Gastroenterology — Flashcards

Flashcard 631: How does a patient present with **ascending cholangitis**? (5) _____

Answer: RUQ pain, jaundice, fever, hypotension, and altered mental status

Extra: Ascending cholangitis is a medical/surgical emergency. Management involves IV fluids, antibiotics, and biliary decompression (usually via ERCP).

Flashcard 632: Management of a _____ includes antibiotics (e.g., clindamycin); surgery is indicated if medical management fails.

Answer: lung abscess

Flashcard 633: A Chinese patient with persistent mid-epigastric abdominal pain, nausea/vomiting, weight loss, and microcytic anemia raises concern for _____

Answer: gastric cancer

Extra:  https://onlinemeded.org?ref=anki 

Flashcard 634: What is the management for suspected penile lichen sclerosus? _____

Answer: Biopsy

Extra:  https://onlinemeded.org?ref=anki 

Flashcard 635: What is the typical pain of GERD? _____

Answer: Burning retrosternal chest pain

Extra:  https://onlinemeded.org/spa/gastroenterology/esophagus/acquire?ref=anki 

Flashcard 636: A patient with nocturnal headaches and morning vomiting are concerning for what? _____

Answer: Elevated ICP

Extra:  https://onlinemeded.org?ref=anki 

Flashcard 637: _____ is a rare complication of hepatopancreatic interventions that is characterized by hyperbilirubinemia, anemia, and RUQ pain

Answer: Hemobilia

Extra: Hemobilia most commonly occurs after trauma or hepatobiliary procedures (e.g., liver biopsy, ERCP). **Quincke's Triad:** 1. Upper GI hemorrhage (melena/hematemesis) 2. Jaundice (hyperbilirubinemia) 3. RUQ pain (biliary colic) https://onlinemeded.org/spa/surgery?ref=anki

Flashcard 638: Secretory chronic diarrhea is typically caused by _____ tumors or persistent enterotoxic infection and presents with a(n) normal osmolar gap, no blood/mucous, no fecal fat, and no changes after NPO

Answer: hormone-secreting

Extra:  https://onlinemeded.org/spa/gastroenterology/chronic-diarrhea/acquire?ref=anki 

Flashcard 639: GI bleeding and hemodynamic instability = _____ to localize and embolize

Answer: angiography

Extra:  https://onlinemeded.org/spa/surgery?ref=anki 

Flashcard 640: Osteoporosis in a person who has celiac disease is due to malabsorption of _____

Answer: vitamin D

Extra:  https://onlinemeded.org/spa/surgery?ref=anki