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46 Cards in this Set

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achlasia
-desc
-et?
-LES cannot relax
==>"bird-beak" on barium swallow

Et:
-loss of myenteric (Auerbach's) plexus
-secondary achalasia can arise from Chaga's dz
palpable "olive" mass in epigastric region
congenital pyloric stenosis
nonbilious projectile vomiting at 2 wks age
congenital pyloric stenosis
abnl xylose test
Celiac sprue
GI problem assoc w/dermatitis herpetiformis
celiac sprue
blunting of villi
celiac sprue
acute gastritis
acute gastritis=erosive

disruption of mucosal barrier==>inflam

Et:
stress
alcohol
brain injury (Cushing's ulcer)
uricemia
burns (Curling's ulcer)
chronic gastritis
chronic gastritis=non-erosive

Type "A":
*"A"utoantibodies ag parietal cells (which make IF and HCl)
==>pernicious "A"nemia
==>"A"chlohydria (b/c no HCl)

Type "B":
*H pylori

"AB" pairing:
-Type "A" affects "B"ody
-Type "B" affects "A"ntrum
PUD
Gastric Ulcer:
-pain "G"reater ("G"astric) when eat==>weight loss
-70% assoc w/H pylori
-d/t H pylori or chronic NSAID use

Duodenal ulcer:
-100% assoc w/H pylori
-d/t incr gastric secretion or decr mucosal protection
*"punched out" margins (vs carcinoma's raised/irregular margins)
-hypertrophy of Brunner's glands (recall-Brunner's glands are in duod)
"punched out margins" in duodenum
duodenal ulcers (vs. cancer: raised/irregular margins)
hypertrophy of Brunner's glands
duod ulcer (recall: Brunner's glands are in duod)
bilateral ovarian tumors
Krukenberg tumors (mets from stomach)
stomach cancer
-what type
-et?
adenocarcinoma

et:
-chronic gastritis (H pylori)
-Achlorhydria
=Chronic Gastritis Type A
*"A"utoab against parietal cells
==>pernicious "A"nemia
==>"A"chlorhydria
"string sign" on barium swallow x-ray
Crohn's dz ("string sign"=bowell wall thickening)
et of Crohn's vs Ulcerative Colitis
Crohn's: post-infectious
Ulc. col: autoimmune
MC place for diverticula
sigmoid colon (thus pain in LLQ)
et of diverticulosis
low-fiber diet
bright red rectal bleeding
diverticulitis
meckel's diverticulum
*MC congenital GI abnl
-persistence of vitelline duct or yolk stalk
MC congenital GI abnl?
meckel's diverticulum
intussusception d/t ?
intraluminal mass
Hirshsprung's dz
-congenital megacolon
-failure of migration of neural crest cells
==>aganglionic segment (no enteric plexus=no Auerbach or Meissener's plexus)
==>area proximal to block is dilated
==>"transition zone"

Sx: chronic constipation early in life
chronic constipation early in life
hirshsprung's dz
"apple core" lesion on barium swallow
colorectal cancer
incr ALT/AST
hepatitis
MI (AST)
incr GGT
[GGT=Glutamyl transpeptidase]

liver dz
incr alk phos
obstructive liver dz (hepatocellular CA),
bone dz
incr amylase
acute pancreatitis
mumps
incr lipase
acute pancreatitis
decr cerulopasmin
Wilson's dz (copper)
Mallory bodies
alcoholic hep
[Mallory bodies=intracytoplasmic eosinophilic inclusions]
alcoholic hep:
-lab values
AST:ALT > 1.5

"You're toASTed with alcoholic hep (AST>ALT)"

ALT>AST in viral hep
AST>ALT
alcoholic hep

"You're toASTed with alcoholic hep (AST>ALT)"

ALT>AST in viral hep
ALT>AST
viral hep
Budd Chiari syndrome
congestive liver failure (ascites, hepatomegaly, abdom pain, eventual liver failure)

d/t occlusion of IVC or hepatic veinswith centrilobular convestion adn necrosis

assoc w/:
hepatocell CA
polycythemia vera
pregnancy
2006 shelf-wilson's dz
failure to excrete copper
==>copper accum in:
brain
*cornea (Kayser-Fleischer rings)
liver
kidney
joints

Effects: "ABCD"
A=Asterixis
B=Basal ganglia degen (Park Sx)
C=
CA (hepatocell CA);
decr Ceruloplasmin,
Choreoform mvmts

D=Dementia
Hemochromatosis
-deposition of hemosiderin (iron)

Triad:
micronodular (<3mm) hepatocell CA
pancreatic fibrosis
skin hyperpig
==>"bronze diabetes"
"beading" on ERCP
primary sclerosing cholangitis
jaundice, fever, RUQ pain
==>cholangitis (Charcot's triad of cholangitis)
elevated alpha-fetoprotein
hepatocellular CA
Reye's syndrome
rare, often fatal childhood hepatoencephalopathy

d/t viral fxn (VZV and influenza B) & aspirin
aspirin use in kids==>
Reye's syndrome
obstructive jaundice w/palpable GB
=Courvoisier's sign

==>pancreatic adenoCA
MC site of carcinoid syndroime
appendix
2006 shelf-
brown pigmentation in a ring around the periphery of his cornea

tx?
=Kayser-Fleischer rings

==>Wilson's dz (copper)

Tx: penicillamine
shelf and step-

50 y/o man complains of diarrhea. his face is plethoric and heart murmur is detected.

dx?
carcinoid syndrome