Term
2 week referal for endoscopy when people have
DYSPHAGIA
upper abdominal mass suggestive of stomach cancer
and... |
|
Definition
pt 55 or > with
upper abdo pain
reflux
dyspepsia |
|
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Term
|
Definition
carbon 13 breath test or stool antigen
test of cure: breath test |
|
|
Term
| features of UC and Crohns |
|
Definition
UC
bloody diarrhoea
CRC
uveitis
primary sclerosing cholangitis
Chronhs
Non bloody diarrhoea
weight loss
abdo pain |
|
|
Term
| inducing remission for UC |
|
Definition
rectal aminosalicylates
oral aminosalicylates
oral pred
severe UC rx in hospital iV steroids |
|
|
Term
maintaining remission for UC?
NB: MTX not recommended to mx UC unlike Crohns |
|
Definition
oral aminosalicylate eg mesalazine
azathioprine and mercaptopurine |
|
|
Term
| inducing remission in Crohns |
|
Definition
Gluccocorticoids
enteral feeding
5 ASA drugs e.g. mesalazine
add on meds: azathiprine, mercaptopurine or MTX
for fistulating or refractory crohns: infliximab
for isolated peri anal diseasE: metronidazole |
|
|
Term
| when to use infliximab in crohns? |
|
Definition
| refractory or fistulating disease |
|
|
Term
| in UC and Crohns which one is surgery preferred and in which one would surgery be avoided? |
|
Definition
UC do surgery as the longer you have it the increased risk for CRC
in chronhs we try and avoid surgery, we don't want adhesions or fistulas |
|
|
Term
Diverticulosis?
OUTPOUCHINGS of the bowel wall. |
|
Definition
| mx: NBM, abx: cephlasporin and metronidazole, IV fluids |
|
|
Term
| complications of diverticulosis? |
|
Definition
obstruction
peritonitis
perf
abscess |
|
|
Term
|
Definition
small calcium binding protein
concentration of calprotectin in stool correlates well with severity of intestinal inflammation |
|
|
Term
|
Definition
60-74 year olds
every 2 years |
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