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Ch 4 gastroenterology
Ch 4 gastroenterology
74
Pathology
Undergraduate 4
04/04/2010

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Term
Also called Crohns
Definition
Regional Enteritis
Term
Crohns
Definition
chronic, life long inflammatory bowel disease which causes ulcerations
Term
Crohns
Definition
affects the terminal ileum of small bowel but can affect colon
Term
Crohns
Definition
Inflammation with edema affecting all layers of the intestinal wall
Term
Crohns
Definition
Characterized by active periods known as flare-ups followed by periods of remission
Term
Crohns
Definition
Stress and emotional upset are related to onset and relapses
Term
Crohns symptoms
Definition
abdomen pain cramping gas nausea diarrhea fever
Term
Crohns RA
Definition
ulcerations in mucosa - cobblestone appearance, narrowed rigid segment with no mucosal pattern - string sign, affected areas separated by normal unaffected bowel segments - skip lesions
Term
Crohns DX
Definition
SBFT, lab tests
Term
Crohns TX
Definition
Sulfasalazine to control inflammations, steriods, immunosuppressive drugs to block the immune reaction that causes inflammation. surgery may be necessary stresss reduction techniques hypnotherapy sound/music therapy, prayer and meditation.
Term
Intussusception
Definition
telescoping of one part of bowel into another
Term
Intussusception
Definition
the wall of the intestine swells and bleeds as its blood supply is blocked
Term
Intussusception
Definition
95% of cases are in children, Major cause of bowel obstruction in children.
Term
Intussusception
Definition
Most common in babies between 5 and 12 months. boy babies twice as often as girl babies. sometimes newborn, older children and adults happen but not as common
Term
Intussusception
Definition
no underlying cause may be linked to viral disease and peaks during flu season
Term
Intussusception
Definition
most common in ileocecal valve region
Term
Intussusception
Definition
results in edema hemorrhage and possible obstruction
Term
Intussusception
Definition
if not treated blood supply is cut off causeing the bowel to gangrene
Term
Intussusception Symptoms
Definition
vomiting abdomen pain bloody stools sever crying
Term
Intussusception RA
Definition
Filling defect - coiled spring sign - barium is trapped between intussusception and surrounding bowel.
Term
Intussusception DX
Definition
BE
Term
Intussusception TX
Definition
fill colon with air or BE
Term
Diverticulosis
Definition
A pouch or a pocket like opening in the bowel wall usually in the colon. The pouch is formed by the hernia of superficial layers of the colon through the weak points in the bowel wall
Term
Diverticulosis
Definition
Associated with agind due to low fiber diet
Term
Diverticulosis
Definition
Occurs most in lower descending and recto sigmoid areas
Term
Diverticulosis Symptoms
Definition
usually none may have pain diarrhea constipation
Term
Diverticulosis RA
Definition
Barium fills diverticula causeing saw tooth appeareance if multiple diverticula are present
Term
Diverticulosis DX
Definition
BE
Term
Diverticulosis TX
Definition
High fiber diet exercise to increase peristalsis
Term
Diverticulitis
Definition
Diverticula that have become inflamed
Term
Diverticulitis
Definition
Feces become lodged in pouches
Term
Diverticulitis
Definition
Diverticula may rupture causing perforation
Term
Diverticulitis RA
Definition
Barium outlines but does not fill diverticula due to impacted feces or contrast may extravasate out tip of ruptured diverticula
Term
Diverticulitis DX
Definition
BE
Term
Diverticulitis TX
Definition
antibiotics for infection surgical repair for perforation
Term
Ulcerative Colitis
Definition
Inflammatory bowel disease
Term
Ulcerative Colitis
Definition
The affected part of the large intestine becomes inflamed and develops ulcers.
Term
Ulcerative Colitis
Definition
Affects mucosal layer of COLON, Begins ni recto sigmoid area
Term
Ulcerative Colitis
Definition
Unknown cause. bodys immune system reeacts to virus or bacterium causeing ongoing inflammation in the colon
Term
Ulcerative Colitis
Definition
No skip lesions may spread thru entire colon. No small bowel involvement
Term
Ulcerative Colitis
Definition
Most common in young adults in higher socioeconomic groups
Term
Ulcerative Colitis
Definition
Has alternating periods of remission and relapse
Term
Ulcerative Colitis Symptoms
Definition
bloody diarrhea with pus, fatigue nausea weight loss fever abdomen pain
Term
Ulcerative Colitis RA
Definition
deep ulcerations - collar button apppearance. No haustral pattern - lead pipe appearance
Term
Ulcerative Colitis TX
Definition
25-40% must eventually have their colons removed because of massive bleeding severe illness rupture of the colon or risk of cancer. SAME AS CROHNS.
Term
Ulcerative Colitis DX
Definition
BE, lab tests
Term
IBS (IRRITABLE BOWEL SYNDROME)
Definition
A functional disorder in which the bowel doesnt work as it should
Term
IBS (IRRITABLE BOWEL SYNDROME)
Definition
Affects 10-20% of the general population. NO known cause. NO CURE.
Term
IBS (IRRITABLE BOWEL SYNDROME)
Definition
Common disorder of the intestines that leads to crampy pain gassiness bloating and changes in bowel habits
Term
IBS (IRRITABLE BOWEL SYNDROME)
Definition
People with IBS are more sensitive and reactive then normal people.
Term
IBS (IRRITABLE BOWEL SYNDROME)
Definition
Fatty foods carbonated drinks chocolate milk products caffeine or large amounts of alcohol can trigger symptoms
Term
IBS (IRRITABLE BOWEL SYNDROME) Symptoms
Definition
constipation diarrhea cramping bloating gas
Term
IBS (IRRITABLE BOWEL SYNDROME) RA
Definition
No sign of disease or areas of irritabiltiy and spasticity
Term
IBS (IRRITABLE BOWEL SYNDROME) DX
Definition
BE, SBFT
Term
IBS (IRRITABLE BOWEL SYNDROME) TX
Definition
Eating foods with fiber and eating smaller meals can reduce symptoms. Lotonex for diarrhea zelnorm for constipaiton antidepressants and stress reduction techn.
Term
Volvulus
Definition
The rotation or twisting of a loop of intestine around itself affecting its own blood supply. Obstruction may cause gangrene
Term
Volvulus
Definition
Affects babies or children. Also called MALROTATION in babies or children.
Term
Volvulus
Definition
Central part of the intestine rotates into its final positin in about the tenth week of pregnancy. Occasionally this part of the intestine does not rotate fully leaving the bowel more lliable to later twisting.
Term
Volvulus Symptoms
Definition
Pain, green vomit
Term
Volvulus RA
Definition
Obstruction with gas distention absence of haustra and air fluid levels in colon smooth tapered narrowing - BIRDS BEAK
Term
Volvulus DX
Definition
BE
Term
Volvulus TX
Definition
Surgery
Term
Celiac Disease
Definition
Malabsorption sydrome because nutrients are not absorbed.
Term
Celiac Disease
Definition
Autoimmune disorder because the bodys immune system causes the damage
Term
Celiac Disease
Definition
Genetic disease. Italy 1 and 250, Ireland 1 in 300. Rare in african chinese and japanese people, 1 in 4,700 americans have it.
Term
Also Called Celiac Disease
Definition
Sprue bowel or Gluten sensitive enteropathy
Term
Celiac Disease
Definition
Most common cause is a mucosal defect of jejunum
Term
Celiac Disease
Definition
Intolerance to the protein gluten found in cereal grains wheat rye barley oats
Term
Celiac Disease
Definition
The villi on the lining of the small intestine are lost. nutrients from food are absorbed in the bloodstream thru these villi. No Villi No Absorption
Term
Celiac Disease
Definition
Deficient in vitamins B, D, K, Na, K, Cl
Term
Celiac Disease Symptoms
Definition
Weight loss steatorrhea (bulky four smelling stools) Diarrhea constipation cramping anemia
Term
Celiac Disease RA
Definition
Bowel is dilated with thick folds barium may be clumped (flocculated)
Term
Celiac Disease DX
Definition
SBFT, lab tests
Term
Celiac Disease TX
Definition
Gluten free diet. Villi healed and work in 3-6 months after diet starts or 2 years for older adults.
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