Gastroenterology — Flashcards

Flashcard 311: In addition to central diabetes insipidus, desmopressin (DDAVP) may be used to treat _____, which is associated with increased bruisability and mucosal bleeding

Answer: von Willebrand disease

Extra: Sketchy Pharmacology: Thyroid, Pituitary, & Adrenal OnlineMedEd: Hemostasis

Flashcard 312: Appendicitis may lead to rupture, resulting in peritonitis with guarding and _____ on physical exam

Answer: rebound tenderness

Flashcard 313: Benign prostatic hyperplasia may present with problems starting and stopping _____

Answer: urination

Flashcard 314: Conditions that can lead to achlorhydria include chronic _____ or antacid use, ménétrier disease, Sjögren's syndrome, atrophic gastritis, and VIPomas (WDHA syndrome)

Answer: PPI

Flashcard 315: Angiodysplasia classically presents as _____ in an older adult

Answer: hematochezia

Extra: * Old lady wearing skull mask= elderly age demographic * Hematochezia is the passage of fresh blood through the anus, usually in or with stools (contrast with melena - upper GI tract bleed) Atlas:

Flashcard 316: _____ hernias are found in about half of patients with Mallory Weiss syndrome and are considered a strong predisposing factor

Answer: Hiatal

Flashcard 317: _____ is a painful hand vesicle that occurs when the skin comes in contact with HSV-1 or HSV-2 (common in dentists)

Answer: Herpetic whitlow

Extra: low-grade fever and painful

Flashcard 318: How does gastrin secretion change with Zollinger-Ellison syndrome? _____

Answer: Very increased

Flashcard 319: Is the intestinal metaplasia seen with H. pylori gastritis reversible? _____

Answer: No (it is the "point of no return")

Extra: While **gastritis** (inflammation) resolves with treatment of the *H. pylori* infection, **intestinal metaplasia** is generally considered **irreversible** and represents a precursor to gastric adenocarcinoma. Atrophy may show partial regression, but metaplasia is the established "point of no return" in the Correa cascade.

Flashcard 320: Leishmania donovani presents as visceral leishmaniasis, also known as _____

Answer: kala-azar (black fever)