ulcer suspected? | AXR (EGD in over 40 to Biopsy for CA as well) |
| In medical treatment of Peptic ulcer, what drugs increase mucosa? What other Rx is given | sucralfate bismuth + metoprostol. give with PPI, H2 inh, anti-H Pylori ABX |
| MCC of complication in PUD? | Hemmorrhage |
| If you do gastrectomy (to treat Ulcer), what nutrient deficiencies do you have to look out for | Vit b12 (no int factor), Fe/Ca (require acid for absorption) |
| Z-E syndrome is a tumor in pancreas or ? | duodenum (rare) |
| best 1st test for Z-E | serum gastrin (>1000) |
| Why is there low fat absorption in Z-E> | very high HCl levels cause low pancreas enzyme activity |
| Gastric cancer is usually (ACC?SCC) | ACC |
| Worst gastric ca prognosis? best? | worst: linitis plastica, best: superficial |
| What 2 nodes are ass with gastric ca | Virschow (by clavicle) and SMJ (by navel) |
| best test for gastric Ca detection? | barium swallow, then EGD for Bx |
| in gastric Ca how do you stage the cancer? | CT scan of abd |
| subtotal gastrectomy is done if gastric ca involves ____ of stomach | distal 1/3 (any other part = total gastrectomy) |
| which is more specific for acute pancreatitis: amylase or lipase? | lipase |
| causes of acute pancreatitis besides alc and gallstones? | high TAGs, Calcium, drugs |
| explain what will be found on all 4 of these imaging techniques for acute panc: USG, AXR, CXR, CT | USG: gallstones, AXR: sentinal loop, CXR: ARDS, CT: pseudocyst |
| acute panc treatment? | NPO, NG suction, pain control |
| best diagnostic study for chronic panc? | stool elastase |
| mcc of chronic panc? | alcoholism |
| When do you drain a pseudocyst? | >6wks. otherwise, self resovles |
| most common risk factor for panc Ca | smoking |
| Courvassier's sign? | head of panc CA causes GB to be large and non tender |
| how do you visualize panc Ca? | CT abd. If it doesn;t work, then ERCP |
| Name of surgery for panc Ca? | WHipple: head of panc, duodenum, proximal jej, CBD, GB, distal stomach |
| Ranson criteria on admission? In 48h? | admission: GA LAW, 48h: Ca HOBBeS |
| what tumor has migrating exfoliative erythema | glucagonoma |
Created by:
jsad
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