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30 Cards in this Set
- Front
- Back
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Most common infectious cause of esophagitis?
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Candida - causes discrete plaques and ulcers
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What does Herpes esophagitis look like?
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aphthous ulcers
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What does CMV esophagitis look like?
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CMV, HIV - large flat solitary ulcers
HIV - more distal |
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Esophageal web is associated with?
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Plummer Vinson - tin 1-2 membranes
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What is the differential for thickened longitudinal folds?
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Esophagitis
GERD Malignancy Varices Lymphoma Varicoid carcionoma |
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What are characteristics of a submucoal lesion?
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obtuse
smooth base wider than apex |
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Most common tumor in the esophagus?
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leiomyoma
submucasal mass often calcify rarely pedunculated |
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What are causes of linits plastica? p 818-21
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1. Infiltrative tumor
2. Infection - Ram's horn |
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Gastric cancer most likely in?
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cardia>antrum>lesser curvature
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3 most common stomach tumors?
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1. Adenocarcinoma
2. GIST 3. Lymphoma |
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Karney's Triad?
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1. GIST
2. Pulmonary hordoma 3. Extraadrenal pheochromocytoma |
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What should you think abotyu when you see "soap bubble" with a lumen on barium study?
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Villeous adenoma
Cancer |
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What if you see lack of gastric folds?
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bald fundus sign(p822)
Atrophic gastritis Autoimmune and can lead to B12 deficiency |
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What causes long serpigenous things in the stomach - thickening of gastric rugae?
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1. Gastritis - H. Pylori
2. Crohn's 3. Eosinophilic gastritis 4. Lymphoma 5. Infiltrating mets 6. Varicies |
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What is Menetrier dz? p 823
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Hypertrophic gastritis
Hypoproteinemia Exccess mucous - poor coating |
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What is the most common duodenal carcinoma?
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adenocarcinoma
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What if you get a duodenal carcinoid, think?
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NF - 1
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What is second most common cause of death in FAP?
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periampullary carcinoma
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What if you see multiple filling defects in the duodenum? p 827
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Brunner's gland hypertrophy - classic
Ectopic pancreatic tissue Villous adenoma Lymphoid hyperplasia |
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What is ZE syndrome?
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hypersecretion from gastrinoma
pancreas>duodenum>extraintestinal on barium look for multiple post bulb ulcers |
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Classic CT findings of carcinoid?
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Desmoplastic mesentery reaction
Sunburst mass Possible dystrophic central calcs Possible met to mesenteric nodes and liver |
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Sandwich sign
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Lymphoma mesenteric nodes
encased mesentery |
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Differential for mesenteric masses?
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Mets
Lymphoma Infection - fungal Sclerosis mesenteritis desmoid - gardner |
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Adult celiac sprue - 3 D's
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Dilution - Wet
Dilation - Wide Delay - Way late |
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Describe adutlt celiac disease? p 841
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Horse collar nodes around mesenteric vessels
multiple intusseusections - hyperperistalsis Intramural fat in duodenium and proximal small bowel TI in IBD Foamy duodenum Toothpaste jejunum jejunization of the ieum |
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3 normal indentations of the esophagus?
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Aortic arch
Letf mainstem bronchus Aortic hiatus |
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What is feline esophagus?
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May be incidental
Early sign of esophagitis |
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Primary versus secondary dysphagia?
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Primary - dysfunction
Secondary - Infectious, Chagas pseudoachalasia - cancer |
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What does a double fluid bubble?
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Gastric volvulus
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Three signs of GERD
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1. Cough
2. Hoarseness 3. Globus - sensation of somethin in throat |
