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Flashcards in GI CC Deck (32):
0

protective for UC ?

dietary fatty acids SMOKING appendectomy < 20

1

risk factors for UC ?

dietary arachinodinic acid dietary linoleic acid (corn oil) NSAID stress/depression Postmenopausal hormone use

2

risk factor for Crohns disease?

dietary animal protein NSAID stress/depression Oral contraceptive use smoking appendectomy

3

protective for Crohn's Disease

dietary fiber Vitamin D

4

Diseases/complications of Crohn's Disease

Stricture Fistulas Intraabdominal or Perianal abscess

5

disease/complication of UC

primary sclerosing cholangitis (independent)

6

histo of Crohn's Disease

Granulomas, clumps of inflammatory cells in 30% patients

7

histo of UC

grandular atrophy with crypt distortion hypertrophy of muscularis mucosa

8

morphology of UC vs. Crohn's Disease

UC - pseudopolyps - ulceration and raised mucosa *Mucosa and Submucosa involved Crohn's Disease - cobblestoning = walls are thick

9

Erythema Nodosum

painful red nodules, mosquto bites Parallels Bowel disease

10

Pyoderma gangrenosum

ulceration and skin necrosis Independent from bowel disease

11

Uveitis

inner eye infection Independent from bowel disease

12

PSC

Primary Sclerosis Cholngitis bile duct is narrowed - can process to cirrhosis and increased risk of cancer *Ulcerative Colitis

13

esophageal varices?

anastomosis between Left Gastric Vein + Azygos Vein

14

internal hemorrhoids

from bleeding at anatomosis between superior rectal vein + middle/inferior rectal vein

15

caput medusa

anterior abdominal wall has enlarged veins anastmosis between paraumbilical veins + abdominal tributaries easily palpated

16

retroperitoneal anatomosis

between colic vein + lumbar vein

17

what are 4 anatomoses that are related to portal hypertesion

1. esophageal varices - L gastric + azygos vein 2. caput medusa - paraumbilical veins + abdominal tributaries 3. internal hemorrhoids (superior rectal + midddle/inferior rectal veins) 4. retroperitoneal anastomoses - colic vein and lumbar vein

18

cryptochidism

undescended testis orchidopexy done to remove testis from abdomen

19

cremateric reflex

stimulation of inner thigh causes elevation o corresponding testis into inguinal canal. genitofemoral nerve

20

hydrocele

fluid in processus vaginlias

21

hemotacele

blood in tunica vaginalis

22

variocele

enlarged testicular veins

23

indirect hernia

protrusion is lateral to the inferior epigastric artery. goes through inguinal canal congenital/infants

24

direct hernia

protrusion is medial to inferior epigastric artery. goes through Hesselbach's Triangle.

25

pneumoperitoneum

air in the peritoneum - ascends to top of cavity trapped air below diaphragm on the right is pathological normal to see air on the left (stomach)

26

fluid in peritoneum? Males and females?

fluid DESCENDS and collects in different places in male/female female - fluid goes to Retouterine Pouch male - Rectovesical Pouch

27

achlasia?

narrowing of the esophagus failure of LES to relax

28

esophageal carcinoma sign?

is there is a rough, irregular change in diameter of the esophagus - called a Filling Defect or Eaten Apple SIgn Esophageal cancer sign

29

what happens if LES herninates into thorax?

stomach contents leak Lower Esophageal Sphincter is already weak

30

gall stones vs. kideny stones imagin

gall stones - NOT seen on xray - do ultrasound or CT kidney stones - are radio-opaque so do Cray

31

referred pain from kidney stone? dx kidney stones? vs appendicitis

T11-L2 - flank region to scrotal region kidneys are retroperitoneal so will not have the Rebound Tenderness Appendicitis will cause rebound tenderness