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Quiz yourself by thinking what should be in each of the black spaces below before clicking on it to display the answer.
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Question
Answer
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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