HY

• Ferritin what it do

  Iron storage
• Vibrio

  Increase chloride secretion into lumen
• Lymphocytic gastritis pic

  celiac disease

  
• Gold standard for Celiac

  duodenal biopsy
• Cholera

  rice water diarrhea
• AIMS

  albumin fit criteria only
• Celiac

  anti transglutaminase
• Solution

  • 6 teaspoon sugar
  • 0.5 teaspoon salt
• Described a restrictive lung disease?

  coal dust
• H pylori - Superficial chronic gastritis
• Perforation -> chest xray upright or supine?

  CHEST XRAY upright

  
• SBO - abdominal x ray upright & supine
• Risk for volvulus - long mesentery, narrow base
• Crohn pt w sulfa not working anymore - what do you give

  • corticosteroids for flare
  • immunomodulating agent for long-term prevention
• Generalized pain - Peptic ulcer perforated
• Where is pain in early appendicitis

  periumbilical
• Appendicitis pain 26 hrs ago in periumbilical region then 22 hrs in rlq, & vomiting was it perforated or suppurated?

  • suppurated
• What's true ab appendicitis:

  Ruptures distally to obstruction
• Kid w history of rhinitis & upper resp infection, had abdominal pain:

  mesenteric lymphadenopathy
• Kid had no tenderness on palpation. Lymph nodes had granulomas- but looked like appendicitis

  yersinia
• Stem describes adhesions from surgery, asks how to manage it?


  conservative management - don't do anything 90% resolve on their own
• Volvulus best way to diagnose?

  CT scan
• Lead point for kid w intussusception in stem (red current jelly stool)

  ileum, lymphocytic hyperplasia
• MCC of sigmoid volvulus in adults?

  Constipation
• Kid comes in after car crash w head trauma, u give H2 blockers to prevent?

  Cushing ulcer
• Where does diverticulitis very rarely occur?

  rectum
• How often check on UC patients

  8 years after dx
• Perforated posterior ulcer 


  pancreatitis
• Mg laxative

  Decreases bioavailability of quinolones
• A laxative (senna) that causes melani coli has what MOA:

  irritant to mucous & stimulate enteric nerves
• Pic of PPI MOA

  • D (H+/K+ ATPase blocker)
• Metoclopramide (described EP signs):

  D2 antag , Agonist 5HT-4
• Dexamethasone & aprepitant added to regimen bc still v sickly after chemo
• Lactulose MOA in hepatic encephalopathy

  Acidification of colon, trapping ammonia
• Ondansetron - ADE?

  QT prolong
• Azithromycin for EHEC is cause of HUS
• Got travelling diarrhea & IBS-D, & C/I to opioids, what do u give?

  rifaximin
• 3 Charts with no vagal, ECL, or G cell stimulation

  h+/k+ atp blockage
• Jejunum is site of sodium reabsorption
• Iron is transferred by transferrin in plasma