Giwk2- 3-11 Path Large Intest

Front 1

What condition can lead to fibrosis of the exocrine pancreas?

Common disease that causes atrophy of the pancreatic acini and malabsorption:

Back 1

Hemochromatosis

CF

Front 2

most likely cause of febrile, non-bloody diarrhea:

febrile, bloody diarrhea:

afebrile, non-bloody diarrhea:

Back 2

infection

infectious enteritis, amebiasis - travel, IBD

viral GE, food intolerance, overfeeding, Abx use

Front 3

Why do pancreatitis patients have:
fever/shock?

obstructive jaundice?

hypocalcemia?

Back 3

fever/shock - bad products of auto-digestion in blood

obstructive - destruction near common bile duct

hypocalcemia - fat necrosis calcifying

Front 4

normal growth, high intake of concentrated carbohydrates (fruit juices), may be related to minor viral syndromes:

Can lead to short term _________ or __________ deficiency.

Back 4

Toddler's diarrhea

lactase
fructase

Front 5

The large majority of pancreatic cancers are ______________ arising from the ________.

60% of pancreatic cancers arise in the ______.

Pancreatic cancer pts often also have _________, due to _______ resistance.

Back 5

adenocarcinoma, from the ducts.

head

diabetes, insulin resistance

Front 6

What is the typical pathology finding in appendicitis?

What is a mucocele?

Back 6

hyperemia, pus surrounded by fibrin --> gangrene, possible rupture

appendix transformed into a tense-walled bag of mucus

Front 7

The continuous, painful urge to defecate is called _________.

bloody-mucoid stools, usually not voluminous, usually painful

Back 7

tenesmus

dysentery

Front 8

___________ is a bacterial ulcer of the cecum.

_______________ results from depriving mucosal cells of the fatty-acids they need.

Back 8

acute typhilitis

diversion colitis

Front 9

failure of Auerbach's and Meissner's plexi to develop over a portion of bowel is called:

What syndrome has an increased incidence?

Back 9

Hirschprung's

Down's

Front 10

Mucosa pooching out 120 deg. through the muscularis propria:

Cramping, constipation, diarrhea without a good anatomic correlation:

Back 10

diverticulitis

functional bowel syndrome (spastic colon)

Front 11

inflammatory disease, starts in rectum, continuous pathology, inflammation, hemorrhage, tissue loss, damage is usually in the mucosa:

Accumulations of neutrophils in the dilated bases of surviving colonic crypts:

Back 11

idiopathic ulcerative colitis

crypt abscesses

Front 12

Differences between IUC and amebiasis?

Between UIC and shigellosis/salmenellosis?

Back 12

Amebiasis - usually more distal (rectal, etc)

shigellosis/salmenellosis - superficial crypt abscesses, UIC - deep crypt abscesses

Front 13

What causes pseudomembranous colitis?

What causes hemorrhagic colitis?

Back 13

C. diff

K. oxytoca

Front 14

Anal cancer is usually what type?

Usually caused by what?

Back 14

squamous cell

HPV infection

Front 15

from salads, cool foods, person-person, often at daycare, small # for infection:

Back 15

Shigella

Front 16

Most common cause of acute renal failure, recurrent diarrhea, *little or no fever*, generalized tenderness:

recurrent diarrhea, not bloody, initially watery, foul smelling, now bloating, cramps, weight loss, fever, other kids at school/daycare sick:

Back 16

EHEC O157:H7

Giardia

Front 17

7 mo. infant, intermittent diarrhea, recent bloody stools, 102 fever, multiple small stools, family been sick:

Which bacteria responsible for Guillain-Barre syndrome?

can get by eating eggs, poultry, H2O, exotic pets (like turtles)

Back 17

Campylobacter

C. jejuni

Salmonella

Front 18

8 y/o, frequent loose stools, pungent yellow-green stools:

#1 tx for diarrhea?

How to prevent rotavirus?

S/S of rotavirus?

Back 18

Rotavirus

fluid replacement

HANDWASHING!

emesis, smelly watery diarrhea, elevated AST, possible intestinal cell damage

Front 19

6 y/o pt, fever, diarrhea, decreased appetite, vomiting this am, 102 temp, sits w/ R leg flexed, R side rebound tenderness, CBC elevated w/ left shift:

Rovsing's sign?

Obturator sign? Iliopsoas sign?

Back 19

appendicitis

RLQ pain w/ L side palpation

hips flexed, internally rotated causes pain

pain on extension of R hip

Front 20

common causes of GI bleeds in children <2 y/o?

common causes of GI bleeds, > 2 y/o?

Back 20

intussussception, Meckel's bacterial enteritis

NSAID's, baceterial enteritis, Meckel's Mallory-Weiss

Front 21

11 mo. infant, irritability/vomiting, non bilious emesis; dry oral mucosa, poor turgor, cap refill > 3 sec., oval-shaped mass, RUQ, currant-jelly stools, occult blood +:

classic sign on BE?

Back 21

intussusception

coiled spring

Front 22

Chronic obstructive pancreatitis results from ___________.

Differences between chronic and chronic obstructive pancreatitis?

Back 22

obstruction of the pancreatic duct

Chronic: lobules unevenly scarred, protein plugs, perineural inflammation

Chronic obstructive: lobules evenly affected, no protein plugs, nerves OK

Front 23

Chronic diarrhea:
delayed meconium plug, abd distension, constipation:

delayed meconium plug, abd pain, poor weight gain, recurrent respiratory problems:

Thrush, poor growth, recurrent serious infections:

Back 23

Hirschprung's

CF

HIV

Front 24

Idiopathic hereditary pancreatitis often results from a mutant __________ gene.

How is a dx of pancreatitis normally made?

Most common cause of pancreatitis?

Back 24

trypsinogen

damage to the acinar cells, elevated amylase/lipase

Alcoholism

Front 25

4 causes of infectious "outbreaks"?

#1 cause of non-bloody diarrhea in pediatric pts:

Most worrisome type of diarrhea in pediatrics? Why?

Back 25

person-person, Abx use, traveling, immunosuppressed

Rotavirus

Bloody, afebrile diarrhea
possibly severe causes