Term
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Definition
| Inflammation of the oral mucosa; Cold sore = HSV-1; Apthos Ulcer = canker sore, unknown cause; oral candidiasis = thrush; oral mucositis = damage to epithelial cells r/t chemo/radiation |
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Term
| Where does oral cancer develop? |
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Definition
| Lips, tongue, floor of mouth, buccal mucosa; uncommon |
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Term
| What is Gastroesophageal Reglux Disease (GERD)? |
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Definition
| Backward flowing of gastric contents into esophagus = relax of LES, incompetent LES, increase pressure in stomach |
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Term
| Manifestations of GERD? Tx? |
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Definition
| Heartburn, dysphagia, regurgitation, chest pain, pain after eating, belching; protonix, PPIs, nutrition, lifestyle mod., surgery |
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Term
| What is a sliding hiatal hernia? |
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Definition
| Fundus of stomach slides up through diaphragm |
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Term
| What is a paraesophogeal hernia? |
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Definition
| stomach herniates through diaphragm, risk of incarceration or strangulation |
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Term
| Manifestation of Hiatal Hernia? |
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Definition
| Reflux, heartburn, feeling of fullness, substernal chest pain, dysphagia, occult bleeding, belching, indigestion |
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Term
| What is the most common area for GI bleed? |
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Definition
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Term
| What three primary disorders lead to upper GI bleeds? |
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Definition
| Erosive gastritis = 20% = acid reflux, bulemia; peptic ulcer dz = 50%; Esophageal varicies = highest mortality = fr. portal HTN |
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Term
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Definition
| Vomiting blood = looks like coffee grounds |
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Term
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Definition
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Term
|
Definition
| Frank blood in stool = from upper GI |
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Term
|
Definition
| Benign, self-limiting; Ass. c ingestion of gastric irritants = ASA, ETOH, caffeine... |
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Term
| What is Chronic Gastritis? |
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Definition
| Progressive & irreversible; common in elderly, alcoholics, cig. smokers; chronic infection of H. Pylori |
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Term
| What are the manifestations of acute gastritis? |
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Definition
| anorexia, N/V, hemataemesis, melena, abdominal pain, systemic shock (very young or old) |
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Term
| What are the manifestations of chronic gastritis? |
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Definition
| vague discomfort after eating; may be asymptomatic; anemia, fatigue |
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Term
| What is erosive gastritis? |
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Definition
| "Stress induced gastritis" r/t shock, trauma, major surgery, sepsis, burns, head injury |
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Term
| What type of ulcers follow a major burn? |
|
Definition
|
|
Term
| What type of ulcers follow head injury or CNS surgery? |
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Definition
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Term
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Definition
| Meds = H2 receptors, Tx of H. Pylori; GI Rest; Gastric lavage' CAM = chamomile, garlic, ginger, mint |
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Term
| What is Peptic Ulcer Disease (PUD)? |
|
Definition
| Break in mucous lining c exposure to acid-pepsin secretions; any area of GI tract |
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Term
|
Definition
| H.Pylori infection, low socioeconomic status, unsanitary living, NSAID use, age 50-70, Hx of ulcer, glucocorticoids, cigarettes, fam hx |
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Term
| Manifestations/complications of PUD? |
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Definition
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