PANCE GI UMDNJ
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
Help!
|
|
||||
|---|---|---|---|---|---|
| Achalasia Radiology | Bird's beak or Parrot beak on barium swallow
🗑
|
||||
| Achalasia Gold Standard | Manometry
🗑
|
||||
| Esophageal varices | Most common complication of portal hypertension; results in UGIB
🗑
|
||||
| Achalasia manifestation | 1. Regurge of undigested food; 2. Substernal chest pain; 3. Gradual dysphagia of liquid and solids
🗑
|
||||
| Esophageal Motor Disorders | Achalasia; Esophageal spasm; Scleroderma
🗑
|
||||
| Achalasia Treatment | nifedipine 10 mg SL; pneumatic dilatation
🗑
|
||||
| Achalasia and Esophageal Spasm | auerbach's plexus degeneration
🗑
|
||||
| Esophageal spasm diagnosis | 1. dysphagia; 2. Corkscrew on Barium Swallow
🗑
|
||||
| CREST Syndrome | 1. calcinosis cutis; 2. Raynaud phenomenon; 3. esophageal dysmotility; 4. clerodactyly; 5. Telangiectasia
🗑
|
||||
| Schatzki's Ring | LE mucosal ring
🗑
|
||||
| Zenker's Diverticulum | 1. Outpouching of the posterior hypopharynx; 2. Loss of UES elasticity
🗑
|
||||
| Zenker's Diverticulum Manifestation | 1. Regurgitation of undigested food; 2. halitosis; 3. dysphagia
🗑
|
||||
| Mallory Weiss Tear | 1.Gastroesophageal Junction; 2. Retching and forceful vomitting; 3. Binge Drinking
🗑
|
||||
| Esophageal Cancer | 1. Smoking - SCC; 2. ETOH - SCC; 3. Barrett's - Adenocarcinoma
🗑
|
||||
| Esophgeal Cancer Manifestation | 1. solid dysphagia; 2. weight loss; 3. lymphadenopathy/hepatomegaly - metastasis
🗑
|
||||
| Erosive Gastritis | most common cause of gastritis
🗑
|
||||
| Gastritis Protective Factors | 1. mucus; 2. alkaline state; 3. bicarbonate; 4. hydrophbic layer; 5. mucosal blood flow; 6. epithelial renewal; 7. Prostaglandins
🗑
|
||||
| H. pylori | 1. gram negative spiral bacillus; 2. gastric adenocarcinoma
🗑
|
||||
| H. pylori test | 1. Endoscopic Rapid Urease Test - test of choice; 2. Urea breath test; 3. H. pylori antibodies; 4. fecal antigen serology
🗑
|
||||
| H. pylori treatment | 1. triple therapy: PPI + amoxicillin (may sub metronidazole 500mg) + clarithromycin; 2. quadruple therapy: PPI + Bismuth + metronidazole 250mg + tetracycline 500mg
🗑
|
||||
| GERD Diagnosis | Barium Swallow
🗑
|
||||
| GERD Treatment | 1. antacids: acute relief; 2. H2 blocker: mild first line; 3. PPI: mod - server or H2-blocker-failed
🗑
|
||||
| Barrett's Esophagus | 1. Distal esophagus; 2. squamous epithelium cells becomes metaplastic epithelium cells; 3. Usually from chronic GERD; 4. predisposes to adenocarcinoma of the esophagus
🗑
|
||||
| PUD Characteristics | 1. H. pylori; 2. Gastric ulcer - older - worsens with food; 3. Duodenal (more common) - 30 - 55 - improves with food
🗑
|
||||
| PUD Diagnosis | 1. Upper endoscopy - procedure of choice; 2. Rapid urease via endoscope - test of choice for H. pylori
🗑
|
||||
| PUD Induced Ulcer perforation | 1. Sudden
🗑
|
||||
| Gastric outlet obstruction | 1. Early satiety; 2. "succession splash"; 3. vomit of partially digested food; 4. weight loss; 5. NG Tube produces >200ml foul smelling liquid
🗑
|
||||
| Zollinger-Ellison Syndrome diagnosis and treatment | Diagnosis; 1. fasting gastrin level > 150pg/ml; 2. Secretin test; Treatment:1. PPI; 2. surgery if possible
🗑
|
||||
| Gastric adenocarcinoma | strong connection with H. pylori and smoking
🗑
|
||||
| Sister Mary Joseph Nodule | 1. Umbilical nodule; 2. Gastric malignancy; 3. Pancreatic cancer
🗑
|
||||
| Gastric Adenocarcinoma | H. pylori; resection first; radiation and chemo to follow; 5 year survival < 15%
🗑
|
||||
| Charcot's Triad | 1. Charcot's triad 1: multiple sclerosis (nystagmus
🗑
|
||||
| Early intestinal obstruction | hyperactive bowel sound (high pitched); rushes
🗑
|
||||
| Gastric adenocarcinoma diagnosis | 1. iron deficiency anemia; 2. increased LFT test; 3. CT determines disease extent
🗑
|
||||
| Gastric adenocarcinoma manifestation | 1. refractory dyspepsia; 2. virchow's nodes; 3. Sister Mary Joseph's nodule; 4. Krukenberg tumor
🗑
|
||||
| Young adult with bullous myringitis | 1. Mycoplasmal pneumonia ; 2. Erythromycin
🗑
|
||||
| VIPoma | 1. rare pancreatic cancer; 2. excess growth hormone; 3. diarrhea
🗑
|
||||
| VIP | vasoactive intestinal peptide
🗑
|
||||
| Malabsorption disorders | 1. celiac; 2. whipple's
🗑
|
||||
| Celiac disease Characteristics | 1. DM 1; 2. autoimmune thyroid disorder; 3. First degree relatives; 4. HLA-DQ2; 5. Dermatitis Herpetiformis
🗑
|
||||
| Pellagra | 3Ds; 1. Diarrhea; 2. Dermatitis; 3. Dementia
🗑
|
||||
| Celiac Confirmation and treatment | 1. Mucosal biopsy; 2. removal glutenous foods; 3. nutrition supplements: Vit. B12
🗑
|
||||
| Whipple's Charactericts | 1. Infection by Tropheryma whippelii; 2. 'white male 40 - 60 y/o; 3. Wt loss; 4. anemia
🗑
|
||||
| Whipple's treatment | 1. Antibiotics: cephtriaxone IV 2g/day x 2 weeks; then Bactrim/doxy if sulfar allergy PO bid. x 1 year
🗑
|
||||
| Pt over 50 with new onset constipation | evaluate for colorectal cancer
🗑
|
||||
| Constipation Treatment | 1. increase fiber; 2. increase fluid; 3. exercise; Pharmacological treatment: 1. osmotic laxatives; 2. stimulant laxatives; 3. stool softeners
🗑
|
||||
| Fecal Impaction Predisposing Risks | 1. Opioids use; 2. Severe Psychiatric disease; 3. Prolonged bed rest; 4. Neurogenic colonic disorders; 5. spinal cord disorders
🗑
|
||||
| Diarrhea Types | 1. viral infection; 2. bacterial toxins - E. coli; 3. C. diff; 4. viral gastroenteritis
🗑
|
||||
| Inflammatory/non-inflammatory Diarrhea | 1. Inflammatory: Fever
🗑
|
||||
| Fecal impaction treatment | 1. manual disimpaction; 2. enemas; 3. long term stool softeners; 4. Regular BM's
🗑
|
||||
| Appendicitis Diagnosis | Contrast CT
🗑
|
||||
| Most common chronic/recurrent abdominal pain in the US | 1. Irritable Bowel Syndrome; 2. Pain relieved by defacation; 3. Hyperresonance on percussion; 4. Treatment by high fiber diet and bulking agents; 5. 5-HT3 antagonist has limited success
🗑
|
||||
| Pseudomembranous Colitis Manifestatoin | 1. Green foul-smelling watery diarrhea; 2. Lower abdominal cramp; 3. Mucous stool; 4. No stool pathogen; 5. Establish diagnosis by Cytotoxic Assay Toxin B; 6. Biopsy: volcano exudate
🗑
|
||||
| Pseudomembranous Colitis Characteristics | 1. Antibiotic associated colitis - clindamycin
🗑
|
||||
| Crohn's Disease Overview | 1. with some genetic predisposition; 2. Most with perirectal involvement; 3. Barium enema/CT - cobblestone pattern/skip lesions; 4. Diagnostic: colonscopy
🗑
|
||||
| Crohn's Disease Treatment | 1. Sulfasalazine; 2. short-term steroids; 3. Immunomodulary agents: azathioprine
🗑
|
||||
| Ulcerative Colitis Manifestations | 1. bloody diarrhea; 2. weight loss; 3. fever; 4. malaise; 5. often develop into toxic megacolon
🗑
|
||||
| Toxic Megacolon Hallmarks | 1. Nonobstructive dilatation x 6cm; 2. Signs of systemic toxicity
🗑
|
||||
| Diverticular Disease Overview | 1. Mostly in distal/sigmoid colon; 2. mostly in pt over 80 y/o; 3. Mostly in western country due to low-fiber intake
🗑
|
||||
| Disverticular disease diagnosis | 1. occult blood; 2. leukocytosis; 3. Contrast CT
🗑
|
||||
| Diverticulitis treatment | 1. low residue diet/outpatient; 2. broad spectrum abx: metronidazole/quinolones; 3. Moderate to severe: admit with IV abx
🗑
|
||||
| Small Bowel Obstruction | 1. NPO; 2. Bowel rest; 3. Antiemetic: metoclopramide (Reglan)
🗑
|
||||
| Superior mesenteric ischemia overview | 1. accounts for over 50% of the mesenteric ischemia; 2. BRBPR if right sided ischemia; 3. Thumbprint on x-ray; 4. gold standard - angiography
🗑
|
||||
| Ischemic colitis | 1. Most common ischemic injury to the GI tract; 2. Mostly over 60 y/o; 3. risk factors: sickel cell
🗑
|
||||
| Chronic Hepatitis Causes | 1. Hepatitis B & C; 2. Autoimmune; 3. ETOH Abuse; 4. isoniazide or macrobid
🗑
|
Review the information in the table. When you are ready to quiz yourself you can hide individual columns or the entire table. Then you can click on the empty cells to reveal the answer. Try to recall what will be displayed before clicking the empty cell.
To hide a column, click on the column name.
To hide the entire table, click on the "Hide All" button.
You may also shuffle the rows of the table by clicking on the "Shuffle" button.
Or sort by any of the columns using the down arrow next to any column heading.
If you know all the data on any row, you can temporarily remove it by tapping the trash can to the right of the row.
To hide a column, click on the column name.
To hide the entire table, click on the "Hide All" button.
You may also shuffle the rows of the table by clicking on the "Shuffle" button.
Or sort by any of the columns using the down arrow next to any column heading.
If you know all the data on any row, you can temporarily remove it by tapping the trash can to the right of the row.
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.
Normal Size Small Size show me how
Normal Size Small Size show me how
Created by:
jonyeh
Popular USMLE sets