HIGH YIELD Major side effect of metoclopramide Meconium ileus 5 signs of oral SCC "obular disarray "obular collase

%nly &'# hepatitis virus (ile is conjugated !ith (ilirubin is conjugated !ith %ral !hite pla+ue that C#' be scraped off %ral !hite pla+ue that C#''%- be scraped off *ray--urner vs Cullen sign 1ayser-fleischer rings (ird beak on barium 5ray Shrunken liver Signet-ring cells, linitis plastica /leather bottle0 #thralgias, lymphadenopathy, malabsorption, P#S6 7(eaded8 bile ducts -riple therapy Pseudopolyps Pseudocysts Pseudoacalasia Pseudomembranes Pseudohypahe 6 anti mitochondrial #b #bd pain that radiates to back, !orse ! food );< pain that radiates to shoulder #bd pain =>m post-prandial, !orse by eating #bd pain bt! meals, relieved by eating Most common oral cancer Elevated alkaline phosphatase Major cause of #C;-E pancreatitis Major cause of C:)%'9C pancreatitis $rond-like papilla, no goblet cells Carcinoid Portal inflamm fibrosis )ose spots, C'S disturbances, high sustained fever #b5 '%- indicated in !hich infectious diarrheas? '% risk of chronic hepatitis %nion skinning of bile ducts *ingival hyperplasia 6 lymphadenopathy 9ncrease ;'conjugated serum bilirubin 9ncrease conjugated serum bilirubin %'E test that proves a viral hepatitis inf5n "ocation of esophageal cancers @aundice, dark urine, acholic stools #steri5is 'ecrotic bo!el but duodenum transverse spared 'ecrotic bo!el ! above '%- spared '-acetylcysteine Secretin effects on pancreas CC1 effects on pancreas :epatic tumor 6 bile production Murphys sign Elevated gastrin, pernicious anemia, hypochlorhydria Most common hepatic tumor Most common primary hepatic tumor Most common primary hepatic malignancy $at, forty, female, fertile $ree air under diaphragm Collinger Ellison syndrome )enal o5ylate stones #PC tumor suppressor gene mutation Most common small bo!el obstruction Cons of :F blockers /compared to PP9s0 $ocal nodular hyperplasia :eptaocellular adenoma Promotility agent EPS, contraindicated in Parkinsons Seen in cystic fibrosis, pancreatic probs start in utero vs lung probs after birth Pain, bleeding, non-healing sore, lump mass, !hite red patch #cute hepatitis $ulminant hepatitis (, all others are )'# *lucoronide #lanine taurine Candida, assoc ! immunocomprimise, so look for underlying cause, "eukoplakia, may be due to E(. /hairy0, or precancerous lesion $lank vs periumbilical discolor /retroperitoneal hemorrage0, acute pancreatitis &ark rings that encircle the iris, due to Cu accum in 2ilson3s d4 #calasia /no peristalsis in esophagus0 E5treme, rapid necrosis /e50 fulminant hepatitis &iffuse infiltrating gastric adenocarcinoma 2hipples disease, due to inf5n by t !hippelli Primary sclerosing cholangitis, assoc ! 9(& $or : pylori, first line is omepra4ole 6 clarithromycin 6 amo5icillin ;lcerative colitis Pancreatitis #calasia due to neoplasm C diff Candida Primary biliary cirrhosis, autoimmune destruction of intrahepatic ducts #cute pancreatitis #cute cholecystitis *astric ulcer &uodenal ulcer S+uamous cell carcinoma /usually tongue0, high risk if smoke Et%: :allmark of cholestasis *allstones duct obstruction #lcoholism .illous adenoma -ricuspid insuffiency, pulm stenosis, flushing, diarrhea, due to hi serotonin Chronic hepatitis, cholestasis Enteric fever due to salmonella typhi, get a ("%%& culture E:EC /risk of :;S0 or uncomplicated salmonella non-typhi /self-limiting0 :ep # E Primary sclerosing cholangitis, assoc ! 9(& #ssoc ! myelogenous leukemias /hyperplasia alone assoc ! dilantin0 :emolytic d4 "iver biliary tract d4 /can3t be e5creted into bile ducts so spills into blood0 9gM anti-:(c SCC affects pro5imal, adenocarcinoma affects distal /duh, assoc ! (arretts0 Cholestasis, due to hyperbilirubinemia $lapping tremor seen in hepatic encephalopathy EM(%";S that lodges in SM# distal to branching of middle colic a -:)%M(;S that forms A branch point of SM#, thus MC# is also occluded #ntidote to acetaminophen %&, as increases glutathione stores Causes :C%= secretion from ductal cells Causes en4yme secretion from acinar cells :CC, vs cholangiocarcinoma !hich does '%- produce bile Pain upon inspiration !hen palpating under ) rib, 6 in acute cholecystitis &ue to auto#b against parietal cells Metastasis, esp from gut due to portal circulation Cavernous hemangioma, seen in young !omen :CC, assoc ! hep(, hepC, cirrhosis, hemachromatosis B $s assoc ! cholesterol cholelithiasis *9 perforation escape of air, seen on 5ray P;& 6 gastrinoma 6 gastric acid hypersecretion Seen in fat malabsorption $#P, D>>E risk of colon adenocarcinoma 9ntra-abdominal adhesions, due to past surgery "ess effective, adj in renal pts, tolerance, inhibits CGPB5> many &&9 (enign hepatic gro!th in young !omen '%- assoc ! estrogen (enign hepatic gro!th in young !omen ! S-)%'* assoc ! estrogen