Island Med Student

Here are some tidbits:

1) What the Discriminate function is (an equation to determine the severity of alcoholic hepatitis).

2) If you see massive, tender hepatomegaly and ascites, think budd-chiari syndrome.

3) What a GAVE (gastric antral vascular ectasia) is, what it looks like, and how to treat it (APC argon plasma coagulation).

5) If you see a colonic polyp < 7 mm, it is malignant less than .5% of the time, but many GI doctors remove anyway (better safe than sorry).

6) What a Klatskin tumor is (cholangiocarcinoma occurring at the confluence of the right and left hepatic bile ducts).

7) What the Amsterdam criteria are (identifies families likely to have Hereditary nonpolyposis colorectal cancer (HNPCC)).

8 ) If a patient has abdominal pain and eosinophilia, think adrenal insufficiency (and check the cortisol levels to diagnose it).

9) How to perform an abdominal series, with small bowel follow through and do a 3 phase abdominal series (no contrast, IV contrast, arterial contrast).