Gastroenterology & Hepatology — Flashcards

Flashcard 281: What is the curative management of cirrhosis? _____

Answer: Liver transplant

Flashcard 282: Vitamin B12-IF complex from the duodenum is absorbed in the _____

Answer: terminal ileum

Flashcard 283: Jaundice is a(n) _____ sign of cirrhosis and is commonly accompanied by pruritis

Answer: late

Extra: Jaundice in cirrhosis typically signifies decompensation and is considered a late clinical feature, often carrying a poorer prognosis.

Flashcard 284: Asterixis is a(n) _____ sign of cirrhosis

Answer: late

Flashcard 285: What is the management for biliary colic? _____

Answer: Elective laparoscopic cholecystectomy

Extra: Biliary colic is caused by temporary cystic duct obstruction by a gallstone. Unlike acute cholecystitis (which requires early/urgent surgery), biliary colic is managed with elective laparoscopic cholecystectomy to prevent recurrence and complications (e.g., cholecystitis, pancreatitis).

Flashcard 286: _____ is a temporary obstruction of the cystic duct or common bile duct from a gallstone causing postprandial RUQ pain

Answer: Biliary colic

Flashcard 287: The common causes of cirrhosis in the UK are _____, viral hepatitis, & non-alcoholic fatty liver disease (NAFLD)

Answer: alcoholic cirrhosis

Flashcard 288: If a patient is allergic to penicillin, what is given for H. pylori eradication therapy?\n\n_____

Answer: PPI + Metronidazole + Clarithromycin

Extra: Standard triple therapy is PPI + Amoxicillin + Clarithromycin. In penicillin-allergic patients, Metronidazole replaces Amoxicillin.

Flashcard 289: Spot diagnosis = _____

Answer: paralytic ileus; gaseous distension, no transition point

Flashcard 290: What is the mainstay management of uncomplicated paralytic ileus? _____

Answer: Conservative: bowel rest (NBM) & fluids