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Step III

Step III - GI 9

Acute hepatitis liver finding Hepatomegaly
Asterixis is a sign indicative of what Hepatic encephalopathy 2nd to incr ammonia levels
End stage liver disease from cirrhosis and portal HTN can manifest as what on physical exam Ascites
Carcinoid syndrome S/S appear in pts when Mets to liver
What the MC place for carcinoid tumors Appendix (but do not mets from here)
Which IBD always involves the rectum UC
Which IBD has perianal fissures Crohns
Which IBD involves entire GI tract Crohns
Which IBD is a/w toxic megacolon UC
What needs to be done FIRST and foremost in abdominal cases before labs and studies DRE
Time frame of S/S for gastroparesis vs GERD GERD: 30-90 min after meal ingestion w/ pain related to positional; gastroparesis: hours after meal a/w pt hx DM
Painful BRBPR w/ defecation Anal fissure
Diagnosis for anal fissure H&P alone
Effect of H1-R (+) bronchoconstriction, intestinal motility, myocardial contractility
Effect of H2-R blockage Prevents gastric acid release from parietal cells
AAA surgery should be performed on those measuring >5.5cm
Management of AAA 3.4 – 5.0 cm US monitoring q6mos
Pt w/ endograft repair of AAA should be managed outpatient how Serial CT scanning
Pts with <3.5cm AAA should be followed how Yearly US
What is the most predisposing condition for the development of AAAs Atherosclerosis
Created by: DrINFJ



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