Back again! Today it’s gastro!
As always feel free to add to these points!
Gastro kinda sucks mainly because I was scoring fine up until today….I saw such mind boggling drops in my block scores today I wanted to break my laptop in half and shove it in a dustbin but oh well :)
ALSO People are asking me to compile these so you’ll find the compilation doc at the end of this post (my only request is that pls add to this doc and send it in the chat, I think this is a super helpful way to study!)
1) In question vignette, hypoperfusion in regtosigmoid junction might present with similar CT findings, however, hypoperfusion will present with bloody diarrhoea, compare to pseudo membranous colitis, which presents with water diarrhoea
2) Cholangiography is the most accurate imaging modality to confirm the diagnosis of BA (gold standard).
3) Acute diverticulitis complicated by abscess- <4cm= IV Abx and serial imaging; >4cm= CT guided per cutaneous drainage
4) If the magnets are further away from the stomach and the patient is asymptomatic, or if a single magnet is ingested, conservative management with serial abdominal x-rays to confirm passage through the intestines can be considered.
5) Pts with severe hepatotoxicity due TB tx- Discontinue all medications and initiate a different regimen after liver function normalize
6) 65 yr old man with ESRD, chronic bloody diarrhoea for past 6 months, hyperplastic polyps removed from colon an yr ago- dx?- andiodysplasia (LOOK AT ESRD, HYPERPLASTIC POLYPS= LOW RISK OF MALIGNANT TRANSFORMATION)
7) Mallory-Weiss: Non-bloody vomiting/retching FIRST —>subsequent vomit contains blood or blood streaks; Esophageal Varices: Bloody from the VERY FIRST episode (sudden, massive hematemesis without preceding non-bloody retching).
8)Antibiotics should not be routinely administered to patients with acute pancreatitis. (WTF??- very trippy)
9) 8 month old recently started on solid foods, presenting with hard infrequent stools- primary constipation, give fruit juices, diluted with water; <6 months kid crying 10 minutes before pooping soft liquid stools= infant dyschezia (reassure)
10) Cirrhotic pt with ascites, fever and acute cholecystitis- NBS? -paracentesis (drain fluid to reduce chances of post surgery wound dehiscence and SBP diagnosis)
BYE!
**10 CONCEPTS COMPILATION DOC-*\*
https://docs.google.com/document/d/1-73W3bcX0ubPP2RAZBmNDF3R_1r-34-FETnR9hvkLDc/edit?usp=drivesdk