Gastroenterology & Hepatology — Flashcards

Flashcard 291: 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 292: Peptic ulcers are typically caused by _____ & chronic NSAID use

Answer: H. pylori infection

Flashcard 293: _____ is a temporary obstruction of the cystic duct or common bile duct from a gallstone causing postprandial RUQ pain

Answer: Biliary colic

Flashcard 294: Spot diagnosis = _____

Answer: paralytic ileus; gaseous distension, no transition point

Flashcard 295: Gynaecomastia & testicular atrophy are a(n) _____ sign of cirrhosis

Answer: late

Flashcard 296: The common causes of cirrhosis in the UK are _____, viral hepatitis, & non-alcoholic fatty liver disease (NAFLD)

Answer: alcoholic cirrhosis

Flashcard 297: 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 298: Spider naevi are a(n) _____ sign of cirrhosis

Answer: early

Flashcard 299: On auscultation for paralytic ileus there are _____ bowel sounds

Answer: ↓ or absent

Flashcard 300: The liver damage in alcoholic cirrhosis is mediated by _____

Answer: acetaldehyde