Gastroenterology & Hepatology — Flashcards

Flashcard 101: What is Intussusception?

Answer: • Segement of intestine telescopes into an adjacent segement

Flashcard 102: Patient presents with flushing, diarrhoea, abdominal pain and weight loss, with a systolic murmur and hepatomegaly, Diagnosis?

Answer: Carcinoid Syndrome When metastases are present in the liver and release serotonin into systemic circulation

Flashcard 103: What is an isolated rise in bilirubin in response to physiological stress is typical of?

Answer: Gilbert's Syndrome

Flashcard 104: What should be suspected in all patients who have diarrhoea shortly following antibiotic therapy?

Answer: • C.Diff Infection

Flashcard 105: What is the managment in life-threatening C.Diff?

Answer: Oral vancomycin (higher dose) + IV metronidazole + Vancomycin rectal enema (if ileus present)

Extra: Fulminant (life-threatening) C. difficile is characterized by hypotension/shock, ileus, or megacolon. Management involves: 1. High-dose oral Vancomycin (500 mg QID). 2. IV Metronidazole (500 mg TID). 3. If ileus is present, add rectal Vancomycin enemas. 4. Surgical consultation for possible subtotal colectomy or diverting loop ileostomy.

Flashcard 106: Serum caeruloplasmin in Wilson's Disease is?

Answer: • decreased

Flashcard 107: What happens to serum caeruloplasmin in Wilson's disease?

Answer: • Decreased

Flashcard 108: What is halitosis?

Answer: • Bad breath

Flashcard 109: What GI condition is associated with pigmented freckles on the lips, face, palms and sole?

Answer: • Peutz-Jegher's Syndrome

Flashcard 110: What is Odynophagia?

Answer: Painful swallowing