Gastric Disorders

Question 1

Acute Gastritis can be caused by 3 things, what are they?

Answer 1

NSAIDS Burns (curling ulcer) Brain Injury (cushing ulcer)

Question 2

How do Burns cause Acute Gastritis?

Answer 2

Burns=>decreased plasma volume => sloughing of gastric mucosa

Question 3

How do Brain Injury cause Acute Gastritis?

Answer 3

Brain Injury=>Increased ICP=>Increased vagal stimulation=>ACh=>􏰂􏰀H+ production

Question 4

Chronic Gastritis is due to?

Answer 4

Autoimmune and Hpylori=>inflamming the stomach

Question 5

Acute gastritis is due to?

Answer 5

Acid burning the stomach

Question 6

Acute gastritis can do damage in two ways?

Answer 6

1. increase acid 2. decrease protection

Question 7

Where does Type A (1st) chronic gastritis occur?

Answer 7

1st part Stomach (fundus/body)

Question 8

Where does Type B (2nd) chronic gastritis occur?

Answer 8

2nd part=>antrum

Question 9

Type A cause?

Answer 9

Due to Autoantibodies to parietal cells

Question 10

Autoantibodies to parietal cells, pernicious Anemia, and Achlorhydria

Answer 10

Type A

Question 11

MCC of Vit. B12 def?

Answer 11

Type A Chronic Gastritis

Question 12

Type A chronic gastritis complication?

Answer 12

Adenocarcinoma

Question 13

Most common type of Chronic Gastritis?

Answer 13

Type B

Question 14

Where does Type B occur?

Answer 14

Antrum

Question 15

Pathogenesis of Type B?

Answer 15

H. pylori=> urease/protease=weakens mucosal surface

Question 16

Type B can result in?

Answer 16

B cell MALToma

Question 17

Gastric hyperplasia of mucosa=>hypertophied rugae?

Answer 17

Menetrier disease

Question 18

Weight loss with Early Satiety?

Answer 18

Stomach cancer

Question 19

Stomach Cancer is associated with 2 things what is it?

Answer 19

Blood Type A Leser-Trelat Sign

Question 20

Stomach Cancer has two types?

Answer 20

Intestinal and Diffuse

Question 21

Which type is associated with H pylori and nitrosamines (smoked foods and cigarette), chronic gastritis?

Answer 21

Intestinal Type

Question 22

The Intestinal Type is most commonly found?

Answer 22

In the lesser curvature of the stomach

Question 23

The diffuse type has what kind of cells?

Answer 23

signet ring cells (mucin-filled cells with peripheral nuclei)

Question 24

What is another feature of the diffuse type?

Answer 24

stomach wall grossly thickened and leathery (linitis plastica).

Question 25

MC site of metastasis?

Answer 25

Liver

Question 26

What is Virchow node?

Answer 26

involvement of left supraclavicular node by metastasis from stomach.

Question 27

bilateral metastases to ovaries. Abundant mucin-secreting, signet ring cells.?

Answer 27

Krukenberg tumor

Question 28

subcutaneous periumbilical metastasis?

Answer 28

Sister Mary Joseph nodule

Question 29

Gastric Ulcer Pain, Greater or Less with food?

Answer 29

Greater

Question 30

Duodenal Ulcer Pain, Greater or Less with food?

Answer 30

Less: Decreases with meals=\>weight gain

Question 31

Which ulcer has a 100% association with H. pylori?

Answer 31

Duodenal ulcer=\>dirtier

Question 32

Duodenal Ulcers are caused by?

Answer 32

Zollinger-Ellison Syndrome

Question 33

Gastric Ulcers are caused by?

Answer 33

NSAIDs

Question 34

Which ulcer has an increased risk of gastric carcinoma?

Answer 34

Gastric Carcinoma Decreased Cancer

Question 35

What else do get in duodenal ulcers?

Answer 35

Hypertrophy of Brunner Glands

Question 36

For Ulcer Hemorrhage, which side is more likely to hemorrhage posterior or anterior?

Answer 36

posterior

Question 37

With Ruptured Gastric Ulcer on the lesser curvature of the stomach bleeding would be coming from?

Answer 37

Left Gastric Artery

Question 38

With hemorrhage on an Ulcer on the posterior wall of the duodenum bleeding would be coming from?

Answer 38

gastroduodenal artery

Question 39

Answer 39

Barrett's Esophagus Picture