Term
LES achalasia
s/t chagas (t cruzi) |
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Definition
bird beak
loss of myenteric plexus
progressive dysphagia
up risk esoph CA |
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Definition
LES achalasia
s/t chagas (t cruzi)
loss of myenteric plexus
progressive dysphagia
up risk esoph CA |
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abd structures enter thorax
infants: result of def dev of pleuroperitoneal membr
us hiatal: stomach through esoph hiatus |
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internal & external ing rings into scrotum
lateral to inferior epigastric a
infants: failure of process vaginalis to closem>>f |
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through inguinal (hesselbach's) triangle
bulge directly through abd wall
medial to inf epigastric a
ext ring onlyus older men |
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Definition
inf epiG a
lat border of rectus abd
ing ligdir ing hernia |
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Term
| indirect vs direct ing hernia |
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Definition
MD's LI
medial: direct
Lateral: indirect(to epigastric a) |
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Term
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Definition
persistance of vitelline duct or yolk stalk
s/t ectopic gastric muc or pancr tissue
most common GI congen anomaly
can bleed, intussuscept, volvulus, or obstr near terminal ileum |
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Term
| meckel's diverticulum mnemonic |
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Definition
five 2s:
2 inches
2ft from ileocecal valve
2% of population
first 2 yrs of life
may have 2 types of epith |
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obstr liver dz (HCC)
bone dz |
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obstr liver dz (HCC)
bone dz |
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glandular columnar epith metaplasia
->adCA |
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Definition
Alcohol
Barrett's
Cigarettes
Diverticuli
Esophegeal web (plummer-vinson)
Esophagitis
Familial->adCA except barretts |
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Term
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Definition
hypertroph'd pylorus-> obstr
palpable "olive" mass in epiG region
nonbilious projectile vomit at 2wks
1/600 births
often 1stborn males
tx: surg incision |
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Definition
autoAb to gluten (gliadin)
prox sm bowel |
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Definition
probably inf's
responds to abx
can affect entire sm bowel |
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Definition
inf'n w/ tropheryma whippelii
PAS pos macs in intest LP & mesenteric nodes |
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CF, chr pancreatitis
malabs fat, protein, ADEK |
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Term
autoAb to gluten (gliadin)
prox sm bowel |
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Definition
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probably inf's
responds to abx
can affect entire sm bowel |
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Definition
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inf'n w/ tropheryma whippelii
PAS pos macs in intest LP & mesenteric nodes |
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Definition
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Term
CF, chr pancreatitis
malabs fat, protein, ADEK |
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Definition
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Definition
erosive
disruption of muc barrier -> inflamm
etios: stress, NSAIDs, etoh, uricemia, burns (curling ulcer) or brain injury (cushing ulcer) |
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Autoimmune, Autoabs to parietal cells -> pern Anemia and Anchlorhydria
fundal
up risk gastric CA |
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Definition
H pylori
antral
up risk gastral CA |
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Definition
pain up w/ meals
wt loss
h pyl: 70%
chr NSAIDs
dn mucosal protection vs. gastric acid |
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Definition
pain dn w/ meals
wt gain
h pyl: alm 100%
up acid secrn or dn mucosal
hypertrophy brunners |
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Definition
clean, punched out margins (cf. raised/irreg margins of CA)
complns: bleed, penetrations, perf, obstrn
not necc pre-canc
h pyl: tx w. metro, bismuth salicylate, & amox or tetra
s/t PPI also
up inc ww/ smokers |
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Term
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Definition
us adCA
early aggr mets: LN & hep
assoc w. nietary nitrosamines, achlorhydria, chr gastritis
linitis plastica: diffusely infiltrative (thick'd, rigid appearance) |
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bil gastric mets -> ovaries
mucus "signet ring" cells |
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Term
| bil gastric mets -> ovaries |
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Definition
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Term
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Definition
poss infectious
may involve any portion of GI tract
us term il & colon
skip lesions & rectal sparing |
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Definition
transmural inflammo
cobblestone mucosa
creeping fat
bowel wall thickening -> string sign
linear ulcers
fissures, fistulas |
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Definition
| noncas granulomas & lymphoid aggrs |
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Definition
strictures
fistulas
perianal dz
malabs
nutr depletement |
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Definition
migr polyarthritis
erythema nodosum
ankylosing spondylitis
uveitis
immun ds |
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Definition
poss autoimmune
colon only, continuous, always rectal & ascs |
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Definition
colon only
muc & submuc only
friable muc pseudopolyps w. free hanging mesentary
lead pipe |
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Definition
crypt abscesses & ulcers
bleeding
no granulomas |
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Definition
severe stenosis
toxic megacolon
colorectal CA |
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Definition
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poss infectious
may involve any portion of GI tract
us term il & colon
skip lesions & rectal sparing |
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Definition
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transmural inflammo
cobblestone mucosa
creeping fat
bowel wall thickening -> string sign
linear ulcers
fissures, fistulas |
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Definition
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Term
| noncas granulomas & lymphoid aggrs |
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Definition
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Term
strictures
fistulas
perianal dz
malabs
nutr depletement |
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Definition
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Term
migr polyarthritis
erythema nodosum
ankylosing spondylitis
uveitis
immun ds |
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Definition
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Term
poss autoimmune
colon only, continuous, always rectal & ascs |
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Definition
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Term
colon only
muc & submuc only
friable muc pseudopolyps w. free hanging mesentary
lead pipe |
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Definition
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Term
crypt abscesses & ulcers
bleeding
no granulomas |
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Definition
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Term
severe stenosis
toxic megacolon
colorectal CA |
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Definition
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Definition
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Definition
all age groups
most common indn for emerg abd surg in kids
diffuse periumb pain ->
loc'd pain at mcburney's pt (midway b/t umb & ASIS =app root)
N, F, may perf-> peritonitis |
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Definition
diverticulitis (elderly)
ectopic preggers (use b-hCG to r/o) |
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Definition
blind pouch leading of alimentary tract, lined by muc, musc & serosa
comms w/ lumen
false= no or atten'd muscularis externa (esp at vasa recta)
most often: sigmoid |
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Term
blind pouch leading of alimentary tract, lined by muc, musc & serosa
comms w/ lumen
most often: sigmoid |
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Definition
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Term
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Definition
many diverticula
50% of >60yo
cause: up lumen pressure & focal wall weakness
most often sigmoid
low fiber diets
us asx or vague discomfort, +/- rectal bleed |
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Definition
inflam'n of tic-> LLQ pain
complns: perf, peritonits, abscess, bowel stenosis |
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Definition
telescoping of 1 bowel segm into distal segment
can compr BD
often due to luminal mass |
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Definition
twisting of portion of bowel around its mesentery
can -> obstrn & infn
us sigmoid b/c red'd mesentery |
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Definition
congen megacolon bc lack of both enteric nn plexi
failure of neural crest cells to migrate
early chr constip
risk up w. downs |
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Term
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Definition
3rd most common
RFs: villous adenomas, chr IBD (esp UC), high fat & low fiber, age, FAP, HNPCC, DCC deln, p&fhx of CR CA
peutz-jeghers- not a RF
screen at 50 y/o w/ FOBT & scope |
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