Gastroenterology & Hepatology — Flashcards

Flashcard 521: LFTs for hepatitis B will show: _____ ALT & AST Normal or ↑ bilirubin ↑ PT

Answer: Significantly ↑

Flashcard 522: Hepatitis A prodromal phase lasts _____ & presents with flu-like illness, nausea & vomiting, with RUQ pain

Answer: 3 to 10 days

Flashcard 523: Complications of chronic hepatitis B include _____ which can progress into hepatocellular carcinoma

Answer: cirrhosis

Flashcard 524: What initial investigations should be done for hepatitis A? _____

Answer: Hepatitis A serology (IgM anti-HAV) & LFTs

Extra: Hepatitis A is transmitted via the fecal-oral route. Diagnosis is confirmed by the presence of IgM anti-HAV. IgG anti-HAV indicates immunity (past infection or vaccination).

Flashcard 525: Hepatitis B is more commonly spread via _____ & sharing needles (IVDU)

Answer: sexual contact

Flashcard 526: What is the management of life-threatening C. diff? _____ & Oral vancomycin AND IV metronidazole

Answer: Stop current ABX if possible

Flashcard 527: C. diff stool antigen testing shows _____

Answer: exposure to C. diff

Flashcard 528: Life threatening C. diff infections are indicated by findings such as: _____, ileus, toxic megacolon

Answer: hypotension

Flashcard 529: Historically, it was thought that _____ was responsible for causing C. diff infections Currently the no. 1 cause of C. diff infections is 2nd and 3rd generation cephalosporins

Answer: Clindamycin

Flashcard 530: Diarrhoea due to C. diff infection should resolve within _____ weeks

Answer: 1-2