Hepatic encephalopathy: precipitating factors HEPATICS: Hemorrhage in GIT/ Hypokalemia Excess protein in diet Paracentesis Alkalosis/ Anemia Trauma Infection Colon surgery Sedatives -Dr. Liver failure: decompensating chronic liver failure differential HEPATICUS: Haemorrhage Electrolyte disturbance Protein load/ Paracetamol Alcohol binge Trauma Infection Constipation Uraemia Sedatives/ Shunt/ Surgery -Jude McSharry University College Hospital Galway//Ĭirrhosis: causes of hepatic cirrhosis HEPATIC: Hemochromatosis (primary) Enzyme deficiency (alpha-1-anti-trypsin) Post hepatic (infection + drug induced) Alcoholic Tyrosinosis Indian childhood (galactosemia) Cardiac/ Cholestatic (biliary)/ Cancer/ Copper (Wilson's) -Dr. 2 of each: Drugs/ Dehydration Renal failure/ Radiotherapy Immunological (Sjogren's)/ Intense emotions -Anil Pandit Manipal College of Medical Sciences, Pokhara, Nepal//.Crohn's disease: morphology and symptoms : CHRISTMASĭysphagia: differential DISPHAGIA: Disease of mouth and tonsils/ Diffuse oesophageal spasm/ Diabetes mellitus Intrinsic lesion Scleroderma Pharyngeal disorders/ Palsy-bulbar-MND Achalasia Heart: eft atrium enlargement Goitre/ myesthenia Gravis/ mediastinal Glands Infections American trypanosomiasis (chagas disease)ĭry mouth: differential "DRI":.Ranson criteria for pancreatitis at admission LEGAL: Initial 48 hours "C & HOBBS" (Calvin and Hobbes):Ĭalcium 10%, Oxygen 5, Base deficit > 4, Sequestration of fluid > 6L Sugar: Glucose >10 (unless diabetic patient)Īt admission "GA LAW" (GA is abbreviation for the U.S. Renal: Urea >16, Enzymes: LDH >600 AST >200 Albumin below 32, PaO2 below 8, Age >55, Neutrophils: WCC >15, Calcium below 2, Hypogonadism, Cancer (hepatocellular), Cirrhosis/Cardiomyopathy, " HaemoChromatosis Can Cause Deposits Anywhere": Inflammatory bowel disease (ulcerative colitis)įever, Epigastric & RUQ pain, Emesis & nausea Hepatic abscesses/ Hepatic (intra/extra) bile ducts/ HLA B8, DR3 Sclerosing pericholangitis Toxic megacolon Colon carcinomaĬharcot's triad/ Conjugated bilirubin increase Pyoderma gangrenosum Ankylosing spondylitis Hemolysis Obstruction Tumor Liver disease Tetracycline Omeprazole Metronidazole Bismuth Proton pump inhibitor Metronidazole Tetracycline Bismuth Pylori treatment regimen (rough guidelines): With diarrhea both the pH and food go down. PH level-With vomiting both the pH and food come up. This looks like the ensuing polyps that arise in the colon.Įxtraintestinal manifestations A PIE SAC:Īphthous ulcers Pyoderma gangrenosum Iritis Erythema nodosum Sclerosing cholangitis Arthritis Clubbing of fingertips Hereditary Nonpolyposis Colorectal Cancer (HNPCC) cause is DNA mismatch repair DNA mismatch causes a bubble in the strand where the two nucleotides don't match."Chop" convenient since surgery chops them open. Note: 'Get Smashed' is slang in some countries for drinking, and ethanol is an important pancreatitis cause.Toxicity (cytotoxic, digitalis toxicity).īy: Anil Pandit (Manipal College of Medical Sciences Pokhara, Nepal)ĭrugs (including azathioprine and diuretics). Metabolic (DKA, gastroparesis, hypercalcemia). Vestibular disturbance/ Vagal (reflex pain). Stool frequency greater than 6 stools/day with blood. Systolic BP drop > 10 mm HG, PP rise > 20 Beats/minute when changing posture from standing to sitting - orthostatic hypotension Hematemesis severe bleeding features : CaN Have Severe Hematemsis.2.1 Official Links Related to your Residency Experience.
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