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8 Cards in this Set

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  • Back
A-99. What is the pathognomonic path associated with Achalasia and how do you treat it?
No peristalsis, increased LES tone, no LES relaxation
A-99. What is the most common form of Tracheoesophageal fistulas?
Esophageal atresia and tracheoesophageal fistula near bifurcation of trachea
A-99. What is the cause, S/S, and tx of Dumpling Syndrome?
Occurs postvagtomy or autovagotomy from giabetes

S/S: postprandial NV, diaphoresis, palpitations, diarrhea --> ^ insulin after leads to reactive hypoglycemia

Tx: pyloric sphinterectomy or metoclopramide for stasis
A-99. What are the causes of acute erosive gastritis?
NSAIDs, smoking, alcoho, Curler's or Cushing's ulcer, burn patients - typically seen in ICU post head trauma, burns, etc
A-99. What are the 4 possible physical findings associated with gastric cancer?
Virchow's node, Krukenberg tumor (check ovaries), Sister Mary Joseph sign, Bumer's shelf (rectum metastases)
A-99. Zollinger-Ellison Syndrome is due to _______gastric secretion, causing________, dx via______, S/S are________, and associated with______
Increased gastric secr.

Diseminated GI ulcers

Dx via increased fasting gastrin

Diarrhea/Steatorrhea

Mult Endocrine Neoplasia (MEN) type I
A-99. What will a biopsy show from the small intestine of someone with Celiac's disease?
Blunting of intestinal villi, anti-gliadin, anti-endomysial, and anti-tissue trans-gutamase ABs also suggest the dz
A-99. What is the "bug" behind Whipple's Dz and how do you diagnose it?
Tropheryma whippeli

Periodic acid-Schiff (PAS) and macrophages in intestina mucosa

NOTE: findings may also be found in Mycobacterium avium intracellulare in AIDs