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Rx for Hep B?
Rx for Hep C?
IFN or anti virals--tenofovir, lamuvidine, adefocir, entecavir
Hep C-- IFN+ ribavirin
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Rx for GERD refractory to medical treatment?
nissel fundiplication or hiatal hernia repair
-
Barium swallow shows what?
gastric emptying time
small bowel follow thru?
barium enema?
stomach, pylorus, duodenum
stomach to ileum
colon and appendix
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connection of stomach to skin is called?
connection of ileum to skin?
colon to skin?
visualization of peritoneum
surgical incision into abdominal wall?
- gastrostomy
- ileostomy
- cholostomy
- laparoscopy
- laparotomy
-
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3 types of diverticula of esophagus?
- zenker--at the UES
- traction--mid point of esophagus
- epiphrenic--near to LES
-
how is salmonella and shigella treated?
campylobacter?
- fluoroquinolones
- erythromycin
-
risk factors for osteporosis?
- post menapuase
- steroids
- low BMI
- smoking
- decreased acid in stomach
-
BEst intial test for suspected stomach perforation?
X ray
-
cause of acute pancreatitis?
- biliary
- alcohol
- Drugs
- Hypertriglyceridemia
- Idiopathic
- Scorpion sting
-
most sensitive and specific test for chronic pancreatitis?
fecal elastase
-
Tumor marker for pancreatic cancers?
ca 19-9
-
What is the Whipple procedure?
- resection of head of pancreas with
- duodenum
- proximal jejunum
- distal stomach
-
Mode of action of Diazoxide?
opens K channels--hyperpolarizes the cell..prevents release of insulin?
-
Symptomatic Rx for pancreatic Endocrine tumors?
octeotride
-
how does the gastric bypass work?
decreasing the size of the stomach and connecting it to the jejunum
-
Rx for H pylori?
- PPI
- clarithromycin
- amoxicillin or metronidazole
-
What is the parkland formula?
4ml x kg(body weight) x % of Burned BSA
-
Person travels far, takes on a new identity and doesnt remember it, this is called?
Dissociative Fugue
-
Blueberry muffin rash, PDA, deafness?
Rubella
-
Classic presentation for placenta previa?
painless bleeding
-
Which breast cancer can present bilaterally?
lobular carcinoma
-
what disease produces anterior knee/upper tibia pain? due to inflammation of the tibial tuberosity?
osgood-Shlatter Disease
-
2 abnormal pap smears with ascus?
colposcopy and endocervical curratage
-
What organism causes diarrhea and psudoappendicitis?
yersinia entercolitica
-
Most accurate test for Acute mesenteric ischemia
angiography
-
what is used to vasodilate blood vessels causing acute mesenteric ischemia?
papaverine
-
when do you give rifampin prophylaxis for meningitis?
to close contacts of a patient with n. meningitis or h. influenza type B
-
-
what 2 drugs inhibit phosphodiesterase, causing vasodilation and bronchodilation?
- sildenafil--increases cgmp
- methylxanthines--theophylline--increases camp
-
Rx for febrile seizure?
- symptomatic--
- decrease body temp
- no antiepileptics!!!!!!
-
Common Causes of Small Bowel Obstruction?
a, b, c
- adhesions
- bulge--hernias
- cancer
-
Best initial test in suspecting small bowel Obstruction?
Xray
-
Most sensitive test for appendicitis?
ct scan
-
antibiotics for severe gut infections?
ampicilli/sulbactam + metro + fluoroquinolones
-
Rx for ileus?
- erythromycin
- neostigmine
- metoclopramide
-
Xray showing double bubble or birds beak of the colon, this is characteristic for?
volvulus
-
air in the bowel wall on a ct scan?
ischemic colitis
-
what antibiotic is contraindicated in neonatal jaundice?
ceftriaxone bc it displaces bilirubin from albumin and it makes it worse
-
what is failure to thrive?
- weight is <3%percentile
- weight is <80% for age
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