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PANRE review - GI
PANRE
11
Medical
Post-Graduate
02/07/2018

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Cards

Term
treatment of bleeding esophageal varices
Definition
octreotide drip + EGD for ligation

Beta blocker long term
Term
esophageal rupture/perforation secondary to severe vomiting. pt presents w/ severe retrosternal teraing pain and subcu emphysema/crepitus

CXR: mediastinal widening
Definition
Boerhaave's syndrome: Emergency surgery is tx
Term
What is the best initial test for dysphagia, according to PANRE?
Definition
Barium esophagram

(EGD is gold standard, esophagram is initial test)
Term
Sudden onset dysphagia, esp if solids only- think?
Definition
cancer
Term
Solid and liquid dysphagia, think?
Definition
achalasia (ineffective peristalsis)
Bird's beak on imaging
Term
Regurgitation of undigested food- think?
Definition
Zenker's diverticulum
Term
most common type of esophageal cancer in us?
Definition
adenocarcinoma
Term
Pt presents w/ GERD. salmon colored mucosa is present in EGD. dx?
Definition
Barrett's
Term
Top 2 most common reasons for PUD?
Definition
1) H. pylori
2) NSAIDs
Term
H pylori:
1) gold standard test for dx?
2) tx?
Definition
stool antigen test OFF PPIs and bismuth

Tx: Amocillin (or flagyl if allergy), clarithromycin, and PPI for 10-14 days. then check urea breath test or stool a month later to check for eradication
Term
1) Scan in which IV dye is injected. is positive if the gallbladder is NOT filled with dye - indicates a bile duct obstruction due to inflammation or stone
2) 2 tests with essentially equal efficacy used for dx choledocholelithiasis
Definition
1) HIDA scan - indicates cholecystitis
2) ERCP, MRCP
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