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70 Cards in this Set

  • Front
  • Back
Sx's?..."
"Pouch in esophageal wall
2. define…"
"1. Sliding 80-90%, cardia (stomach) --> esophageal hiatus
lead to…"
Idiopathic lack of relaxation --> spasms, disphagia, dialated esophagus
risks…"
Cirumfrential mucosal folds --> dysphagia in middle aged woman
Due to…"
Dialated submucosal esoph viens due to hypertension & liver cirrhosis, fatal rupture
due to..."
"Severe vomiting -->Linear, longitudinal, lacerations of distal esophagus
1-3"
"1. GERD
leads to..."
"Common w/ hiatal hernia, assoc. w/ alcohol/tobacco,
% --> adenocarcinoma"
"Distal metaplasia (squam --> columnar ep), due to long term GERD,
"
"Ulcers due to immunocomprimised infection, irritants (alcohol, hot tea),
Esophageal neoplasms ? 2 types Benign
Papillomas, leiomyoma
2. Sx's, risk"
"1. Squamous cell carcinoma (90% of esoph cancer), upper 2/3 esoph, inc risk males, black, china, russia, iran.
leads to…"
"Palpable hypertrophy of pyloric circular muscle
causes…"
"Mucosal inflam. --> hemorrhage
Cause…"
"Helicobacter pylori --> inflam --> atrophy of glands --> meta/dysplasia
affected.."
"Antibodies to chief/parietal cells
Causes…"
"Defined, round, punched out lesion near lesser curvature.
1-4…"
"1. Hemorrhage
Tx…"
"50% cancerous tumors (abnormal tummor upressor gene, 30-60 yrs. age)
Loc…"
"Common in males > 50, blood type A, poor prognosis
assoc. w/…"
"total 4% malignant tumors
rule of 2's…"
"5 cm intestinal blind pouch
assoc. w/…"
"Congenital megacolon
1-5"
"1. Atresia / Stenosis
1-3"
"1. Ischemic bowel disease
90% ,mortality in..."
"atherosclerotic occ. of 2+ mesenteric arteries
Sx…"
"dialation of small vessels in mucosa/submucosa
causes…"
"dialated int/external anal venous plexus
types…"
"1. ecosystem disturbances (antibiotic resist = C. difficile --> pseudomemb. colitis)
"
"toxin prefromed in food or by lytic action in intestine
Sx.."
"Psuedomembranes cover ulcers
"
"G-, non-invsive enterotoxin, 50% mortality w/o fluid replacement
spread…"
"Invades epithelium of distal colon --> inflam & erosion --> dysentary
path…"
"1. Rotavirus = small intestine, children 6-24 mo.'s
%, spread.."
"1. Giardia lamblia - NON-invasive, small intest, fecal-H2O
"
"deficiency in nutrients
3 causes…"
"Maldigestion
Causes…"
"Intrinsic bowel disease
"
"Liver
Tx…"
"gluten (H2O-insoluble gliadin) sensitive enteropathy
Tx…"
"bacterial
@ risk.."
"Trophyeryma whippeli (G+ actinomycete) --> malabsrop --> chronic diarrhea.
"
"obstruction, neutrophilic infiltration of muscularis, rupture --> peritonitis
Tx…"
"enteric bacteria
chron's vs. ulcerative colitis similarities"
"idiopathic
Chron's disease
"mouth --> colon
Ulcerative colitis
"colon only
1-5"
"1. diverticulosis
@ risk…"
"mucosa lined false pockets (85% sigmoid) herniating --> muscle layer
complications…"
"bright red rectal bleeding, fever, inc WBC's, lower abdominal pain
4 types"
"adynamic (paralytic) ileus-disruption of innervation w/ fecoliths
terms…"
"1. non-neoplastic
genes involved…"
"1. genetic
3 types…"
"hyperplasia, inflam, abnormal mucosal maturation
malignancy…"
"80% recto-sigmoid, < 5mm d., multiple
caused by…"
"inflam and lymphoid infiltrates
2 types"
"1. Juvenile
age..."
"1-3 cm, solitary
inc risk…"
"multiple in small intestine and colon
"
"premalignant epithelial dysplasia / prolif.
3 types…"
"1. Tubular adenoma = small stalked, 20%
3 types…"
"increase
Colon cancer risk…"
"autosomal dom
inc risk of…"
"autosomal dom
"
rare, colon polyps + brain tumors
gene mutations…"
"50% recto-sigmoid area
A-D"
"A. not through muscularis >90% survive
"
"proximal right = polypoid exophytic masses w/ surface ulceration, obstruction not common
1-5"
"1. low fiber-high fat diet
carcinoid syndrome?..."
"neuroendocrine tumors of low malig