Gastroenterology & Hepatology — Flashcards

Flashcard 571: What is the pharmacological management of refractory abdominal pain in IBS after anti-spasmodics? 1st _____ 2nd SSRI

Answer: low dose TCA

Flashcard 572: What is the typical Liver Function Test (LFT) pattern seen in pancreatic cancer causing biliary obstruction?

Answer:

Extra: Pancreatic cancer (especially of the head) typically presents with an obstructive jaundice pattern due to compression of the common bile duct. \n\nTypical LFT pattern:\n- ↑↑ Conjugated Bilirubin\n- ↑↑ Alkaline Phosphatase (ALP) & GGT\n- Normal or mildly ↑ AST/ALT (unless secondary liver damage/metastases occur)

Flashcard 573: What are the most common causes of large bowel obstruction? 1st _____ ~60% 2nd Diverticular disease

Answer: Colorectal cancer

Flashcard 574: What abdominal x-ray findings are associated with **large bowel obstruction**? _____

Answer: Dilated loops (typically peripheral) with haustrations and air-fluid levels

Flashcard 575: Hiatus hernia can present as symptoms associated with _____

Answer: GORD

Flashcard 576: Advanced pancreatic cancer can present with _____ because of loss of exocrine function

Answer: steatorrhea

Flashcard 577: Pancreatic cancers have a terrible prognosis because _____

Answer: they nearly always present late

Flashcard 578: ~90% of pancreatic cancers are _____, most of which develop in the head of the pancreas

Answer: adenocarcinomas

Flashcard 579: What is the management for small bowel obstruction caused by hernias? _____

Answer: 100% surgical

Flashcard 580: The cause of Irritable Bowel Syndrome is unknown and thought to be linked to _____-gut axis dysregulation as well as other factors

Answer: brain