GI - investigations Flashcards

1
Q

dysphagia

A

endoscopy

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2
Q

tumour

A

endoscopy and biopsy

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3
Q

Gastroparesis

A

gastric motility study

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4
Q

achalasia

A

oesophmanometry study

barium swallow

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5
Q

H. Pylori

A

urea breath test

13C breath test

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6
Q

acute appendicitis

A

US

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7
Q

small bowel obstruction or perforation

A

erect CXR
CT
FBC, urinalysis, ABGs

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8
Q

distended abdomen

A

AXR
CT
if fluid - US

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9
Q

change in bowel habit

A

CT colonoscopy

flexible sigmoidoscopy

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10
Q

Jaundice

A

US

MRCP +/- ERCP

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11
Q

Acute pancreatitis

A

US
increase serum amylase
CT

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12
Q

Campylobacter

A

culture

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13
Q

salmonella

A

blood culture - O antigen

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14
Q

Shigella

A

culture

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15
Q

giardia

A

stool microscopy

duodenal aspiration

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16
Q

amoeba

A

hot stool microscopy

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17
Q

helminths

A

stool microscopy

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18
Q

cryptosporidium

A

stool microscopy

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19
Q

enteric fever

A

blood culture

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20
Q

Norovirus

A

PCR on stool

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21
Q

rotavirus

A

PCR on stool

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22
Q

C. Diff

A

Stool toxin (enterotoxin A and B)

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23
Q

E. Coli

A

Culture and toxin testing in stool

Shiga like toxin, 0157, Mckonkey agar

24
Q

Haemorrhoids

A

Rigid sigmoidoscopy

Proctoscopy

25
Q

Anal fistula

A

EUA of anorectic

Rigid Sigmoidoscopy

26
Q

Rectal Gonorrhoea

A

proctoscopy

27
Q

Chlamydia Trachomatis

A

proctoscopy + rectal swab

28
Q

herpes simplex virus

A

PCR

29
Q

Hep C

A

Viral PCR

30
Q

ischaemic colitis

A

colonoscopy + biopsy

31
Q

GORD

A

Endoscopy (OGD)

32
Q

Gastric cancer

A

Gastroscopy + biopsy

33
Q

NAFLD

A

biopsy

34
Q

hepatic tumour

A

CT scan

35
Q

Lactose

A

Lactose H2 breath test

36
Q

Chronic small bowel ischaemia

A

angiography

37
Q

Hep A

A

clotted blood for serology

38
Q

Haemochromatosis

A

venesection/phlebotomy

39
Q

internal haemorrhoid

A

Proctoscopy

40
Q

Volvulus

A

AXR

41
Q

Duodenal ulcer

A

upper GI endoscopy

42
Q

Oesophageal varices

A

Endoscopy

43
Q

Stomach over growth

A

urea breath test

44
Q

small bowel over growth

A

glycochocolate breath test

45
Q

macrocytic anaemia

A

Schillings test

46
Q

Tropical sprue

A

duodenal biopsy

47
Q

oesophageal cancer

A

upper GI endoscopy + biopsy

48
Q

coeliac

A

duodenal biopsy after positive tTTG test

49
Q

gallstones

A

US

50
Q

Typhoid

A

Blood culture

51
Q

Cholecystitis/Biliary Colic

A

US –> ERCP/MRCP

52
Q

diverticulitis

A

CT
increase in inflammatory markers
sigmoidoscopy

53
Q

haematemesis

A

endoscopy (1st line)

CT

54
Q

Ascites

A

US

55
Q

PSC

A

ERCP