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Internal Medicine - gastrointestinal
internal med
50
Health Care
Graduate
03/12/2011

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Cards

Term
vitamin def that causes atrophic glossitis:
Definition
Iron or B12/Folate Def
Term
4 conditions assoc with macroglossia
Definition
1. myexedema
2. acromegaly
3. down's
4. amyloid
Term
6 conditions that cause gingival hyperplasia
Definition
1. phenytoin
2. pregnancy
3. scurvy (vit c def)
4. M5 AML
5. CCBs
6. cyclosporin
Term
3 causes for dysphagia of solids
Definition
1. stricture
2. rings/slings
3. cancer
Term
dysphagia for solids and liquids
Definition
achalasia
Term
dysphagia for liquids only
Definition
oropharyngeal and neurologic do's
Term
diff btwn mallory-weise and Boerhaave's
Definition
mallory weise is a superficial esophageal tear and Boerhaav's is a complete tear with pneumomediastinum
Term
octreotide is similar to what hormone? what is the MOA?
Definition
acts as somatostatin which inhibits gastrin, GH, insulin, basically inhibits all GI hormones
Term
tx fir mallory-weise tear
Definition
ocrtreotide - vasocx
Term
gastrinoma
Definition
zollinger-ellison syndrome
Term
location of gastrinoma
Definition
most often head of pancreas, could be duodenal
Term
pernicious anemia forms antibodies against:
Definition
parietal cells and intrinsic factor
Term
gastric ulcers are more common in teh blood type __.
Definition
A
Term
duodenal ulcers are more common in the blood type __.
Definition
O
Term
gold standard screen for malabsorption:
Definition
quant fecal fat
Term
#1 malabsorption syndrome?
Definition
celiac's dz
Term
diagnostic test for celiac's
Definition
tissue transglutaminase
Term
3 conditions strongly associated with celiac's dz
Definition
1. DM T1
2. IgA def
3. thyroid dz
Term
regional enteritis with skip leasions, fisures and fistulas
Definition
crohn's
Term
Anti-Saccharmyces Antibody
Definition
Crohn's
Term
kidney pathology associated with crohn's
Definition
calcium oxalate kidney stones
Term
bloody diarrhea, >ALP/GGt, HLA-B27
Definition
Ulcerative Colitis
Term
does giardia give fecal leukocytes?
Definition
no
Term
5 ddx for bloody diarrhea
Definition
1. UC
2. salmonella
3. shigella
4. campylobacter
5. Crohn's
Term
stool bacteria that predisposes to guillan-barre:
Definition
campylobacter
Term
tx for c diff
Definition
metronidazole and oral vanco
Term
abx for most bacterial diarrheas
Definition
ciprofloxcin
Term
tx for giardia
Definition
metronidazole
Term
#1 cause of lower GI bleed in adults
Definition
diverticulosis
Term
LLQ pain, fever, leukocytosis
Definition
diverticulitis
Term
dx of diverticulitis is made by
Definition
CT... NO enemas
Term
>>serum ferritin, >transferrin saturation, >FBG
Definition
hemochromatosis
Term
how does hemochromatosis cause hypogonad in males
Definition
iron deposits in pituitary,
Term
how does hemochromatosis cause increased fasting blood glucose?
Definition
iron deposits in the pancrease = < insulin out put
Term
skin color in hemochromatosis
Definition
bronze hue
Term
where all does iron cause problems in hemochromatosis
Definition
1. pituitary
2. pancrease
3. joints
4. liver
5. heart (CM)
6. skin
Term
how is hemochromatosis dx
Definition
liver bx
Term
>ALP, >AST, >ALT, >Dbil
Definition
primary biliary cirrhosis
Term
more men or women in primary biliary cirrhosis?
Definition
90% women
Term
what vitamin def associated with primary biliary cirrhosis
Definition
ADEK
Term
what are 2 major SE of primary biliary cirrhosis d/t vitamin def
Definition
1. coagulopathy
2. bone demineralization
Term
presentation of primary biliary cirrhosis:
Definition
50-60% asx, 30% pruritis, 50%fatigue, 90% women in 30's-40's, 40-60% with sjogren's sx, hypergammaglobulinemia in 30%
Term
test for primary biliary cirrhosis
Definition
anit-mitochondrial antibodies
Term
test on peritoneal fluid that shows the source is portal HTN:
Definition
serum albumin:ascities albumin... >1.1 = portal HTN
Term
difference in prognosis for genotype I vs II for HepC
Definition
typeI = 50% responsive to interferon and riboviron
typeII = 80-90% responsive to tx
Term
what is the maximum dose of tylenol in 24h
Definition
4g
Term
what are 3 triggers for jaundice in people with gilbert's
Definition
1. fasting
2. illness
3. fever
Term
WBC count in peritoneal fluid consistent with SBP
Definition
>250
Term
#1 cause of mildly elevated liver enzymes
Definition
fatty liver disease
Term
when perscribing steroids to people with liver dz what do you have to consider?
Definition
liver fxn: prednisone > prednisolone in the liver. so people with liver malfxn need rx for prednisolone
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