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Ulcerative colitis โ†’ increased colon cancer risk Mnemonic: Ulcerative = Upgrade risk (cancer alert!).

65. A definite increased risk of colon cancer is associated with:
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Most common cause of large bowel obstruction = colorectal cancer Mnemonic: Colon cancer blocks the big pipes.

64. The most common cause of large bowel obstruction is:
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Crohn's disease (skip lesions, transmural, mouth to anus, does not increase colon cancer) Mnemonic: CROHNed from mouth to bum, skips spots, thick wall, but still not cancer-prone.

63. As regards Crohn's disease, all are correct EXCEPT:
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Long + Loaded + Loose = TWIST ๐ŸŒช๏ธ

62. Predisposing factors for sigmoid volvulus are:
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Mnemonic ๐Ÿค“ Low K = Lazy bowel ๐Ÿ˜ด

61. Which of the following is NOT a known cause of paralytic ileus?
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Mnemonic ๐Ÿ˜‚ Old surgery = Sticky gut ๐Ÿงทโžก๏ธ๐Ÿšง

60. The most common cause of small intestinal obstruction is:
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If you SEE the vessel โ†’ it BLEEDS again ๐Ÿ‘€๐Ÿฉธ

59. In patients with bleeding duodenal ulcers, the endoscopic finding associated with the highest incidence of rebleeding is:
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Ulcer = NSAID + Bug + Acid ๐Ÿž๐Ÿ”ฅ

58. The following contribute to peptic ulcer disease:
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ุจุนุฏ 48 ุณุงุนุฉ ุงุญูุธู‡ุง ุจุฌู…ู„ุฉ ูˆุญุฏุฉ: โ€œCHOBE D-CALโ€ ๐Ÿ˜† C= Calcium โ†“ (< 8 mg/dL) H= Hematocrit โ†“ (>10%) O= Oโ‚‚ โ†“ (PaOโ‚‚ < 60 mmHg) B= Base deficit > 4 E= Extra fluid sequestration > 6 L D= BUN โ†‘ (>5 mg/dL) ๐Ÿง  Mnemonic Pancreas CHOKED after 48 hours ๐Ÿ˜ต

ุนู†ุฏ ุงู„ุฏุฎูˆู„ (At admission) ุงุญูุธู‡ุง ุจูƒู„ู…ุฉ ูˆุญุฏุฉ: A-G-L-A-W ๐Ÿ˜„ โ€œA GLAD PANCREASโ€ A= Age > 55 ุณู†ุฉ G= Glucose > 200 mg/dL L= LDH > 350 IU A= AST (SGOT) > 250 IU W= WBC > 16,000 ๐Ÿง  Mnemonic Old man eats sugar โ†’ pancreas gets GLAD ๐Ÿ˜

Admission = AGLAW 48 hrs = CHOBED No lipase / amylase

Ranson judges DAMAGE, not enzymes โš–๏ธ๐Ÿ”ฅ

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