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51 Cards in this Set

  • Front
  • Back
Achalasia
aperistalis and incomplete relaxtion of LES

Obscure pathologenesis
Plummmer Vinson Syndrome
Webs
iron deficient anemia
atrophic glossitis
Most susceptible to getting webs
found in upper esophogus of women over the age of 40
Percentage of rolling hernia's to sliding
90% to 10%
Syndrome of laceration from prolonged vomitting
Mallory-Weiss

occur in alocholic and hiatal hernia patients
Boerhaave's syndrome
rare, in women over experience violent vomiting after eating or drinking too much
squamous lining replaced by gastric or intestinal metaplasia
Barret's esophagus
Increased risk of this in patients with Barret's esophagus
esophageal adenocarcinoma 30-40x's!
Type B gastristis
Helicobacter pylori
Method of increased HCl production in patients with H. Pylori
pylori produce urease, which leads to ammonia buffering the pH. HCL secretion goes up to compensate
HCL levels in type A gastritis
Decreased or absent (achlohydria) beacuse of antibodies to parietal cells
gastrin in type A gastritis
hypergastrinemia due to hyperplasia of G cell after destruction of parietal cells
cause of stress ulcers
mucosal hypoxia (symp activation, vasoconstriction)
gastric acid on GU vs DU
GU is normal or decreased
DU is increased along with pepsin and rapid gastric emptying
NSAID ulcer location
greater curvature
Common location for gastric ulcers
lesser curvature
Menetrier's disease
surface hyperplasia, glandular atrophy and protein loss

rugae look like a brain
Meckel's diverticulum
Rule of Two's

2%
2 inches long
2 feet for ileo cecal junction

contain heterotopic gastric or panceratic tissue
Diarrhea from invasive bacteria
campylobacteria jejunia
E. coli
salmonella
shigella
TB
toxigenic bateria
chloerai
E coli
metazoa
entamoeba histolytica
giardia
schistosoma
cryptosporidium
Celiac Sprue (name the protein)
hypersensitivy to gliadin
Microscopic findings in celiac sprue
atrophy of villi
crypt elongation
increase in lympocytes and plasma cells
lamina propria filled with PAS-positive foamy macrophages
Whipple's disease
promoted by colon stasis or broad spectrum antibiotics
bacterial overgrowth syndrome
Difference in tropical sprue and celiac sprue
tropical is from infection agent and the findings are more sever in teh distal small bowel
rod shpaed bacilli, maybe actinomycete, in macs or free in lamina propria
Whipple's disease
Meconium ileus indicitive of?
Cystic Fibrosis
perianal disease
Crohn's
idiopatic inflammatiory process of left colon and rectum
UC
transmural
Crohn's
non-caseating granulomas
CD
Sever complication of toxic megacolon
UC
Fistulas
CD
Skip lesions
CD
disease of mucosa and submucosa
UC
low risk of adenocarcinoma
CD
treated with resection
UC
acut einfection due to Clostridium difficile
Pseduomembranous colitis
used to trate C difficile
Vancomycin
chronic condition in elderly with watery diarrhea
Collagenous colitis
mild incrase in lympocytes and eospinophils in this form of colitis
Collagenous colitis
most common GI tract emergency in neonates
Necotizing enterocolitis

more comon in fomula fed, low weight babies

edema, hemorrhage, necrosis and infiltrat of PMN
disease where there is an abscence of ganglion cells in the GI tract
Hirschsprung's disease

neonate fails to pass meconium
Where diverticulosis is generall found
90% in sigmoid colon

rectum is never involved
dilated capillaries on cecum or right colon that can cause bleeding
angiodysplasia
shallow ulcer on anterior rectal wall in young adults
Mucosal prolapse
arrise from pressure necrosis of mucosa by hard, impacted feces
Sterocoral ulcers
airfille space in the colon
pneumatosis cystoides intestinalis
the presence of black colonic mucosa from laxative use
melanosis coli
the most common organisms that infect the anal area
gonococcus
syhphilis
chlamydia
HPV