Archive for the ‘Gastroenterology’ Category

Pellagra symptoms

March 23, 2015

Vitamin B3 (niacin) deficiency

The three D‘s:

  • Dermatitis
  • Diarrhoea
  • Dementia
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Causes of unintentional weight loss in elderly patients

September 13, 2012

MEALS ON WHEALS

  • Medication effects
  • Emotional problems (especially depression)
  • Anorexia nervosa, alcoholism
  • Late life paranoia
  • Swallowing disorders
  • Oral factors (such as poorly fitting dentures, caries)
  • No money
  • Wandering and other dementia related behaviours
  • Hyperthyroidism, hypothyroidism, hyperparathyroidism, hypoadrenalism
  • Enteric problems
  • Eating problems (such as an inability to feed oneself)
  • Low salt, low cholesterol diet
  • Stones, social problems (such as isolation, an inability to obtain preferred foods)

Upper GI endoscopy indications

July 6, 2012

How Gastroenterology Doctors Visualise Inside The Duodenum

  • Haematemesis
  • Gastric biopsy (?cancer)
  • Dyspepsia (>55 years old or ALARM Symptoms)
  • Vomiting, persistent
  • Iron-deficiency anaemia
  • Therapeutic e.g. banding, sclerotherapy, stent, laser therapy
  • Duodenal biopsy

Liver screen blood tests

April 25, 2012

A LIVE CATCH

  • Autoantibodies
  • Liver function tests (LTFs)
  • Immunoglobulins and protein electrophoresis
  • Viral inc. CMV, EBV
  • Ethanol
  • Coagulation inc. INR, APTT
  • Alpha-feto protein
  • Total iron binding and ferritin
  • Copper (serum), ceruloplasmin
  • Hepatitis serology e.g. A, B and C

Parenteral feeding potential complications

April 18, 2012

Hickman LINE

  • Hyperglycaemia
  • Liver abnormalities including fatty liver
  • Infection e.g. of wound or via feed
  • Necrosis of gut (villous atrophy)
  • Electrolyte abnormalities

Ascites treatment options

February 12, 2012

DAFT

  • Diuretics
  • Ascitic tap or drain
  • Fluid and salt restriction
  • TIPS (transjugular intrahepatic portosystemic shunt)

Acute pancreatitis complications

February 11, 2012

Early – GRASS

  • Glucose elevated
  • Renal failure
  • ARDS
  • Sepsis
  • Shock

Late – NAP

  • Necrosis of pancreas
  • Abscess
  • Pseudocyst

Chronic pancreatitis causes

February 11, 2012

PACE

  • Pancreas divisum (congenital)
  • Autoimmune
  • Cystic fibrosis
  • Ethanol, chronic abuse

Drug-induced chronic liver disease

January 25, 2012

MAD CV

  • Methotrexate
  • Amiodarone
  • Diclofenac
  • Chlorambucil
  • Valproate

Malabsorption causes

December 3, 2011

CCCP

  • Coeliac disease
  • Crohn’s disease
  • Chronic Pancreatitis