Anatomy Of Gi Turley Ii

Front 1

What is the pathogenesis of the dilated portion of bowel seen in Hirshsprung disease?

Back 1

The dilated portion is proximal to the affect bowel. The affected bowel does not exhibit peristalsis therefore there is a backup of feces proximally leading to dilation

Front 2

What are the 4 anatomical spots that can cause dysphagia?

Back 2

Left Main bronchus, aortic arch, hiatus of the diaphragm (T10) Cricopharyngeus muscle

Front 3

Most common hiatal hernia

Back 3

Sliding Hiatal hernia
Increase risk of GERD

Front 4

What is a Paraesophageal Hernia?

Back 4

The GE junction is in the normal location, but a portion of stomach rolls up beside it into the thorax. Does NOT increase risk of GERD

Front 5

Why does a sliding hiatal hernia have an increase risk of GERD?

Back 5

Bc the LES is not supported by the diaphragm

Front 6

A full term infant presents with nonbilious projectile vomiting at 2-3 weeks of life

Back 6

pyloric stenosis

Front 7

Most common location for PUD?

Back 7

MC location is the lesser curvature between the body and the pyloric antrum at the angular notch

Front 8

Where can Gastric Ulcers perforate into? What arteries are you concerned with?

Back 8

Deep ulcers on the lesser curvature can either perforate into the lesser or the greater sac.
They can ulcerate the right or left gastric arteries  Hemorrhage

Front 9

What are we always concerned about with ulcers?

Back 9

Perforation of the ulcers.

Front 10

Celiac Trunk is at what level?

Back 10

T12

Front 11

What level is the supra adrenal glands at?

Back 11

T12

Front 12

What is the ligament of Trietz

Back 12

The ligament that hold the 4th section of the duodenum up around L2

Front 13

At what level does the duodenum start at?

Back 13

L1

Front 14

What is special about the first part of the duodenum?

Back 14

It does not have any pilcae circularis

Front 15

Where is the most common Duodenal ulcer found?

Back 15

MC on the Anterior wall

Front 16

What happens if there is an ulcer of the posterior wall?

Back 16

Erosion into the gastroduodenal artery

Front 17

Burning epigastric pain, beginning 2-3 hours after meals. Also epigastric pain at night between 11 am and 2 am. Relieved by antacids.

Back 17

duodenal ulcer

Front 18

What two structures does the SMA override?

Back 18

Left Renal Artery and the 3rd portion of the duodenum

Front 19

Which zone of the liver is affected by ischemia first?

Back 19

Zone III-closest to the central vein

Front 20

What is the Most common adhesion of the gallbladder?

Back 20

Where it adheres to the duodenum
possibly letting a gallstone go into the duodenum traveling down to the iliocecal valve then getting compacted.

Front 21

Diagnosis can be made using plain film xray by visualizing air in the biliary tree

Back 21

gallstone illeus

Front 22

Where is the most common place to get diverticulosis?

Back 22

Sigmoid colon

Front 23

caused by a low fiber diet and increased straining in defecation

Back 23

diverticulosis

Front 24

Bowel pain from a fecalith is referred to?

Back 24

L1-L2

Front 25

The MC place for intussusception is at the

Back 25

Ileocecal junction

Front 26

The appendix is suspended by the ________ which contains the ________ branch of the ileocolic artery

Back 26

mesoappendix, appendicular

Front 27

What is Rovsing's sign?

Back 27

Rovsing's sign is a sign of appendicitis. [1] If palpation of the lower left quadrant of a person's abdomen results in more pain in the right lower quadrant, the patient is said to have a positive Rovsing's sign and may have appendicitis.

Front 28

Where would you expect tissue texture change for acute appendicitis?

Back 28

T10-T12

Front 29

An 11 year old girl no significant PMH is brought to the ED because of severe RLQ abdominal pain. Several hours earlier she had pain in her periumbilical region.

Back 29

appendicitis

Front 30

To remove the appendix we must ligate the appendicular artery, this is a branch of which artery?

Back 30

Ileocecal <-- SMA

Front 31

What is a psoas sign?

Back 31

When you ask the patient to extend their RIGHT leg and try to push up against your resistance. If + you will reproduce the pain. The is a good indicator of appendicitis

Front 32

Internal hemrrhoids have ____ pain and they _____

Back 32

no , bleed

Front 33

External hemorrhoids have _____ but do not _____

Back 33

pain, bleed

Front 34

What is clinically significant about the ligament of trietz?

Back 34

It seperates upper GI bleeds from Lower GI bleeds. Upper GI will produce Melena while lower GI bleeds will produce red stool.

Front 35

Duodenum proximal to the ampulla of Vater is supplied by the _________ arteries a branch of the _____ trunk.

Back 35

Superior Pancreaticduodenal
Celiac

Front 36

Duodenum distal to the ampulla is supplied by the inferior pancreaticoduodenal arteries a branch of the _______

Back 36

Superior mesenteric Atery

Front 37

T/F The superior most part of the liver is not covered by perineum?

Back 37

True: thus infectious agents such as Entamoeba histolytica can access the pleural cavity

Front 38

What starts at the ligament of Treitz?

Back 38

The Jejunum

Front 39

Where is the jejunum mostly located?

Back 39

LUQ

Front 40

Where is the ileum mostly located?

Back 40

RLQ

Front 41

What is unique about the jejunum on X-ray?

Back 41

They have large pilcae circularis

Front 42

Diverticulosis:

Back 42

pulsion diverticula, at entry points of arteries through the muscularis. MC in sigmoid colon.

Front 43

The ascending and descending colon are _______

Back 43

retroperitoneal

Front 44

Which structures are Primarily retroperitoneal?

Back 44

Kidney and adrenal glands

Front 45

Which structures are secondarily retroperitoneal?

Back 45

duodenum (2,3,4), Ascending colon, descending colon, Pancreas, Aorta, IVC,rectum, esophagus, ureter, bladder

Front 46

Left sided Colon tumors will present with?

Back 46

obstruction

Front 47

Right sided colon tumors will present with?

Back 47

fatigue and iron deficiency anemia