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Gastrointestinal

Round 3 UWORLD Part I

QuestionAnswer
Which lymph nodes drain the rectum PROXIMAL to the anal dentate line? Interior mesenteric and Internal iliac lymph nodes
What part, proximal or distal to the anal dentate line, of the rectum is drained by the Inferior mesenteric and Internal Iliac lymph nodes? Proximal recturm to the anal dentate line
Which lymph node receives lymph for the rectum distal to the anal dentate line? Inguinal nodes
Which part of the rectum with respect to the anal dentate line, lymph is drained via the inguinal nodes? Distal rectum to the anal dentate line
Pain description of appendicitis? Dull visceral pain at the umbilicus due to afferent pain fibers entering at the T10 level in the spinal cord
Early pain in Appendicitis is located at which level of the Spinal cord? T10
Initial pain due to appendicitis is located at the: Umbilicus
Do afferent or efferent fibres cause pain in appendicitis? Afferent pian fibers
What causes the shift of localized pain in Appendicitis from the umbilicus to the LRQ? Appendix irritates the Parietal peritoneum and abdominal wall causes more severe somatic pain
What is the name of the area to which late appendicitis pain shifts from the umbilical area? McBurney's point
Pain at McBurney's point is often associated with which condition? Appendicitis
Where is the McBurney's point? 2/3 f the distance from the umbilicus to the anterior superior iliac spine
What is Anorexia nervosa? Eating disorder characterised by a low body weight, intense fear of becoming fat, and distorted body image
Is Anorexia nervosa associated with a low or normal/high body weight? Low body weight
What are the complications of Anorexia nervosa due to starvation practices? Bradycardia, hypotension, osteoporosis, and amenorrhea
What is a less common complication of Anorexia nervosa that involves gland hypertrophy? Parotid hypertrophy
What is the cause of Duodenal atresia? Vascular accidents in utero
What is the intestinal atresia associated with vascular accidents while in utero? Duodenal atresia
When do "apple-tree" atresias occur? As the superior mesenteric artery is obstructed
Which arterial vessel is obstructed in "apple-tree" atresias? Superior Mesenteric artery
What is the result of a duodenal atresia? Blind-ending pouch proximal to the jejunum
What is the deficits of the Ileum in duodenal atresia? Terminal ileum spiraled around an ileocolic vessel
What are common situations or events that increase chances of C. difficile infection? Hospitalization and prolonged antibiotic use
What are the most common symptoms of C. difficile infection? Diarrhea, abdominal pain, and pseudomembranous in the intestinal mucosa
What is the best test or lab technique to confirm C. difficile infection dx? Nucleic acid amplification test
What diarrheal condition is often diagnosed bia Nucleic acid amplification test? C. difficile infection
What is Schistosomiasis? A parasitic fluke infection, that is common in rural population of the Sub-Saharan Africa
Which part of the world is seen with high incidence of Schistosomiasis? Sub-Saharan Africa
While mostly asymptomatic, what are the main categories of symptoms seen with Schistosomiasis? 1. Hepatosplenic (portal hypertension, hepatosplenomegaly, esophageal varices) 2. Urinary (bladder cancer)
What lab (hematologic) value is important in dx of Schistosomiasis? Eosinophilia
What are some complication or possible results of Atrophic gastritis? Profound hypochlorhydria, inadequate intrinsic factor production, vitamin B12 deficiency and elevated methylmalonic acid levels
What water soluble vitamin is often deficient in patient with Atrophic gastritis? Vitamin B12
What condition can be associated with megaloblastic anemia due to Cobalamin deficiency, elevated methylmalonic acid, and low IF production? Atrophic gastritis
What increases the reticulocyte count in a patient with Pernicious anemia? Vitamin B12 replacement therapy
What is the rate of effect on hemoglobin, erythrocyte count, and reticulocyte count upon Vitamin B12 replacement therapy? Reticulocyte count immediately increases while, Hb and Erythrocyte count rise gradually and take up to 8 weeks
What is the main cause of Gallstone formation? Supersaturation of cholesterol
What is the common composition of gallstone due to supersaturation of cholesterol? Precipitates out of bile with mucin and calcium salts to form white or yellow-cholesterol stones
What are factors that promote the formation of cholesterol stones? 1. Increased cholesterol synthesis 2. Gallbladder hypomotility 3. Increased calcium or mucin concentration 4. Decreased bile acid synthesis or recirculation
Created by: rakomi
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