7-2
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| more common esoph hernia? | sliding (doesn't require surgery)
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| acute gastritis treatment? | treat as PUD (PPI, H2 inh)
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| which is corrosive: acute or chronic gastritis? | acute
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| B12 is a therapy for chronic gastritis (A/B)? | type A (A =Autoimmune, B= H Pylori)
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| WHich is ALWAYS H. Pylori caused: Gastric Ulcer or Duodenal Ulcer? | Duodenal (Gastric is usually H. pylori too, but not guaranteed...might be NSAIDS)
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| first test if peptic Ulcer suspected? | AXR (EGD in over 40 to Biopsy for CA as well)
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| 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
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| MCC of complication in PUD? | Hemmorrhage
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| 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)
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| Z-E syndrome is a tumor in pancreas or ? | duodenum (rare)
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| best 1st test for Z-E | serum gastrin (>1000)
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| Why is there low fat absorption in Z-E> | very high HCl levels cause low pancreas enzyme activity
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| Gastric cancer is usually (ACC?SCC) | ACC
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| Worst gastric ca prognosis? best? | worst: linitis plastica, best: superficial
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| What 2 nodes are ass with gastric ca | Virschow (by clavicle) and SMJ (by navel)
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| best test for gastric Ca detection? | barium swallow, then EGD for Bx
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| in gastric Ca how do you stage the cancer? | CT scan of abd
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| subtotal gastrectomy is done if gastric ca involves ____ of stomach | distal 1/3 (any other part = total gastrectomy)
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| which is more specific for acute pancreatitis: amylase or lipase? | lipase
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| causes of acute pancreatitis besides alc and gallstones? | high TAGs, Calcium, drugs
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| 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
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| acute panc treatment? | NPO, NG suction, pain control
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| best diagnostic study for chronic panc? | stool elastase
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| mcc of chronic panc? | alcoholism
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| When do you drain a pseudocyst? | >6wks. otherwise, self resovles
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| most common risk factor for panc Ca | smoking
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| Courvassier's sign? | head of panc CA causes GB to be large and non tender
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| how do you visualize panc Ca? | CT abd. If it doesn;t work, then ERCP
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| Name of surgery for panc Ca? | WHipple: head of panc, duodenum, proximal jej, CBD, GB, distal stomach
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| Ranson criteria on admission? In 48h? | admission: GA LAW, 48h: Ca HOBBeS
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| what tumor has migrating exfoliative erythema | glucagonoma
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