Chapter 5 G.I Flashcards
(31 cards)
What results from the failure of a satisfactory esophageal lumen to develop completely separate from the trachea.
congenital tracheoesophageal fistulas
What describes any symptomatic condition or structural changes caused by reflux of the stomach contents into the esophagus?
Gastroesophageal reflux disease
What condition related to severe reflux esophagitis in which the normal squamous lining of the lower esophagus is destroyed and replaced by columnar epithelium similar to that of the stomach?
Barretts esophagus
What (outpouchings) are common lesions that either contain all layers of the wall (traction or true diverticula) or are composed of only mucosa and submucosa herniating through the muscular layer (pulsion or false diverticula)?
esophageal diverticula
what arise from the posterior wall of the upper (cervical) esophagus?
zenkers diverticula
What are dilated veins in the wall of the esophagus that are most commonly the result of increased pressure in the portal venous system (portal hypertension), which is in turn usually a result of cirrhosis of the liver?
esophageal varices
What is the most common abnormality (occurring in 50% of the population) detected on upper GI examination?
hiatal hernia
What is a functional obstruction of the distal section of the esophagus with proximal dilation caused by incomplete relaxation of the lower esophageal sphincter?
achalasia
Thickened gastric folds, gastric outlet obstruction?
gastritis
occurs when the two muscular layers of the pylorus become hyperplastic and hypertrophic
pyloric stenosis
caused by the action of acid and the enzyme pepsin secreted by the stomach and occurs most frequently on the lesser curvature
peptic ulcer disease
chronic inflammatory disorder of unknown cause that most often involves the terminal area of the ileum but can affect any part of the GI tract.
crohns disease
ommon disorder of intestinal motor activity in which fluid and gas do not progress normally through a nonobstructed small and large bowel.
adynamic ileus
telescoping of one part of the intestinal tract into another because of peristalsis, which forces the proximal segment of bowel to move distally within the ensheathing outer portion.
intussusception
develops when the neck of the appendix becomes blocked by a fecalith or by postinflammatory scarring that creates a closed-loop obstruction within the organ.
Appendicitis
outpouchings that represent acquired herniations of mucosa and submucosa through the muscular layers at points of weakness in the bowel wall.
diverticulosis
is a complication of diverticular disease of the colon (necrosing inflammation in the diverticula), especially in the sigmoid region, in which perforation of a diverticulum leads to the development of a peridiverticular abscess.
diverticulitis
primarily affects young adults, cause is unknown with alternating periods of remission and relapse
ulcerative colitis
patchy distribution, with involvement of multiple noncontiguous segments of colon (skip lesions)
crohns colitis
characterized by the abrupt onset of lower abdominal pain and rectal bleeding.
ischemic colitis
twisting of the bowel on itself that may lead to intestinal obstruction
volvulus
are varicose veins of the lower end of the rectum that cause pain, itching, and bleeding
hemorrhoids
can develop whenever bile contains insufficient bile salts and lecithin in proportion to cholesterol to maintain the cholesterol in solution
gallstones
inflammation of the gallbladder
cholecystitis