Ou Tulsa Pa Gi Epidemiology

Front 1

Peaks in infancy
2nd peak in adults
MC = Women and Northern European Descent

Back 1

Celiac Disease (Celiac Sprue)

Front 2

Asian, Black, and Native American

Back 2

Lactose intolerance

Front 3

Prevalent in Irish/Ireland decent

Back 3

Phenylketonuria PKU

Front 4

Leading cause of blindness worldwide,
Common in developing countries

Back 4

Vitamin A Deficiency (retinol)

Front 5

Widespread in 3rd world
Vegetarians and Vegans
Elderly

Back 5

Vitamin B12 Deficiency (cobalamin, cyanocobalamin)

Front 6

Very Common in PT who take medication/supplements
MC = Women

Back 6

Pill induced Esophagitis

Front 7

Squamous cell much more common in Blacks than Whites

Back 7

Esophageal Neoplasm

Front 8

Sphincter disorder with Most Patients over 30

Back 8

Motility Disorder (Achalasia)

Front 9

Most have mild disease
Affects 20% of adults

Back 9

Gastroesophageal Reflux Disease
(GERD)

Front 10

2nd MC cancer world wide after skin
> 40 yro, males
Latino, African American, Asian

Back 10

Gastric Neoplasm

Front 11

Incidence increases with age
Common disease and recurs frequently

(500,000 U.S. cases a year with 4 million recurrences per year)

Back 11

Peptic Ulcer Disease

Front 12

15% of PTS with gall stones

Up to 50% of elderly with gall stones

Back 12

Choledocholithiasis

Front 13

75% in head, 25% in tail
(Tail is worse)
5th leading cause of cancer deaths
adenocarcinoma

Back 13

Pancreatic Cancer

Front 14

MC = cause of lower GI bleeding in elderly
Increase with age (60 yro average)

Back 14

Diverticulitis

Front 15

Most common cause of intestinal obstruction in infants 6-36 months

Back 15

Intussuseption

Front 16

Most common cause of neonatal bowel obstruction that leads to jaundice

Back 16

Intestinal Atresia

Front 17

MC diagnosed GI disorder
MC = Female (10-15% of adult)

Symptoms being late teens/early 20
Most never seek medical attention

Back 17

Irritable Bowel Disease

Front 18

Highest incidence onset in 15-35
Affect old and young
Males = Females
1 million affected and evenly split

Back 18

Crohn's Disease and Ulcerative Colitis

Front 19

Most in posterior midline of distal GI tract

Back 19

Anal Fissure

Front 20

Men, 4th decade
NOT SEEN later than 45 yro

Back 20

Pilondial Disease

Front 21

Can be inherited
MYH gene

Back 21

Familial adenomatous polyp

Front 22

MC = Blacks
peak incidence 60-79 y/o

Back 22

Colorectal Cancer

Front 23

Congenital Lesion
Young males < 20yro
Elderly men w/ chronic lung disease

Back 23

Indirect inguinal Hernia

Front 24

This Hernia is more common in elderly men

Back 24

Direct inguinal hernia

Front 25

MC type of hernia

Back 25

Umbilical hernia

Front 26

Reside in norther latitude
< 15 minutes of sun/day
Dark Skin
Elderly

Back 26

Vitamin D deficiency

Front 27

Children, young or middle-aged adults
MC = Men

Back 27

Eosinophilic Esophagitis

Front 28

5 F's: Female, Fat, Forty, Fertile, Family History

MC in Native Americans and non-whites

Back 28

Cholelithiasis

Front 29

MC = Males
Occurs between 4-6 weeks of age

Back 29

Pyloric Stenosis

Front 30

2/3 malignant
1/3 have already metastasized

Back 30

Zollinger-Ellison Syndrome (gastrinoma)

Front 31

MC = emergent surgical illness
MC = ages 10-30

Back 31

Appendicitis

Front 32

10-15% of adults
MC = Children and elderly
MC = Females

Back 32

Constipation

Front 33

Very common
Worldwide leading cause of death in children less than 4 yro

Back 33

Acute Diarrhea

Front 34

5% of population
MC = Female

Back 34

Chronic Diarrhea

Front 35

50% of IBS is small bowel only; 20% limited to colon
50% have sparing of rectum
1/3 have perianal disease

Back 35

Crohn's Disease

Front 36

MC = mesenteric ischemia
MC = elderly
MC = non-gangrenous ischemia

Back 36

Ischemic Bowel Disease (Ischemic Colitis)

Front 37

Rectum 30%, rectosigmoid 44%, entire colon 8%
MC = boys
10-15% have Down's Syndrome

Back 37

Hirchsprung's disease (Congenital agaonglionic megacolon)

Front 38

Acute colonic dilatation
develops in 2% of ulcerative colitis and crohn's

Back 38

Toxic megacolon

Front 39

MC = duodenum, or proximal jéjunum
MC site of small bowel = Ampulla of Vater
Non-ampullary accounts for 1/3 of small bowel cancers

Back 39

Adenocarcinoma

Front 40

MC = distal small intestine
increased incidence w/ AIDS, immunosupressed, and crohn's disease

common in western countries

Back 40

Lymphoma

Front 41

MC = small intestine, rectum, colon, appendix, and stomach
Most are malignant w/ 5 yr survival rate of 50%
Account for 1/3 of small intestinal tumors

Back 41

Carcinoid Tumors