Term
| what is the study of choice to dx ulcers, esophagitis, and malignancy |
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Definition
upper endoscopy
all > 50yoa with new onset dyspepsia w/ alarm fx! |
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Term
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Definition
| ranitidine, cimetidine, famotidine |
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Term
|
Definition
| omeprazole, pantoprazole, ect |
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Term
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Definition
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Term
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Definition
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Term
| mucosal tear of the gastroesoph. jxn |
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Definition
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Term
| acute sx w/o abd pain caused by |
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Definition
| food poisoning, infxn,. drugs, |
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Term
| what type of imaging should be done for severe pain/suspicion for mechanical obsxn-->free air/dilated loops |
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Definition
| Flat and upright abd xray |
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Term
|
Definition
SSRI (odansetron)
DA agonists (phenothiazines)
Antihist and anticholinergics
Sedatives
steriods
canabinoids
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Term
| identifiable causes of constipation |
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Definition
diet/behavior
structoral abn
systemic dz
meds |
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Term
| causes of refractory/severe constipation |
|
Definition
slow transit: > 72 hrs
pelvic floor dysruption
IBS |
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Term
| transit time is measured by |
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Definition
| abd radiograph w/ > 20% markers = incr time |
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Term
| balloon expulsion testing, anal manometry, and defecography test |
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Definition
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Term
| acute onset lasting for < 2 wks caused most commonly by infections agent or drugs |
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Definition
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Term
| which type of diarrhea is usually inflammatory |
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Definition
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Term
| for bloody diarrhea stool do serotyping tests for |
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Definition
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Term
| for pts w/ > 10 days diarrhea who travel test how many stool samples for ova and parasites |
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Definition
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|
Term
| what drugs are contraindicated in pts w/ diarrhea |
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Definition
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Term
| is empiric tx indicated for acute diarrhea |
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Definition
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Term
| stool vol decr w/ fasting, incr osmotic gap, meds |
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Definition
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Term
| lg volume diarrhea, normal gap, meds |
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Definition
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Term
| coffee grounds in vomit indicates bleeding |
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Definition
| proximal to ligament of treitz |
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Term
|
Definition
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|
Term
|
Definition
hematochezia
past ligament |
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Term
| most common emergency assoc w/ GI bleed |
|
Definition
| nonvariceal upper GI bleed |
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|
Term
| most common cause of ascites |
|
Definition
| portal HTN secondary to chronic liver dz |
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|
Term
|
Definition
>1.1 = portal HTN
< 1.1 = non portal HTN |
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Term
| spontaneous bacterial peritonitis causagive agents |
|
Definition
| e.coli, klebsiella, enterococc, strep pneumo |
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Term
| most important test to determine spontaneous bacterial peritonitis |
|
Definition
abd paracentesis w/ CBC, blood cx
total protein > 1 |
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Term
| most effective tx of sponatneous bacterial peritonitis |
|
Definition
liver transplant (d/t chronic liver dz)
next is 3rd gen cephs |
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Term
| which abx should be avoided in pts w/ chronic liver dz d/t incr risk of nephrotoxicity |
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Definition
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|
Term
| dysphagia for solid foods only |
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Definition
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Term
| which type of dysphagia requires both barium and manometry? |
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Definition
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Term
| occurs when lower esoph sphincter does not close properly--> stomach contents leak back up |
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Definition
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Term
| this can exacerbate GERD and lead to incr of severe esophagitis |
|
Definition
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Term
| exacerbated by meals, bending, reclining |
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Definition
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|
Term
| complication of chronic GERD |
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Definition
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Term
| how frequently should pts w/ barretts get an endoscopy |
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Definition
| q 3-5 yrs w/ dysplastic findings |
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Term
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Definition
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|
Term
| common pathogens for infectious esophagitis |
|
Definition
candida
HSV
CMV
***immunocomp*** |
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Term
| mallory-weiss tears bests visualized w/ |
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Definition
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Term
| pts w/ variceal bleeding need to be placed on |
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Definition
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Term
| majority of esophageal adenocarcinomas arise from complicatins w/ |
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Definition
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Term
| first study to eval dysphagia is |
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Definition
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Term
| barium study shows "birds beak" |
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Definition
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Term
| eating more slowly, lifting neck/throwing shoulders back is indicative of |
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Definition
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|
Term
| damage of stomach w/o inflammation |
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Definition
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|
Term
| damage to the stomach with inflammation |
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Definition
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|
Term
| most common causes of erosive gastropathy |
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Definition
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|
Term
| most peptic ulcers occur in the |
|
Definition
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|
Term
| which age groups are affected by duodenal/gastric ulcers |
|
Definition
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|
Term
| which type of ulcers tend to be malignant |
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Definition
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|
Term
| PPI's need to be withheld how many days before bx bc of false + |
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Definition
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Term
| 1st line abx of tx against PUD |
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Definition
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|
Term
|
Definition
fasting gastrin levels
NO H2 BLOCKERS 24 hrs and PPI 6 days |
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Term
| Most common type of CA worldwide |
|
Definition
| GASTRIC --> but decrease in US |
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|
Term
| diffuse damage to the proximal sm intestine---> malabsorption of most nutrients |
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Definition
celiac dz
6-24 mos after intro of new foods |
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Term
| serologic IgA endomysial antibody and IgA tTG antibody tests indicate |
|
Definition
celiac dz
undetectable after 6-12 mos of gluten withdrawal |
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Term
| confirmation of celiac dz |
|
Definition
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|
Term
rare multisystemic dz that affects wt males
arthralgia, wt loss, flatulence, LAD, ect |
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Definition
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Term
| bx w/ PAS + macrophages w/ gram + bacilli indicates |
|
Definition
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|
Term
|
Definition
abx for at least 1 year
ceftriaxone, then bactrim |
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Term
| test to determine B12 deficiency |
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Definition
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|
Term
| most reliable test for dx bacterial overgrowth |
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Definition
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Term
| folate, iron, and Ca malabsorption results from resection of |
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Definition
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|
Term
| pts w/ < 100-200 cm of proximal jejunum always require |
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Definition
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|
Term
| test to determine lactose deficiency |
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Definition
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Term
| loss of paralysis w/o obsxn |
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Definition
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Term
| is abd pain common in chronic psuedo-obstxn and gastraparesis |
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Definition
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Term
| which type of IBD is transmural |
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Definition
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Term
| which type of IDB is STRONGLY assoc w/ smoking |
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Definition
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Term
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Definition
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|
Term
| diverticula are best visualized w/ |
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Definition
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