100% satisfaction guarantee Immediately available after payment Both online and in PDF No strings attached
logo-home
Previously searched by you
Previously searched by you
logo
Summary GASTROENTEROLOGY MLA MAPPING - for Medical Exams and Finals $22.58
Add to cart
Quickly navigate to
Preview
  2.  
  3. The University Of Manchester (UOM)
  4.  
  5. Medicine (MLA)

Summary

Summary GASTROENTEROLOGY MLA MAPPING - for Medical Exams and Finals
 0 purchase
  • Course
  • Medicine (MLA)
  • Institution
  • The University Of Manchester (UOM)

One page summaries for topics listed in the MLA Topic Map associated with gastroenterology Contents include: Oesophageal Cancer; Liver Failure; Constipation; Volvulus; Appendicitis; GORD; etc. All MLA topics are covered within my shop - see other documents for more Each topic covers approx. one...

[Show more]

Preview 4 out of 51  pages

Document information

  • July 8, 2024
  • 51
  • 2023/2024
  • Summary

Subjects

  • mla
  • psa
  • gastroenterology
  • colorectal
  • upper gi
  • gastrointestinal
  • medicine
  • general surgery
  • cca
  • osce
  • medical licensing assessment
  • prescribing safety assessment

Written for

  • The University of Manchester (UOM)
  • Unknown
  • Medicine (MLA)
All documents for this subject (38)

Seller

avatar-seller
EtheMedic

Content preview

Hyposplenism/Splenectomy
Definition & DDx
Causes hyposplenism
- Splenectomy
- Sickl-cell
- Coeliac disease/dermatitis Causes hypersplenism
herpetiformis - Infectious mononucleosis
- Graves’ disease - Non-Hodgkin’s lymphoma
- SLE - Acute myeloid leukaemia
- Amyloid

Anatomy & Risks
Indications
- Trauma
- Spontaneous rupture
o EBV
- Hypersplenism
o Hereditary spherocytosis/elliptocytosis/etc.
- Malignancy
o Lymphoma/leukaemia
- Splenic cysts/hydatid cysts/splenic abscesses

Symptoms & Complications
Complications
- Haemorrhage
- Pancreatic fistula (from iatrogenic damage)
- Thrombocytosis
o Prophylactic aspirin
- Encapsulated bacterial infection
o Strep. Pneumoniae, H. influenzae, N/ meningitidis

Investigations
Post-op changes
- Rise in platelets
- Howell-Jolly bodies/Pappenheimer bodies/siderocytes
o On blood film


Treatment/Management & Side effects
Vaccination – done 2wks pre-op
- Hib, meningitisAC
- Annual flu
- Pneumococcal every 5yrs
Abx prophylaxis
- PenV
- Normally continued 2yrs post-op
- Can be much longer

,Oesophageal Cancer
Definition & DDx
DDx
- GORD
- Achalasia
o Dysphagia for solids and liquids from the start
o Regurgitation of undigested food
o Chest pain
- Peptic stricture
- Zenker diverticulum
o Halitosis
o Aspiration pneumonia
o Regurgitation of undigested food
- Neurological conditions
o MND
o Myasthenia gravis
- Oesophagitis
o Candidiasis
o May be underlying immunosuppression e.g., HIV

Anatomy & Risks
Adenocarcinoma - lower 1/3rd near gastric Squamous cell cancer – upper 2/3rds
junction oesophagus
- GORD - Smoking
- Barrett’s - Alcohol
- Smoking - Achalasia
- Obesity - Plummer-Vinson syndrome
- Diets rich in nitrosamines
Symptoms & Complications
- Dysphagia (progressive)
- Anorexia/weight loss 2ww endoscopy
- Vomiting - Dysphagia
- Odynophagia - ≥55yo + weight loss plus any of:
- Hoarseness (local invasion of o Upper abdo pain
recurrent laryngeal nerve) o Reflux
- Melaena o Dyspepsia
- Cough

Investigations Treatment/Management & Side effects
- UGI endoscopy - Operable disease by surgical
- Barium swallow – irregular resection
narrowing o Challenge = anastomotic
- Endoscopic ultrasound for regional leak
staging o Intrathoracic anastomosis
o Useful for resection leading to mediastinitis
decision - Adjuvant chemotherapy
- CT TAP for initial staging

,Gastric Cancer
Definition & DDx
Cancer of older people with male predominance

Anatomy & Risks
- H. pylori
o Triggers inflammation of mucosa
o Leading to atrophy and intestinal metaplasia
- Atrophic gastritis
- Diet
o Salt / nitrates (smoked foods)
- Smoking
- Blood group A
- High alcohol intake (>6 units/day)
- Adenomatous polyps

Symptoms & Complications
- Abdo pain
o Typically vague, epigastric pain
o May present as dyspepsia
- Weight loss/anorexia
- N&V
- Dysphagia
o Particularly if proximal stomach
- In lymphatic spread
o L supraclavicular LN
o Periumbilical nodule
- Melaena/haematemesis rare

Investigations
- OGD with biopsy 2ww
o Signet ring cells seen
o Higher numbers = worse prognosis
- Staging CT

Treatment/Management & Side effects
Surgical depending on extent and side
- Endoscopic mucosal resection
- Partial/total gastrectomy
Chemotherapy

, Pancreatic Cancer
Definition & DDx
Malignant neoplasm – most commonly adenocarcinoma of the head

Anatomy & Risks
- Increasing age
- Smoking
- Diabetes
- Chronic pancreatitis
o Alcohol not an independent risk factor
- Hereditary non-polyposis colorectal carcinoma
- MEN
- BRCA2
- KRAS gene mutation
- FHx
- Obesity

Symptoms & Complications
- Painless jaundice
o Pale stool (loss of exocrine function)
o Dark urine, pruritus
o Cholestatic LFTs
- Abdominal masses
o Hepatomegaly (mets)
o Gallbladder – unlikely to be gallstones if painless jaundice present
▪ ‘Courvoisier’s sign’
o Epigastric mass (least common)
- Non-specific
o Anorexia/weight loss
o Epigastric pain
- Atypical back pain
- Loss of endocrine function (DM)

Investigations
2ww = s≥40 with jaundice
Other:
- USS
- HR CT = gold standard
o May show ‘double duct’ sign
o Presence of simultaneous dilatation of common bile and pancreatic ducts

Treatment/Management & Side effects
- <20% suitable for surgery at diagnosis
o No evidence of SMA or coeliac artery involvement
o No distant metastases
- ERCP with stenting for palliation

The benefits of buying summaries with Stuvia:

Guaranteed quality through customer reviews

Guaranteed quality through customer reviews

Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.

Quick and easy check-out

Quick and easy check-out

You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.

Focus on what matters

Focus on what matters

Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!

Frequently asked questions

What do I get when I buy this document?

You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.

Satisfaction guarantee: how does it work?

Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.

Who am I buying these notes from?

Stuvia is a marketplace, so you are not buying this document from us, but from seller EtheMedic. Stuvia facilitates payment to the seller.

Will I be stuck with a subscription?

No, you only buy these notes for $22.58. You're not tied to anything after your purchase.

Can Stuvia be trusted?

4.6 stars on Google & Trustpilot (+1000 reviews)

64670 documents were sold in the last 30 days

Founded in 2010, the go-to place to buy study notes for 15 years now

Start selling

Recently viewed by you

Exam (elaborations) ·

(0)

AFOQT Practice Test Verbal Analogies with correct answers

Exam (elaborations) ·

(0)

Nurse’s Touch: Becoming a Professional Nurse LATEST VERSION

Exam (elaborations) ·

(0)

Rachel Adler – ETOH Shadow Health Chamberlain College

Summary ·

(0)

Emergency Medical Technician Chapter 10: Airway Management

Summary ·

(0)

Summary of sustainable supply management_325237-M-6

Class notes ·

(0)

Need Inspiration for your personal development plan?

Exam (elaborations) ·

(0)

American Public University BUSN 311 Week Eight Final Exam

Exam (elaborations) ·

(0)

Dosage Calculations Final Exam Study Guide testbank

Summary ·

(2)

Volledige samenvatting 'Inleiding tot de psychologie'

$22.58
  • (0)
Add to cart
Added