Reading...
Play button
Play button
Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
23 Cards in this Set
- Front
- Back
|
HYQ: An EGD biopsy in a 65 yo M reveals gastric cancer. What is the next step in the management?
|
CT scan of the abdomen for staging purposes
|
|
|
HYQ: What is the next step in the mgmt of a pt w/ recurrent duodenal ulcers seen on at least 2 EGDs?
|
Check serum gastrin to r/o Zollinger-Ellison dz
|
|
|
HYQ: What presenting Sx help to distinguish gastric ulcer from duodenal ulcer?
|
Gastric = pain with eating
Duodenal = relief with eating, pain 2-4 hrs later |
|
|
HYQ: what chem7 lab abnormality is often elevated in patients with an upper GI bleed?
|
BUN
gut bacteria break down the HgB --> increased BUN |
|
|
What are Ranson's criteria for the prognosis of pts with acute pancreatitis
|
GA LAW: Glucose>200, AST> 250, LDH>350, Age>55, WBC>16k
Calvin & Hobbs: Calcium<8, Hct down 10%, 02<60, BUN up 5, Base deficit>4, Sequestration of fluid >6L |
|
|
What are the 2 MCC's of pancreatitis?
|
Alcoholism and Gall Stones
|
|
|
What are the tumor markers for pancreatic cancer?
What are the tumor markers for gastric cancer? |
Pancreatic: CEA and CA19-9
Gastric: CEA |
|
|
HYQ: What is the most effective mgmt of duodenal ulcers not d/t ZE syndrome?
|
PPI + Clarithromycin + Erythromycin or Metronidazole
If its not ZE its probably H. Pylori |
|
|
What is the one regimen used in the treatment of H. Pylori?
|
PPI + Clarithromycin + Erythromycin or Metronidazole
|
|
|
What is the treatment for gastric cancer?
|
Mid to upper 1/3 = total gastectomy
lower 1/3 = subtotal gastectomy |
|
|
What is the treatment for pancreatic cancer in the head of the pancreas?
|
Whipple procedure
Connect the proximal stomach to the distal jejunum |
|
|
What is the most sensitive and specific lab test for the diagnosis of chronic pancreatitis?
|
Low fecal eleastase level
|
|
|
What is the treatment for chronic pancreatitis?
|
Pancreatic enzyme replacement
Stop Alcohol! Pain control |
|
|
the two types of Hiatal hernias are _____(MC 95%) and _____. A hiatal hernia is Dx'd with a _____, and treated by ____.
|
Dx is with barium swallow
Sliding is MC: stomach and GE junction herniate. Tx is with acid control Paraesophageal: just stomach herniates, TX is with surgery |
|
|
Gastritis usually occurs in the _____(type A) or____(type B) and is caused by ____ and ____ respectively.
|
Type A: Fundus, d/t autoantibodies for parietal cells (pernicious anemia)
(MC) Type B: Antrum, d/t H. pylori |
|
|
B12 is absorbed in the____.
|
Terminal ileum
I Fuck Better: Iron in the duodenum, Folate in the jejunum, B12 in the ilium. |
|
|
What are some treatment options for Peptic Ulcer Disease (PUD)?
|
Sucralfate, bismuth salicylate, Misoprostol
use Cox-2 inhibitors for patients with PUD who require NSAID therapy |
|
|
Zollinger-Ellison syndrome is a ____ producing tumor that is most commonly in the ____ but can also be in the ____. It is seen in the endocrine disorder _____. The treatment for ZE is __________.
|
Gastrin; duodenum or pancreas; MEN I
Tx: PPI + H2 blocker +/- Octreotide |
|
|
What lymph nodes should you examine if you suspect gastric cancer?
|
Supraclavicular (Virchow's)
Periumbilical (Sister Mary Joseph) |
|
|
What is..
Gray-Turner's sign Cullen's sign Sentinel loop Colon Cutoff sign |
All have to do with acute pancreatitis
GT: bluish discoloration of flank Cullens: periumbilical discoloration Sentinel: dilated loop of bowel near pancreas Cutoff: Dilated bowel until pancreas |
|
|
Tx for insulinoma from B-islet cell tumor
|
Diazoxide or Octreotide
Octreotide = somatostatin which decreases gut everything |
|
|
Tx for glucogonoma from alpha-cell tumor
|
Octreotide, INF-alpha, chemo
poor prognosis |
|
|
What endocrine pancreatic tumor can cause watery diarrhea?
and what is the TX? |
VIPoma
Tx: gut resection for localized tumors, corticosteroids, chemotherapy, and octreotide |
