Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
Help!
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SBP paracentesis results | show 🗑
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Score for UGIB | show 🗑
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SIGN guidelines for allowing to discharge lower GIB | show 🗑
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show | >60
Haemodynamic instability
Evidence of gross rectal bleeding
Those on aspirin or NSAID
significant co-morbidity
🗑
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show | Child Pugh
- enceph
- ascites
- raised bili
- albumin low
- INR rised
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Pre endoscopy rockall - mort prior to endo | show 🗑
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show | Anything above zero points= high risk GIB
Urea
Hb
SBP
HR
malaena
Syncope
Hepatic disease
Cardiac failure
🗑
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Drugs that can cause GIB | show 🗑
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show | >60
HD disturbance
Gross rectal bleeding evidence
Taking aspirin/NSAID
Sifnif comorb
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Vomiting red flags | show 🗑
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show | <4 weeks is acute
>4 weeks is chronic
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show | PPI
ABx
NSAID
SSRI
Laxatives
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Causes diarrhoea outside of drugs | show 🗑
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show | Blood
Recent abx/hospital stay
Persistent vomitinubg ? Overflow
Weight loss
Painless watery and high volume= dehydrates
Nocturnal sx
60+ with >6/52 of diarrhoea
FHx bowel or ovarian cancer
Mass
Unexplained anaemia
Raised inflam markers
🗑
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Bloody diarrhoea | show 🗑
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When to stool sample | show 🗑
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Stool sample for parasite | show 🗑
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show | Rotavirus
🗑
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show | Norovirus
🗑
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Toxins causing gastroenteritis | show 🗑
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Notifiable gastroenteritis | show 🗑
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show | Patchy
Transmural
Length of GI Tract
🗑
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show | Diffuse
Mucosal
Colon only
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Shared extranintenstinal IBD | show 🗑
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show | 6+ blood stools a day
HR 90+ temp 37.8+
Anaemia
ESR 30+
🗑
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show | Tenesmus
Fecal incontience
Pre defecation pain relieved by defecation
Faecal urgency
Bloody diarrhoea
🗑
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Crohns presents | show 🗑
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IBD shared complications | show 🗑
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show | Fistula
SBO
abscess
🗑
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show | Post hepatic jaundice
🗑
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Liver decompensation marked by | show 🗑
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show | 1= sleep disordered, irritable, mild confusion, mood change
2= drowsy, inappropriate behaviour, personality chance, poor memory
3= sleepy, marked confusion, agitation, disorientated, incomprehensible speech
4= coma
🗑
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Liver failure mx | show 🗑
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Commonest cause of liver failure decompensated mortality | show 🗑
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show | Hep b
Hep c
Booze
🗑
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show | 1- only detect on US
2- moderate symmetrical distension of abdomen
3- severe distension
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Management of ascites | show 🗑
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show | If tap >250 cell/mm3 = treat
E. coli
Strep
Enterococcus
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When do withdrawal seizures happen | show 🗑
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show | 3-10 after last drink
Autonomic instability
Hallucinations
Agitation
Disorientation
Acidosis
Deranged electrolytes
Arrythmias
Infections
🗑
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Causes thiamine deficiency | show 🗑
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Thiamine and glucose | show 🗑
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Created by:
Ciaranmegoran