Something's Stuck
Tummy Twoubles
I'm Leaking
Even if it isn't GI, it's GI
Everyone's Favorite Syndromes/Associations
100
11 month old increasing irritability and is having intermittent abdominal pain. Mass palpated in RUQ. What is the mass?
Telescoping of the bowel (Intussusception)
100
Previously healthy 6 month old with persistent bilous vomiting. What is the likely diagnosis?
Malrotation with volvulus
100
Painless, intermittent rectal bleeding. Exam normal. What is diagnosis?
Meckel Diverticulum
100
What GI diseases are associatd with this
IBD
100
Teenage patient found be jaundice but is asymptomatic. Labs are normal other than slight indirect hyperbilirumemia. Most likely cause?
Gilbert syndrome
200
Patient on acne treatment complaining of acute onset of dysphagia.
Pill-induced esophagitis
200
17 year old presents with severe abdominal pain. On labs he is found to have elevated lipase consistent with pancreatitis. What is the most important parts of management?
Aggressive rehydration, pain control, return to PO feeding as soon as you can
200
What lab test/tests are need for diagnosis of celiac disease
Anti-tissue transglutaminase and serum IgA. Have to have both.
200
What is this and what is it associated with?
Pyoderma gangrenosum and IBD
200
What other GI disease is associated with Ulcerative Colitis
Primary Sclerosing Cholangitis
300
What is the diagnostic criteria for functional constipation?
Rome criteria: Growth normal, normal exam, and no alarm symptoms.
300
Concominant infection with what other disease causes Hepatitis D to progress to fulminant liver failure?
Hepatitis B
300
Went to the Carribean and came back with diarrhea, weight loss, and anorexia. Small bowel biopsy --> Flattened villi but anti-tTG is negative.
Tropical sprue
300
Patient has new onset psychiatric issues and liver problems. What is causing this?
Copper deposition in the liver and brain (Wilson's disease)
300
Trisomy 21 patients are at increased risk for 3 GI related conditions. Name two.
Celiac, duodenal atresia, and Hirschsprung's
400
Patient having colicky abdominal pain and these findings on exam. What is causing his abdominal pain?
Intestinal hamartomas --> intussusception
400
Teenage girl undergoing treatment for anorexia nervosa complains of several days of postprandial epigastric pain and early satiety. Pain relieved by laying left lateral decubitus or knee-to-chest position. XR shows gastric distention and loss of air past the 3rd part of the duodenum. What is causing her abdominal pain?
Superior mesenteric artery syndrome
400
What is thought to be the cause of gastroschisis?
Vascular accident resulting in necrosis of the lateral abdominal wall to the R of the umbilicus. (R umbilical vein or R omphalomesenteric artery)
400
6 year old with abdominal ultrasound that shows noncalculous distention of the gallbladder, widespread morbiliform rash, and conjunctival injection. What disease does he have?
Kawasaki (gallbladder hydrops)
400
Patient found to have achalasia also has adrenal insufficency and can't cry tears. What syndrome?
Allgrove syndrome or Triple-A syndrome
500
Newborn has increased respiratory rate and excess drooling and secretion. He is found to have a TE fisatua. What is the most anatomically common variation of transeosophageal fistula?
1) Isolated fistula
2) Isolated TE fistula (H-type)
3) Esophageal atresia with distal transesophageal fistula
4) Esophageal atresia with proximal transesophageal fistula
5) Esophageal atresia with both proximal and distal transesophageal fistulas
3) Proximal esophageal atresia and distal TEF
500
After receiving the varicella vaccine at a 4 year wellness visit what must this patient avoiding taking for at least 6 weeks?
Aspirin (theoretical increased risk for Reye syndrome)
500
Patient has hair loss, rash around the bodily openings and tips of fingers, poor growth, and diarrhea. What GI disease?
Acrodermatitis enteropathica (manifesting as zinc deficiency)
500
Patient has this rash on face, trunk, and extremities. Also has polyarthalgia and thrombocytopenia. What disease does this patient have?
Hepatitis B
(Rash is Giancotti-Cristi syndrome)
500
Patient that looks like they have Cystic fibrosis but their sweat test is normal. Also has cyclic neutropenia and skeletal abnormalities.
Shwachman-Diamond syndrome