Flashcard 9

Question 1

complications FAP

Answer 1

almost all untreated by age of 40 will have malignancy

Question 2

Barretts Oesophagus

Answer 2

intestinal metaplasia related to prolonged acid exposure @ distal oesophagus

Question 3

eosinophilic oesophagitis

Answer 3

allergic inflammatory condition of the oesophagus involving eosinophils

Question 4

bulimia nervosa

Answer 4

binge eating followed by purging

Question 5

Hirschsprungs disease

Answer 5

faecal bowel obstruction caused by absence of nerves @ an end section of bowel

Question 6

symptoms:

• bloody diarrhoea
• abdo pain
• weight loss
• urgent and frequent bowel movements
• fatigue
• anorexia

Answer 6

ulcerative colitis

Question 7

management oesophageal varices

Answer 7

• end-therapy
• IV terlipressin
• IV broad spectrum antibiotics
• coagulopathy
• sengstake-blakemore tube

Question 8

sengstake-blakemore tube

Answer 8

tube that can be inserted into oesophagus and inflated to reduce blood flow to varies/ other source of bleeding. only used when bleeding cannot be controlled by medication alone

Question 9

diverticular disease

Answer 9

small bulges or sacs that form in the wall of the large intestine. protrusion of inner mucousal lining through outer muscular layer forming a pouch

Question 10

management diverticular disease

Answer 10

• high fibre diet
• paracetamol
• bulk forming laxative
• ABs
• colectomy

Question 11

Hep C virus treatment

Answer 11

combination of IFN free direct acting antivirals (ribavirin, sofosbuvir, daclatasuir)

Question 12

symptoms:

• pain
• fever
• chills
• malaise
• red swollen anal lump

Answer 12

perianal abscess

Question 13

imperforate anus

Answer 13

congenital defect in which the opening of the anus is missing or blocked

Question 14

management anal fissure

Answer 14

high fibre, high water diet

topical nitric oxide
laxatives
internal lateral sphincterotomy

Question 15

angiodysplasia

Answer 15

small vascular malformation of the gut

Question 16

signs/ symptoms

• abdo pain
• sudden bleeding
• dusky blue, swollen mucosa affecting area according to blood supply

Answer 16

ischaemic colitis

Question 17

management radiation proctitis

Answer 17

may be dependant on blood transfusions due to chronic loss
endoscopic argon plasma coagulation
sulcrafate enemas
hyperbaric O2 chamber