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Flashcards in Gastroenterology Deck (208)
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1

What is the term for difficulty swallowing

dysphagia

2

Bird-beak esophagus on barium swallow should make you think of what diagnosis

achalasia

3

What is the most common location for an anal fissure

posterior midline

4

Crohn's is found where in the GI tract

Anywhere from the esophagus to the anus

5

What does HBsAg (hep B surface antigen) indicate?

Active Hep B infection

6

How do you treat achalasia

Loosen up the muscle - botox, dilation or surgery

7

A corkscrew appearance on barium swallow study should make you think of what diagnosis?

Esophageal spasms

8

Epigastric abdominal pain which radiates to the back should make you think of what diagnosis?

Pancreatitis

9

In order to contract Hep D what must you already have

Hep B

10

Lower left quadrant pain and tenderness should make you think of what diagnosis

Diverticulitis

11

What is the treatment for most Mallory-Weiss tears?

Watchful waiting, these will typically resolve within 48 hours

12

A thumbprint sign on abdominal film should make you think of what diagnosis?

Intestinal ischemia

13

What will the bowel sounds be early on in a small bowel obstruction? What will they be later on?

Early they are hyperactive. Late they are absent.

14

A patient has had GERD for years. Over the past year, he has noticed an increase in difficulty swallowing his food. This should make you think of what diagnosis?

Esophageal strictures.

15

What are two treatments you should consider for esophageal strictures?

Dilation of the esophagus and long-term PPIs

16

What are two common predisposing factors for esophageal varices?

Portal hypertension and cirrhosis often caused by alcoholism

17

What are common symptoms that goes along with chest pain for GERD patients?

Dry cough

18

What medication is most commonly used for long term treatment of GERD?

Proton pump inhibitors- omeprazole, lansoprasole, pantoprazole

19

What is the imaging modality of choice for pancreatitis?

CT

20

What is the best test to check for H. Pylori?

Urea Breath Test

21

Is peptic ulcer disease more common in the duodenum or the stomach?

Duodenum

22

What is the most common location for a pancreatic tumor?

75% occur in the head of the pancreas

23

With a gastric ulcer are the patients symptoms exacerbated or relieved with food?

Exacerbated with food

24

Fasting gastrin will be above what level with gastrinoma

> 150 pg/mL

25

Projectile vomiting should make you think of what diagnosis?

Pyloric stenosis

26

Most gallstones are make of what substance?

Cholesterol

27

What is the name of the sign when a patient show inhibited inspiration with pressure over the RUQ? What does this suggest?

Murphy's sign, cholecystitis

28

What is the most specific test for acute cholecystitis?

HIDA

29

What is the gold standard for diagnosis and treatment of bile duct stones?

ERCP

30

What is Charcot's trid?

RUQ pain, fever > 40
, jaundice